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Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
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Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4\:30P Baptist Health South Florida  Miami, FL
Registered Nurse, Management, Nurse, Registered, Per Diem, Healthcare ... Read more
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Miami,FL

Registered Nurse, Management, Nurse, Registered, Per Diem, Healthcare

Product Security Code Review Engineer Accenture  Miami, FL
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
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Miami,FL

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Hospital Reviewer/Utilization Manager DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
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Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

Utilization Review Case Manager, Non-RN Careerbuilder  Miami, FL
Utilization Review Case Manager, Non-RN page is loadedUtilization Review Case Manager, Non-RNApplylocationsMiami, FLtime typeFull timeposted onPosted 30+ Days Agojob requisition idR100072019Current Em ... Read more
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Miami,FL

Utilization Review Case Manager, Non-RN page is loadedUtilization Review Case Manager, Non-RNApplylocationsMiami, FLtime typeFull timeposted onPosted 30+ Days Agojob requisition idR100072019Current Em

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
Apply

Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Utilization Review Case Manager, Non-RN The University of Miami  Miami, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Miami,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

CREDIT SPECIALIST (FULL TIME) Compass Group  Hollywood, FL
CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr ... Read more
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Hollywood,FL

CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr

Provider Contestment Reviewer Sentara Healthcare  Miami, FL
City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G ... Read more
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Miami,FL

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Miami, FL
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
Apply

Miami,FL

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

Utilization Review Case Manager, Non-RN University of Miami  Miami, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work ... Read more
Apply

Miami,FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami Miller School of Medicine  Hialeah, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
Apply

Hialeah,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

CLAIMS AND CREDIT ASSOCIATE Best Candidates LLC  Miami, FL
Best Candidates LLC - We are seeking a CLAIMS AND CREDIT, who As a Claims and Credit Associate, you will be responsible for assisting in the management of claims processing and credit control within o ... Read more
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Miami,FL

Best Candidates LLC - We are seeking a CLAIMS AND CREDIT, who As a Claims and Credit Associate, you will be responsible for assisting in the management of claims processing and credit control within o

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
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Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Clinical Documentation Improvement Specialist (Hospital) Leon Medical Center  Miami, FL
9567Clinical Documentation Improvement Specialist (Hospital)Health CareMiamiFloridaThe Clinical Documentation Improvement Specialists performs on-site medical record reviews, examining and assessing a ... Read more
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Miami,FL

9567Clinical Documentation Improvement Specialist (Hospital)Health CareMiamiFloridaThe Clinical Documentation Improvement Specialists performs on-site medical record reviews, examining and assessing a

Real Estate Credit Associate/VP Selby Jennings  Miami, FL
Real Estate Credit AssociateMiami, FLCompany OverviewOur client is a rapidly growing real estate credit fund that invests in a wide variety of real estate products. With a proven track record acquirin ... Read more
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Miami,FL

Real Estate Credit AssociateMiami, FLCompany OverviewOur client is a rapidly growing real estate credit fund that invests in a wide variety of real estate products. With a proven track record acquirin

Hindi Document Review Attorney Contact Government Services, LLC  Hollywood, FL
Hindi Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hindi Familiarity with document review workflows Examples: Privilege/R ... Read more
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Hollywood,FL

Hindi Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hindi Familiarity with document review workflows Examples: Privilege/R

Director of Incident Response Review TransPerfect  Miami, FL
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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Miami,FL

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

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Miami, FL
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more
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Miami,FL

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

Document Review Attorney - Remote Dauntless Discovery  Miami, FL
Experienced Document Review Attorney ? RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st ... Read more
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Miami,FL

Experienced Document Review Attorney ? RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st

Document Review Staff Attorney DLA Piper  Miami, FL
DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation ... Read more
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Miami,FL

DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation

Quality Assurance Reviewer Miami, FL Qlarant Inc.  Miami, FL
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple ... Read more
Apply

Miami,FL

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple

Nurse Reviewer I Elevance Health  Grand Prairie, TX
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Grand Prairie,TX

