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Utilization Review Nurse Holy Redeemer Health System Jenkintown, PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c ... Read more

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Medical Review Nurse (Hybrid) National Financial Partners Corp. Woodbury, NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ... Read more

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Medical Review Nurse (Hybrid) National Financial Partners Corporation Woodbury, NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th ... Read more

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CLINICAL DOCUMENT IMPROVEMENT SPECIALIST (FT; 40hrs/wk) - Temple Physicians Inc. Temple University Health System Philadelphia, PA

Serves as the primary resource to the treatment team on all aspects of medical record documentation required to support the accurate classification of patient's severity of illness/medical complexity. ... Read more

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Clinical Documentation Improvement Specialist Main Line Health, Inc. Newtown Square, PA

Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact! ... Read more

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury Philadelphia, PA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

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Privacy Engineer, Implementation Review Facebook Trenton, NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

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Associate Medical Director, Utilization Management Reviewer Cohere Health Philadelphia, PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ... Read more

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Clinical Reviewer - Remote Maximus Philadelphia, PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ... Read more

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Utilization Review Business Support Specialist - REMOTE Highmarkhealth Philadelphia, PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ... Read more

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Physician Reviewer Dane Street, LLC Philadelphia, PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ... Read more

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Assoc QC Reviewer Thermo Fisher Scientific, Inc. King Of Prussia, PA

Evaluates laboratory data for compliance with analytical methods and SOPs. Reviews sample results for completeness and accurate representation of the data and report findings. Prepares QC statements ... Read more

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Manager Regulatory Review Digitas Health Philadelphia, PA

Job DescriptionThe Manager, Regulatory Review manages a team of Associates and Senior Associates to ensure marketing materials for a client (or group of clients) follow the protocol established by our ... Read more

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Utilization Review Business Support Specialist - REMOTE Careerbuilder Philadelphia, PA

****Company :****Allegheny Health Network ****Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that include ... Read more

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Sr/Engineer - Design Review - 90374635 - Philadelphia (Hybrid) Amtrak Philadelphia, PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ... Read more

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Clinical Documentation Coordinator - Utilization Review Management (Temple Physicians, Inc./40 hours days) Temple University Philadelphia, PA

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re ... Read more

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Consumer Credit Review Executive Director JPMorgan Chase Wilmington, DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi ... Read more

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Director, Medical Consult and Review Physician Oncology Merck & Co., Inc. North Wales, PA

Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder ... Read more

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RN SPRING RECORDS REVIEW Temporary summer 2024 The College of New Jersey Trenton, NJ

To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco ... Read more

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HEDIS Data Reviewer vTech Solution, Inc. Newtown Square, PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo ... Read more

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SVP Process Review Manager Citi Private Bank Wilmington, DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand ... Read more

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(DOE-027-24) School Facilities Project Reviewer (Government Representative 2) New Jersey Department of Education Trenton, NJ

Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date ... Read more

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SVP Process Review Manager Citigroup Wilmington, DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand ... Read more

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SVP Process Review Manager Citigroup, Inc. Wilmington, DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand ... Read more

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Director of Incident Response Review TransPerfect Philadelphia, PA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more

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ReviewBuzzJobs In

Jenkintown,PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c

Woodbury,NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the

Woodbury,NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th

Philadelphia,PA

Serves as the primary resource to the treatment team on all aspects of medical record documentation required to support the accurate classification of patient's severity of illness/medical complexity.

Newtown Square,PA

Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact!

Philadelphia,PA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Trenton,NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Philadelphia,PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou

Philadelphia,PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati

Philadelphia,PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl

Philadelphia,PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce

King Of Prussia,PA

Evaluates laboratory data for compliance with analytical methods and SOPs. Reviews sample results for completeness and accurate representation of the data and report findings. Prepares QC statements

Philadelphia,PA

Job DescriptionThe Manager, Regulatory Review manages a team of Associates and Senior Associates to ensure marketing materials for a client (or group of clients) follow the protocol established by our

Philadelphia,PA

****Company :****Allegheny Health Network ****Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that include

Philadelphia,PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess

Philadelphia,PA

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re

Wilmington,DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi

North Wales,PA

Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder

Trenton,NJ

To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco

Newtown Square,PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo

Wilmington,DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand

Trenton,NJ

Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date

Wilmington,DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand

Wilmington,DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand

Philadelphia,PA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Company :Allegheny Health Network Job Description :GENERAL OVERVIEW:This position is responsible for covering vast roles within the Utilization Review management team that incl

Company :Allegheny Health Network Job Description :GENERAL OVERVIEW:This position is responsible for covering vast roles within the Utilization Review management team that include