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Prime Review Jobs (NOW HIRING)

Prime Healthcare

Utilization Review Nurse LVN

Ontario, CA · On-site

$71K - $99K/yr

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states ...

Jefferies

Prime Services Risk Management

Manhattan, NY · On-site

Perform standard and ad-hoc risk reviews including stress testing, margin analysis, concentration ... Serve as a senior Americas risk partner for Prime Services sales and trading MDs; collaborate on ...

Jefferies

Prime Services Risk Management

Manhattan, NY · On-site

Perform standard and ad-hoc risk reviews including stress testing, margin analysis, concentration ... Serve as a senior Americas risk partner for Prime Services sales and trading MDs; collaborate on ...

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Prime Review information

What is the difference between Prime Review vs Quality Assurance Specialist?

AspectPrime ReviewQuality Assurance Specialist
Required CredentialsHigh school diploma or equivalent; some roles may require certificationsTypically requires a high school diploma; certifications like ASQ are a plus
Work EnvironmentOffice or remote; review of documents, data, or contentOffice or manufacturing settings; focus on product/process quality
Employer & Industry UsageUsed in various industries for document/content reviewCommon in manufacturing, software, and healthcare industries
Search & Comparison IntentUnderstanding review roles; entry-level opportunitiesQuality control roles; process improvement

Prime Review primarily involves reviewing content, documents, or data for accuracy and compliance, often in office or remote settings. Quality Assurance Specialist focuses on ensuring product or process quality, often in manufacturing or technical environments. While both roles require attention to detail, Prime Review is more content-focused, whereas Quality Assurance Specialists work on product standards and process improvements.

How to become an Amazon Prime reviewer?

To become an Amazon Prime reviewer, you need an active Amazon account and a history of purchasing or reviewing products. You can start by leaving honest reviews on products you have purchased, and participating in the Amazon Vine program if invited, which provides free products in exchange for reviews. Building a reputation as a helpful reviewer can increase your chances of being selected for early or exclusive review opportunities.

What cities are hiring for Prime Review jobs?

Cities with the most Prime Review job openings:

What are popular job titles related to Prime Review jobs?

For Prime Review jobs, the most frequently searched job titles are:

Medical Review Coordinator - DRTX Utilization Review

Mesquite, TX

Prime Healthcare
Hospitals • 10K+ employees
Learn more about Prime Healthcareexternal

Full-time

Posted 8 days ago

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 293 frontline employees who took The Breakroom Quiz

Job description

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Dallas Regional Medical Center is a 202-bed acute care hospital accredited by The Joint Commission that offers a wide range of medical services including 24/7 emergency care, cardiology, wound care, surgical services, cardiac catheterization, and imaging. The hospital is the only Certified Stroke Center, Accredited Chest Pain Center, and Labor and Delivery Unit in the area. In addition, Dallas Regional is the only Trauma Center for 13 miles, and was the first Accredited Geriatric Emergency Room in Dallas County. The hospital is a recipient of Healthgrades Patient Safety Excellence Awards, 15 Healthgrades Five-Star ratings over the past three years, and Straight "A" Hospital Safety Grades from The Leapfrog Group since 2018. For more information visit www.dallasregionalmedicalcenter.com.


Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned.


Education and Work Experience

Required qualifications:

1. Master of Public Health (MPH) or post-graduation in a related health care field is required.

2. Medical Graduate, Dental Graduate required.

3. Knowledge of Clinical Pathophysiology and Pharmacology required.

Preferred qualifications:

1. ECFMG Certification And/or Bachelor's or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.

2. Utilization Review/Case Management experience is highly preferred.

3. 1+ year of clinical experience in acute care setting preferred.

4. Excellent written and verbal communication skills. Excellent critical thinking skills.

5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.

6. Ability to work independently in a time-oriented environment.

7. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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