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Outpatient Utilization Review (RN) - Lewisville Location - $5,000 Sign-on Bonus Universal Health Services  Arlington, TX
ResponsibilitiesWho We Are:The Excel Center of Lewisville is an outpatient clinic serving ages 5 - 18. We are a specialized day treatment center meeting the emotional and behavioral needs of children ... Read more
Apply

Arlington,TX

ResponsibilitiesWho We Are:The Excel Center of Lewisville is an outpatient clinic serving ages 5 - 18. We are a specialized day treatment center meeting the emotional and behavioral needs of children

RN Utilization Review II Impresiv Health  Irving, TX
Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ... Read more
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Irving,TX

Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and

Registered Nurse Utilization Review \ 1366 TalentBurst, Inc.  Irving, TX
Job Title: Registered Nurse Utilization Review Location: Irving, TX, 75038 Duration: 13 Weeks Shift: Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr. Notes: Temp to Perm - Local Candidates onl ... Read more
Apply

Irving,TX

Job Title: Registered Nurse Utilization Review Location: Irving, TX, 75038 Duration: 13 Weeks Shift: Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr. Notes: Temp to Perm - Local Candidates onl

Registered Nurse Utilization Review \ 1366 Softpath System LLC  Irving, TX
Area: HPUtilization Mgmt 7065 / 1346 Class: RN Utilization Review Shift: 1 Start: 08:00:00 End: 17:00:00 ... Read more
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Irving,TX

Area: HPUtilization Mgmt 7065 / 1346 Class: RN Utilization Review Shift: 1 Start: 08:00:00 End: 17:00:00

Clinical Document Improvement Specialist Children's Health  Dallas, TX
Job Title Specialty Area: Clinical Doc Integrity SpecialistDepartment: Coding and CDILocation: DallasShift: Monday - Friday from 8:00 a.m. to 4:30 p.m.Job Type: RemoteWhy Children's Health?At Childre ... Read more
Apply

Dallas,TX

Job Title Specialty Area: Clinical Doc Integrity SpecialistDepartment: Coding and CDILocation: DallasShift: Monday - Friday from 8:00 a.m. to 4:30 p.m.Job Type: RemoteWhy Children's Health?At Childre

Case Mgt Utilization Review RN - REMOTE IASIS Healthcare  Dallas, TX
Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of ... Read more
Apply

Dallas,TX

Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of

Radiation Oncology Preservice Review Nurse RN - Remote UnitedHealth Group, Inc.  Dallas, TX
Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize ... Read more
Apply

Dallas,TX

Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize

Tax Return Reviewer, Global Mobility Services KPMG  Dallas, TX
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
Apply

Dallas,TX

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Bill Review Analyst I CorVel  Dallas, TX
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.ESSENTIAL FUNCTIONS RESPONSIBILITIES:* Responsible for auditing me ... Read more
Apply

Dallas,TX

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.ESSENTIAL FUNCTIONS RESPONSIBILITIES:* Responsible for auditing me

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Dallas, TX
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
Apply

Dallas,TX

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

Risk Management - Asset Based Lending Credit - Associate JPMorgan Chase  Dallas, TX
As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more
Apply

Dallas,TX

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi

Project Manager - Design/Review CM Services Foster CM Group, Inc  Dallas, TX
Project Manager Design/Review Foster CM Group, a highly respected Construction Management Firm, offers a family-based culture where work-life balance is particularly important. We work as a team and ... Read more
Apply

Dallas,TX

Project Manager Design/Review Foster CM Group, a highly respected Construction Management Firm, offers a family-based culture where work-life balance is particularly important. We work as a team and

Senior Audit Manager - Credit Risk Portfolio Reviews U.S. Bancorp  Irving, TX
The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing strategic direction, leadership, and coordination of CASs Credit Risk Re ... Read more
Apply

Irving,TX

The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing strategic direction, leadership, and coordination of CASs Credit Risk Re

Senior Commercial Insurance Review Professional NEWMARK  Dallas, TX
Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D ... Read more
Apply

Dallas,TX

Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D

Network security with a good understanding of Firewall and the rule review process (L3 level) Applab Systems Inc  Plano, TX
Position : -Network security with a good understanding of Firewall and the rule review process (L3 level) Location: - style="font-family:C ... Read more
Apply

Plano,TX

Position : -Network security with a good understanding of Firewall and the rule review process (L3 level) Location: - style="font-family:C

