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Utilization review nurse Empleos en Richardson tx

Última actualización: hace 9 horas
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Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesTexas, Mesquite
We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Mostrar másÚltima actualización: hace 2 días
Itemized Bill Review Facility Reviewer

Itemized Bill Review Facility Reviewer

ZelisRemote, TX, US
Teletrabajo
A tiempo completo
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines.They ...Mostrar másÚltima actualización: hace más de 30 días
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MANAGER UTILIZATION MANAGEMENT

MANAGER UTILIZATION MANAGEMENT

Texas Children's HospitalTX, United States
A tiempo completo
We are searching for a Manager Utilization Management- To develop all of the processes and procedures for Utilization Management intake, concurrent review and processing of denial and appeals.Asses...Mostrar másÚltima actualización: hace 4 días
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Document Review Attorney / Signer

Document Review Attorney / Signer

Scott & Associates, PCCarrollton, TX, United States
A tiempo completo +1
Since our inception in May 2000, we've evolved into a significant player in debt recovery litigation, providing comprehensive solutions for major banks and creditors. This position is a salary oppor...Mostrar másÚltima actualización: hace 2 días
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  • Nueva oferta
Inpatient Review (RN) : Remote, CALIFORNIA ( 3-12 hour / night shift )

Inpatient Review (RN) : Remote, CALIFORNIA ( 3-12 hour / night shift )

Molina HealthcareDallas County, TX, United States
30,37 US$–61,79 US$ por hora
Teletrabajo
A tiempo completo
Job Description : EMERGENCY ROOM ADMISSIONS REVIEW NURSE 2 openings for 12 hour NIGHT SHIFT : 7 : 30PM (in the evening) - 08 : 30AM (in the morning) PACIFIC HOURS NON EXEMPT, 3 days a week will rotate.TR...Mostrar másÚltima actualización: hace 19 horas
Nurse Medical Management II - Utilization Management

Nurse Medical Management II - Utilization Management

Elevance HealthTexas
72.080,00 US$–129.744,00 US$ anual
A tiempo completo
This is a virtual position, but candidates must reside within 50 miles of an Elevance Health Pulse Point.Nurse Medical Management II - Utilization Management. Ensures medically appropriate, high qua...Mostrar másÚltima actualización: hace más de 30 días
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  • Nueva oferta
Travel Nurse RN - Case Manager, Utilization Review - $1,451 per week

Travel Nurse RN - Case Manager, Utilization Review - $1,451 per week

Medical SolutionsFondren, TX, US
1451,00 US$ semanal
A tiempo completo
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Webster, Texas. Job Description & Requirements Specialty : Utilization Review Discipline : R...Mostrar másÚltima actualización: hace 9 horas
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Document Review Attorney / Signer

Document Review Attorney / Signer

Scott & Associates, Inc.Carrollton, TX, United States
A tiempo completo +1
Since our inception in May 2000, we've evolved into a significant player in debt recovery litigation, providing comprehensive solutions for major banks and creditors. This position is a salary oppor...Mostrar másÚltima actualización: hace 1 día
  • Oferta promocionada
Credit Review - Executive Director

Credit Review - Executive Director

JPMorgan Chase Bank, N.A.Plano, TX, United States
A tiempo completo
This team assists the firm in maintaining a focus on safety and soundness by bringing a systematic and disciplined approach to evaluating credit portfolio quality and by promoting strong credit ris...Mostrar másÚltima actualización: hace 1 día
Review Manager, Retail Credit Risk Review

Review Manager, Retail Credit Risk Review

USAAPlano, Texas, US
109.130,00 US$–208.580,00 US$ anual
A tiempo completo
The Credit Risk Review (CRR) group is responsible for independently evaluating credit risks of exposures from both lending and non-lending activities to opine upon the effectiveness of first and se...Mostrar másÚltima actualización: hace más de 30 días
Wholesale Credit Review - Vice President

Wholesale Credit Review - Vice President

JPMorgan Chase & Co.Plano, TX, United States
A tiempo completo
The Credit Review team within the JPMC Internal Audit Department is responsible for reviewing the credit process in commercial lending portfolios at the firm. The team focuses on portfolios within t...Mostrar másÚltima actualización: hace más de 30 días
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Florida Licensed Utilization Review Nurse

