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We are seeking a dedicated Communications Review Officer to join our team at [Company Name], a leading organization in the investment securities and registered investment advisory sectors. Communications Review Officer.
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TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas. Posted job title: Utilization Review Registered Nurse About TRS Healthcare TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for healthcare professionals nationwide and supplying healthcare organizations with comprehensive staffing and placement solutions to meet a wide range of workforce recruitment needs.
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Performs review of clinical monitoring visit reports for allocated projects ensuring consistency across protocols and/or regions and escalates any protocol, site, and/or CRA issues or trends noted during the report review process to CTM. Liaises with clinical monitoring staff for prompt trip report review submission and approval as per the stipulated timelines of PPD and/or the Sponsor.
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As a Document Review Attorney, you will be an integral part of the Complaint Review Unit (CRU), responsible for processing cases and ensuring compliance with legal standards. Review and analyze legal documents and evidence pertaining to cases in the CRU.
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Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retrospective review.
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Review medical information, update records to meet regulations. Proficient in EMR software like eClinicalWorks and My Avatar. Position Objective/Summary: Under the immediate supervision of the Director of Quality Management, the Clinical Documentation Reviewer oversees the healthcare organization's medical recordkeeping practices.
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Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers compensation claims.
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Our client has several document review projects coming up. Consilio is a global leader in legal staffing, eDiscovery, risk management, and legal consulting services. Location: On-site, at the client's office in downtown Richmond, VA.
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We are seeking a diligent and detail-oriented Real Estate Review Appraiser to join our team. 5-7 years of experience in commercial property appraisal review, preferably within a financial institution or private sector setting.
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Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
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Manage document review projects from initiation to completion, including staffing, setup, training, IT, security, and addressing client needs. Our company specializes in forensics, eDiscovery, managed review, and consulting, prioritizing exceptional customer service and reliability.
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Escalate cases to the Utilization Review Manager and/or Physician Advisor as needed. As a Behavioral Health Utilization Review Clinical Specialist, you will be responsible for assessing the medical necessity for admission to the Behavioral Health Unit (BHU) as well as continued stay, while also ensuring that services are appropriate and properly authorized by payers.
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If you are a licensed attorney and want to provide REMOTE document review services to a leading U.S. trial firm for several upcoming projects, this opportunity is for you. Document Review Attorneys: WORK FROM HOME.
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Role ResponsibilitiesThe Accounting Contract Specialist is integral to the overall client experience.
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Title: Registered Nurse-Review Analysis Location: Detroit, MI (Remote in Michigan) Duration: 9 Months Role Type: W2 Contract Engagement Engagement Description Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members.
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Title: chart review in Brewer, ME
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