Risk Review Sr Officer II - Hybrid, C15 - Irving Citigroup, Inc.  Dallas, TX
Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Board of Directors, the Risk Management Committees, the Citigroup Chief Risk Officer, the Citiban ... Read more
Apply

Dallas,TX

Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Board of Directors, the Risk Management Committees, the Citigroup Chief Risk Officer, the Citiban

Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street, LLC  Dallas, TX
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more
Apply

Dallas,TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b

Healthcare Administrative Assistant - Medical Review/Program Integrity Coordinator @Orchard  Dallas, TX
DescriptionHealthcare Administrative Assistant - Medical Review/Program Integrity CoordinatorDallas, TX(Hybrid schedule with 2 days onsite)@Orchard LLC is retained by a not-for-profit corporation that ... Read more
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Dallas,TX

DescriptionHealthcare Administrative Assistant - Medical Review/Program Integrity CoordinatorDallas, TX(Hybrid schedule with 2 days onsite)@Orchard LLC is retained by a not-for-profit corporation that

Bar Review Course Delivery Specialist Bar Review Operations Washington D.C., Dallas, TX Fully Remote Barbri, Inc  Dallas, TX
Bar Review Operations Washington D.C., Dallas, TX Fully Remote **Bar Review Course Delivery Specialist****Come join our Bar Review Operations team!**We usually respond within **three days* ... Read more
Apply

Dallas,TX

Bar Review Operations Washington D.C., Dallas, TX Fully Remote **Bar Review Course Delivery Specialist****Come join our Bar Review Operations team!**We usually respond within **three days*

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Dallas, TX
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Dallas,TX

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Design Review Project Manager Careerbuilder  Dallas, TX
Job DescriptionJob DescriptionPROJECT MANAGER DESIGN REVIEWExperience level can be from 4to 30 years of experience. Preferably someone with a P.E., E.I.T. or CCM.Qualifications:Education, Experience, ... Read more
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Dallas,TX

Job DescriptionJob DescriptionPROJECT MANAGER DESIGN REVIEWExperience level can be from 4to 30 years of experience. Preferably someone with a P.E., E.I.T. or CCM.Qualifications:Education, Experience,

Utilization Review RN TEXAS INSTITUTE FOR SURGERY  Dallas, TX
Job DetailsJob LocationTexas Institute for Surgery LL SURG - Dallas, TXSalary Range$38.00 - $43.00 HourlyJob CategoryHealth CareDescriptionJob Summary:The Utilization Management Nurse will provide pre ... Read more
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Dallas,TX

Job DetailsJob LocationTexas Institute for Surgery LL SURG - Dallas, TXSalary Range$38.00 - $43.00 HourlyJob CategoryHealth CareDescriptionJob Summary:The Utilization Management Nurse will provide pre

Physician Telecommute Medical Review Stream Concentra  Dallas, TX
OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license.* General Surgery* Neurologist* Orthopedic Surgery with hand or s ... Read more
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Dallas,TX

OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license.* General Surgery* Neurologist* Orthopedic Surgery with hand or s

Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street  Dallas, TX
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more
Apply

Dallas,TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b

Nurse Reviewer I Elevance Health  Grand Prairie, TX
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Grand Prairie,TX

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Outpatient Utilization Review (RN) - Lewisville Location - $5,000 Sign-on Bonus Universal Health Services  Arlington, TX
ResponsibilitiesWho We Are:The Excel Center of Lewisville is an outpatient clinic serving ages 5 - 18. We are a specialized day treatment center meeting the emotional and behavioral needs of children ... Read more
Apply

Arlington,TX

ResponsibilitiesWho We Are:The Excel Center of Lewisville is an outpatient clinic serving ages 5 - 18. We are a specialized day treatment center meeting the emotional and behavioral needs of children

RN Utilization Review II Impresiv Health  Irving, TX
Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ... Read more
Apply

Irving,TX

Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and

Registered Nurse Utilization Review \ 1366 TalentBurst, Inc.  Irving, TX
Job Title: Registered Nurse Utilization Review Location: Irving, TX, 75038 Duration: 13 Weeks Shift: Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr. Notes: Temp to Perm - Local Candidates onl ... Read more
Apply

