Utilization Review Specialist

About the RoleThis position involves reviewing and assessing patient charts to ensure medical necessity for continued care. The ideal candidate will be a licensed clinical or medical professional with experience in behavioral health documentation and insurance requirements.Key ResponsibilitiesConduct thorough reviews of comprehensive client charts, including...

Job Title: Virtual Utilization Management ProfessionalJob Description:Assess and interpret customer needs, requirements, and medical records to ensure accurate claim processing.Required Skills and Qualifications:Active PHRN and USRN Mainland LicenseAt least 1 year of bedside experience, preferably with UR/UM experienceBenefits:Work from home opportunity with...

Academic Review SpecialistWe seek highly qualified researchers to evaluate and improve academic manuscripts for journals and publishers.Required ExpertiseA Doctoral Degree (PhD/MD) or equivalent advanced qualification in the subject area.Published Research: A minimum of two publications within the last two years in your field.Critical Analysis: Excellent...

Expert Peer Reviewer OpportunityUnlock the power of community knowledge by contributing to expert peer reviews for journals and publishers.As an experienced researcher, you have a unique opportunity to join our team of esteemed reviewers and add your expertise directly into each article.This is an excellent chance to utilize your in-depth knowledge and...

German Quality Control SpecialistA detail-oriented professional fluent in German and English is sought to join the team.Main Responsibilities:Monitor overall document quality to ensure adherence to client-specific and internal standards throughout the review process.Review linguistic content to verify grammatical accuracy, appropriate terminology, and...

Job Title: Editorial ReviewerWe are seeking a highly skilled Editorial Reviewer to join our team. As an Editor, you will play a vital role in ensuring the accuracy and quality of research manuscripts.Key Responsibilities:Edit manuscripts to meet international publication standards.Provide timely feedback to editors and researchers.Manage deadlines...

Review and evaluate AI-generated content in Chinese Simplified. This freelance position requires a professional to review and score AI-generated responses, suggest improvements, and evaluate model outputs through A/B testing.Key ResponsibilitiesReview and score AI-generated responses across various topicsSuggest improvements using natural language...

Job Title: Financial Operations SpecialistAbroadWorks is seeking an experienced Accountant/Bookkeeper to fill a key role in our organization.The ideal candidate will have at least a year of experience in accounting/bookkeeping, with a strong background in utilizing QuickBooks software.Key Responsibilities:Track expenses, budget, taxes, cash flow, receipts,...

Job OpportunityContribute to the peer review process for medical journals and publishers.We are seeking experts in various medical specialties, including geriatric medicine, infectious diseases, and more.To be eligible, you should have advanced degrees in relevant fields and be able to disclose your full name and affiliations with publishers.Main...

Job SummaryThe Tax Filing Specialist is a critical role that requires attention to detail and organizational skills to prepare and support the filing of individual and business tax returns.Main ResponsibilitiesScreen and review client-provided tax documents for completeness and accuracy prior to preparation.Enter and review tax data into preparation software...