Florida Licensed Utilization Review Nurse

VirtualVocationsCarrollton, Texas, United States
A tiempo completo
A company is looking for a Remote Utilization Review Nurse.Key ResponsibilitiesManage requests for medical services, ensuring they are medically appropriate and necessaryWork towards achieving high...Mostrar másÚltima actualización: hace 1 día
Auto Appraiser - Desk Review

Auto Appraiser - Desk Review

FCCI Insurance GroupRichardson, TX , US
A tiempo completo
FCCI is guided by our core values of Loyalty, Integrity, Vision, Excellence and Service.These are the principles and behaviors that guide how we support and trust one another, build our teams, cult...Mostrar másÚltima actualización: hace más de 30 días
Review Analyst

Review Analyst

loanDepotPlano, Texas
Responsible for reviewing low to moderate risk appraisal reports for various loan programs.Ensures the performance of all duties in accordance with the company’s policies and procedures, all.Perfor...Mostrar másÚltima actualización: hace más de 30 días
Claims Clinical Specialist – Medical Review Team

Claims Clinical Specialist – Medical Review Team

Genworth FinancialTexas
124.600,00 US$ anual
Teletrabajo
A tiempo completo
At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Mostrar másÚltima actualización: hace más de 30 días
Utilization Review Nurse Remote / Local

Utilization Review Nurse Remote / Local

ezURs.comRichardson, TX
Teletrabajo
We are looking for a Utilization Review Nurse Remote / Local (Richardson, TX).The individual should be interested in non-direct patient care setting. Experience working within the workers compensation...Mostrar másÚltima actualización: hace más de 30 días
Utilization Behavioral Health Professional

Utilization Behavioral Health Professional

HumanaRemote, Texas
Teletrabajo
A tiempo completo
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Mostrar másÚltima actualización: hace más de 30 días
Loan Review Senior Consultant

Loan Review Senior Consultant

CrowePlano TX US
A tiempo completo
Crowe is seeking a Loan Review Senior Consultant to perform credit risk consulting projects for a variety of clients in the financial services industry. Provide loan review services and other consul...Mostrar másÚltima actualización: hace más de 30 días
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesTexas, Mesquite
Hace 2 días
Descripción del trabajo

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status or any other characteristic protected by law.  Description

Job Type : Full-time

Work Location : Remote with possible periodic travel to our office in Itasca, IL.

Overview

We are seeking a detail-oriented and experienced Quality Review Supervisor to oversee a QV team in our Quality Review Department. The ideal candidate will have strong communication skills, an eye for detail, and a deep understanding of property inspection services. This is a work from home position that requires a Windows computer and high-speed internet.

Responsibilities

The Quality Review Supervisor’s primary responsibility is to manage the daily activities of the QV team, providing guidance and support. There are also performance management responsibilities to ensure team members are meeting monthly goals. This includes (but not limited to) managing schedules, hourly production, rejection percentages, and quality standards.

Using Millennium’s proprietary software, the Supervisor manages the QV process which includes reviewing a full inspection report that is comprised of a sketch of the home’s footprint, photos of the home which identifies construction materials, hazards, and client specific questions. Knowledge of sketching and replacement cost programs is a plus.

Compensation

  • We offer comprehensive training and a competitive starting salary and benefit package.

Schedule :  Monday to Friday

Benefits :
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance
  • HOW TO APPLY :

    Interested candidates should apply through the job portal.

    We look forward to meeting you and expanding our team!

    Position Requirements

    Qualifications

  • Bachelor’s Degree or equivalent industry experience
  • Previous supervisory experience a plus
  • Previous experience in the insurance inspections, appraisals, or claims adjusting
  • Well organized and detail oriented
  • Possess excellent oral and written communication skills
  • Adaptable to change and open to new ideas
  • Ability to work independently
  • Intermediate or above computer skills
  • Experience using Microsoft Office Suite : Outlook, Word and Excel
  • Additional information :

    Employment type : Full-time