Irving,TX

Job Title: Registered Nurse Utilization Review Location: Irving, TX, 75038 Duration: 13 Weeks Shift: Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr. Notes: Temp to Perm - Local Candidates onl

Registered Nurse Utilization Review \ 1366 Softpath System LLC  Irving, TX
Area: HPUtilization Mgmt 7065 / 1346 Class: RN Utilization Review Shift: 1 Start: 08:00:00 End: 17:00:00 ... Read more
Apply

Irving,TX

Area: HPUtilization Mgmt 7065 / 1346 Class: RN Utilization Review Shift: 1 Start: 08:00:00 End: 17:00:00

Clinical Document Improvement Specialist Children's Health  Dallas, TX
Job Title Specialty Area: Clinical Doc Integrity SpecialistDepartment: Coding and CDILocation: DallasShift: Monday - Friday from 8:00 a.m. to 4:30 p.m.Job Type: RemoteWhy Children's Health?At Childre ... Read more
Apply

Dallas,TX

Job Title Specialty Area: Clinical Doc Integrity SpecialistDepartment: Coding and CDILocation: DallasShift: Monday - Friday from 8:00 a.m. to 4:30 p.m.Job Type: RemoteWhy Children's Health?At Childre

Case Mgt Utilization Review RN - REMOTE IASIS Healthcare  Dallas, TX
Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of ... Read more
Apply

Dallas,TX

Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of

Radiation Oncology Preservice Review Nurse RN - Remote UnitedHealth Group, Inc.  Dallas, TX
Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize ... Read more
Apply

Dallas,TX

Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize

Tax Return Reviewer, Global Mobility Services KPMG  Dallas, TX
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
Apply

Dallas,TX

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Bill Review Analyst I CorVel  Dallas, TX
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.ESSENTIAL FUNCTIONS RESPONSIBILITIES:* Responsible for auditing me ... Read more
Apply

Dallas,TX

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.ESSENTIAL FUNCTIONS RESPONSIBILITIES:* Responsible for auditing me

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Dallas, TX
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
Apply

Dallas,TX

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

Risk Management - Asset Based Lending Credit - Associate JPMorgan Chase  Dallas, TX
As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more
Apply

Dallas,TX

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi

Project Manager - Design/Review CM Services Foster CM Group, Inc  Dallas, TX
Project Manager Design/Review Foster CM Group, a highly respected Construction Management Firm, offers a family-based culture where work-life balance is particularly important. We work as a team and ... Read more
Apply

Dallas,TX

Project Manager Design/Review Foster CM Group, a highly respected Construction Management Firm, offers a family-based culture where work-life balance is particularly important. We work as a team and

Senior Audit Manager - Credit Risk Portfolio Reviews U.S. Bancorp  Irving, TX
The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing strategic direction, leadership, and coordination of CASs Credit Risk Re ... Read more
Apply

Irving,TX

The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing strategic direction, leadership, and coordination of CASs Credit Risk Re

Senior Commercial Insurance Review Professional NEWMARK  Dallas, TX
Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D ... Read more
Apply

Dallas,TX

Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D

Network security with a good understanding of Firewall and the rule review process (L3 level) Applab Systems Inc  Plano, TX
Position : -Network security with a good understanding of Firewall and the rule review process (L3 level) Location: - style="font-family:C ... Read more
Apply

Plano,TX

Position : -Network security with a good understanding of Firewall and the rule review process (L3 level) Location: - style="font-family:C

Risk Review Sr Officer II - Hybrid, C15 - Irving Citigroup, Inc.  Dallas, TX
Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Board of Directors, the Risk Management Committees, the Citigroup Chief Risk Officer, the Citiban ... Read more
Apply

Dallas,TX

Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Board of Directors, the Risk Management Committees, the Citigroup Chief Risk Officer, the Citiban

Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street, LLC  Dallas, TX
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more
Apply

Dallas,TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b

Healthcare Administrative Assistant - Medical Review/Program Integrity Coordinator @Orchard  Dallas, TX
DescriptionHealthcare Administrative Assistant - Medical Review/Program Integrity CoordinatorDallas, TX(Hybrid schedule with 2 days onsite)@Orchard LLC is retained by a not-for-profit corporation that ... Read more
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Dallas,TX

