Remote reviewer jobs in Bergenfield, NJCreate job alerts

Perform benefit reviews for existing clients, as well as help with any necessary claims or adjustments * Provide attentive customer service and any necessary administrative support in response to ...

Perform benefit reviews for existing clients, as well as help with any necessary claims or adjustments * Provide attentive customer service and any necessary administrative support in response to ...

This position is 3 days on site, 2 days remote and offers an opportunity to be part of one of the ... Review assessments to determine if the correct conclusion for eligibility of services was reached ...

Establish/coordinate Remote Capture process for business customers * Ensure timely review of various Branch reports for accuracy * Ensure timely submission of required reporting * Actively ...

NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ...

Position Summary Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review ...

NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ...

Travel 0426 Years of Experience 1 Years Required Certifications BLS, PRI (Patient Review Instrument) Certification, SCREEN Training Certification About LanceSoft Established in 2000, LanceSoft is a ...

Travel BLS, PRI (Patient Review Instrument *Required Certifications: BLS* -(DP) #HCRR About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is ...

Experience Minimum five years experience in utilization review management and/or case management preferred. Minimum of 5 years experience as a registered nurse required. Special Skills Registered ...

The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of ...

The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of ...

The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of ...

The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of ...

The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: 401(K), Best ...

This hybrid role combines remote work with in-person fieldwork, emphasizing high-quality, cost-effective care coordination and seamless service delivery. Compensation: $105,000 - $115,000/year ...