DescriptionHealthcare Administrative Assistant - Medical Review/Program Integrity CoordinatorDallas, TX(Hybrid schedule with 2 days onsite)@Orchard LLC is retained by a not-for-profit corporation that

Bar Review Course Delivery Specialist Bar Review Operations Washington D.C., Dallas, TX Fully Remote Barbri, Inc  Dallas, TX
Bar Review Operations Washington D.C., Dallas, TX Fully Remote **Bar Review Course Delivery Specialist****Come join our Bar Review Operations team!**We usually respond within **three days* ... Read more
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Dallas,TX

Bar Review Operations Washington D.C., Dallas, TX Fully Remote **Bar Review Course Delivery Specialist****Come join our Bar Review Operations team!**We usually respond within **three days*

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Dallas, TX
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Dallas,TX

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Design Review Project Manager Careerbuilder  Dallas, TX
Job DescriptionJob DescriptionPROJECT MANAGER DESIGN REVIEWExperience level can be from 4to 30 years of experience. Preferably someone with a P.E., E.I.T. or CCM.Qualifications:Education, Experience, ... Read more
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Dallas,TX

Job DescriptionJob DescriptionPROJECT MANAGER DESIGN REVIEWExperience level can be from 4to 30 years of experience. Preferably someone with a P.E., E.I.T. or CCM.Qualifications:Education, Experience,

Utilization Review RN TEXAS INSTITUTE FOR SURGERY  Dallas, TX
Job DetailsJob LocationTexas Institute for Surgery LL SURG - Dallas, TXSalary Range$38.00 - $43.00 HourlyJob CategoryHealth CareDescriptionJob Summary:The Utilization Management Nurse will provide pre ... Read more
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Dallas,TX

Job DetailsJob LocationTexas Institute for Surgery LL SURG - Dallas, TXSalary Range$38.00 - $43.00 HourlyJob CategoryHealth CareDescriptionJob Summary:The Utilization Management Nurse will provide pre

Physician Telecommute Medical Review Stream Concentra  Dallas, TX
OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license.* General Surgery* Neurologist* Orthopedic Surgery with hand or s ... Read more
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Dallas,TX

OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license.* General Surgery* Neurologist* Orthopedic Surgery with hand or s

Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street  Dallas, TX
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more
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Dallas,TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b

Nurse Reviewer I Elevance Health  Washington, DC
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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Washington,DC

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Clinical Medical Review Nurse (Remote) Blue Cross and Blue Shield Association  Washington, DC
Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl ... Read more
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Washington,DC

Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl

CDI RN Specialist Children's National Medical Center  Washington, DC
The CDI RN Specialist will ensure overall quality and completeness of clinical documentation for specified populations. Will facilitate modifications to clinical documentation through concurrent inter ... Read more
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Washington,DC

The CDI RN Specialist will ensure overall quality and completeness of clinical documentation for specified populations. Will facilitate modifications to clinical documentation through concurrent inter

Utilization Review RN - Virginia Hospital Center Kaiser Permanente  Arlington, VA
The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential ... Read more
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Arlington,VA

The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential

Grant Application Review Specialist Corner Alliance  Washington, DC
Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac ... Read more
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Washington,DC

Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac

Software Quality Assurance Engineer/Tester (Static Code Review) Fusion Technology LLC  Washington, DC
Software Quality Assurance Engineer and Tester (Static Code Review)  Who are you? sty ... Read more
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Washington,DC

Software Quality Assurance Engineer and Tester (Static Code Review)  Who are you? sty

Project Manager Physical Security Design Review PC Network  Washington, DC
PCN is looking to add a Project Manager to our team in Washington, DC. Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r ... Read more
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Washington,DC

PCN is looking to add a Project Manager to our team in Washington, DC. Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r

IV&V Design Reviewer and Inspector Swingtech  Arlington, VA
Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS ... Read more
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Arlington,VA

Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS

Attorney Foreign Investment Review (NTE 1 YEAR) (REIMBURSABLE DETAIL) Department Of Justice  Washington, DC
SummaryThis reimbursable detail assignment is for a period of one year. Applicants must be current Federal Employees. The detail may be extended. Applicants should receive the approval of their superv ... Read more
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Washington,DC

SummaryThis reimbursable detail assignment is for a period of one year. Applicants must be current Federal Employees. The detail may be extended. Applicants should receive the approval of their superv

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

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

Scientific Reviewer GAP Solutions, Inc  Bethesda, MD
Provide services as a Scientific Reviewer in support of the overall functions of the Center for Scientific Review (CSR) within the National Institutes of Health (NIH). Provide support services to sati ... Read more
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Bethesda,MD

Provide services as a Scientific Reviewer in support of the overall functions of the Center for Scientific Review (CSR) within the National Institutes of Health (NIH). Provide support services to sati

Privacy Engineer, Implementation Review Facebook  Annapolis, MD
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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Annapolis,MD

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

Sr. Manager, Sr. Counsel: Fair Credit Reporting Act Capital One  Mc Lean, VA
Sr. Manager, Sr. Counsel: Fair Credit Reporting ActAt Capital One, we're building a leading information-based technology company. We measure our efforts by the success our customers enjoy and the advo ... Read more
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Mc Lean,VA

Sr. Manager, Sr. Counsel: Fair Credit Reporting ActAt Capital One, we're building a leading information-based technology company. We measure our efforts by the success our customers enjoy and the advo

Sr Specialist, Quality Compliance - Licensing and Discipline Review Cardinal Health  Washington, DC
**_What Quality Compliance contributes to Cardinal Health_**Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards ... Read more
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Washington,DC

**_What Quality Compliance contributes to Cardinal Health_**Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards

Eligibility Review Manager Serco  Washington, DC
Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate ... Read more
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Washington,DC

Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate

Travel Nurse - RN - UR - Utilization Review - $1920 / Week BluePipes  Parcel Return Service, DC
Genie Healthcare is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Olney, MD. Shift: Inquire Start Date: 05/07/2024 Duration: 13 weeks Pay: $1920 / W ... Read more
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Parcel Return Service,DC

Genie Healthcare is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Olney, MD. Shift: Inquire Start Date: 05/07/2024 Duration: 13 weeks Pay: $1920 / W

Foreign Disclosure Review Analyst- Norfolk, VA Ventus Solutions  Washington, DC
DescriptionVentus Executive Solutions (VES) is seeking a Foreign Disclosure Analyst with experience in tactical publications to join our exciting team in support of a trilateral military program makin ... Read more
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Washington,DC

DescriptionVentus Executive Solutions (VES) is seeking a Foreign Disclosure Analyst with experience in tactical publications to join our exciting team in support of a trilateral military program makin

Research Manager - 360 Reviews U.S. News & World Report  Washington, DC
Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We ... Read more
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Washington,DC

Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We

JCIP ACAS Technical Reviewer- Senior Pueo Business Solutions  Washington, DC
Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi ... Read more
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Washington,DC

Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi

Research Analyst- 360 Reviews Careerbuilder  Washington, DC
DescriptionU.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We p ... Read more
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Washington,DC

DescriptionU.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We p

Travel Nurse RN - Case Manager, Utilization Review - $1,942 per week PRN Healthcare  Washington, DC
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Washington, District of Columbia.Job Description RequirementsSpecialty: Utilization ReviewD ... Read more
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Washington,DC

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Washington, District of Columbia.Job Description RequirementsSpecialty: Utilization ReviewD

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Washington, DC
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Washington,DC

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Merit Reviewers Ark Solutions Inc.  Washington, DC
Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr ... Read more
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Washington,DC

Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr

Content Review Specialist Bcguardian Llp  Washington, DC
BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes ... Read more
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Washington,DC

BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes

JCIP HBS Technical Reviewer - TS/SCI w/Polygraph required Deloitte  Arlington, VA
Are you looking to elevate your cyber career? Your technical skills? Your opportunity for growth? Deloitte's Government and Public Services Cyber Practice (GPS Cyber Practice) is the place for you! Ou ... Read more
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Arlington,VA

Are you looking to elevate your cyber career? Your technical skills? Your opportunity for growth? Deloitte's Government and Public Services Cyber Practice (GPS Cyber Practice) is the place for you! Ou

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