Utilization Manager & Medical Necessity Specialist
Duke Clinical Research Institute
Duke Regional Hospital in Durham, NC seeks an experienced Utilization Manager/Medical Chart Auditor to support utilization review and clinical documentation. You will validate bedded patient authorizations, collaborate with physicians, and assist with discharge planning to optimize patient flow and care efficiency. A BSN and NC RN license are required, with CM certification within 2 years and BLS. #J-18808-Ljbffr Duke Clinical Research Institute
- ...condition, physician intent, and utilization review outcomes with current... ...regulatory requirements. Supports the medical chart audit process by ensuring... ...that supports the medical necessity/level of care. Supports denials management by documenting activities related...SuggestedRelocation packageWeekend work
- Duke Regional Hospital, part of Duke University Health System, seeks a Utilization Manager/Medical Chart Auditor to ensure medical necessity, manage bed utilization, and collaborate with physicians and care teams. The role emphasizes timely reviews, discharge planning,...Suggested
$18 per hour
...Kitchen Utility Lead Morrison Living is hiring immediately for full time Kitchen Utility... ...the following benefits to associates: Medical, Dental, Vision, Life Insurance/AD,... ...functions of the job based on business necessity. Certain positions may require Florida...SuggestedHourly payFull timePart timeLocal areaImmediate startRemote workFlexible hoursShift work- ...advance health together. Patient Revenue Management Organization Pursue your passion for... .... ? Responsible for development and utilization of departmental labor standards and... ...related to eligibility, authorization, and medical necessity. Knowledge of clinical medical...SuggestedTemporary work
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- Air Medical Communications Specialist - Duke Life Flight Work Arrangement: On-Site Requisition Number:... ...projections. Recommend appropriate utilization of Communications Center services... ...Placement, Life Flight Nurses, Case Managers, Billing Department, and all other...Temporary workShift work
- ...blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN. Staff...Immediate start
- ...standard hand tools, power equipment, vehicles, and heavy equipment utilized in the preventative maintenance, repair, and construction of... ...known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and...Work experience placementWeekend work
$144k
...Audiology Service at the Durham VA Medical Center in Durham, NC. The... ...REAL ID compliant cannot be utilized as an acceptable form of... ...Apprenticeship Program for Hearing Aid Specialists; OR, Education. Successful... ...abnormalities and cerumen management; rechecking air-conduction...Permanent employmentFull timeApprenticeshipWork experience placementSeasonal workRemote workTrial periodRelocation packageMonday to Friday- ...Case Manager Immediate need for a talented Case Manager. This... ...limited to, health insurance (medical, dental, vision), 401(k) plan... ...clinical and resource outcomes. Utilize applicable clinical skillset... .... May evaluate medical necessity and appropriateness of...Contract workWork at officeLocal areaImmediate startRemote workFlexible hours
- ...immigration sponsorship for this positionThe RoleAs the Senior Manager, Time Away from Work Programs, you will support the Director... ...work strategy.Key ResponsibilitiesAssess program performance, utilization trends, market practices, and associate feedback to develop recommendations...Full timeWork at officeLocal area
- ...quality of product, disconnect donors, and manage the disposal of biohazard waste and... ...GED. Three (3) months' experience in a medical or health care environment or equivalent... ...to bend, stoop, or kneel. Ability to utilize all required PPE (Personal Protective Equipment...Work at officeFlexible hoursShift workWeekend workAfternoon shift
$21.5 per hour
...position, some of the benefits offered may include: ~ Day 1 Medical, supplemental health, dental & vision for FT employees who work... ...information and confirm and verify all written and electronic orders by utilizing lab technology systems, Client contact, and approved tools....Hourly payFull timePart timeWork experience placementFlexible hours- ...Tech Advisory & Delivery Manager Locations: Atlanta | Austin | Boston | Brooklyn | Chicago | Dallas | Denver | Detroit | Houston |... ...and strategies for migrating from on-premise architecture. Utilizing working knowledge and experience with GenAI and its potential use...
$80k - $90k
...Admissions Manager Our vision is a world of peaceful relationships with food, weight... ...organization including clinical, operational, and utilization management teams. Success in this... ...cross-functionally with clinical, medical, utilization review, and operational teams...Full timeTemporary workMonday to Friday$120.9k - $181.3k
...chances are, we have something special for you. The Regional Manager is a senior-level operational leader responsible for leading... ...to address performance gaps at the District or Region level. Utilize data and performance metrics to drive decision-making and...Local area$80k - $90k
...Position Overview The Admissions Manager is responsible for leading and supporting... ...organization including clinical, operational, and utilization management teams. Success in this... ...cross-functionally with clinical, medical, utilization review, and operational...Full timeTemporary workMonday to Friday- Sr. Project Manager - Permanent - Durham, USReady to lead transformative GMP capital projects... ...requirements.Expertise in facilities, utilities, process equipment, automation, and... ...click 'Apply' or to speak to one of our specialists please request a call back at the top of...Permanent employmentFor contractors
$108.5k - $201.5k
...pharmaceutical manufacturing? As a Senior Project Manager at Novartis, you will provide end-to-end... ...capital programs involving facilities, utilities, process equipment, automation, and... ...with disabilities. If, because of a medical condition or disability, you need a reasonable...Full timeFor contractorsWorldwideRelocation package$150k - $200k
...Commissioning and Qualification (C&Q) Manager . You will lead a team of engineers and specialists responsible for delivering... ...clients in the pharmaceutical, medical device, and other advanced industries... ...activities for equipment, utilities, and building systems. Provide expert...Full timeFor contractors- ...the provision of cardiopulmonary services. Manager may oversee other departments, i.e. EKG,... ...that are collaborative, collegial and utilize current evidence-based practice. Meet regularly... ...manner with patients, family, and other medical personnel, as necessary. Serve as a...
$162k - $220.8k
...together: The Hematology Oncology Account Specialist is responsible for engaging Oncology... ...ownership by demonstrating outstanding account management-based selling skills. This will be... ...fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability),...Full timeLocal areaRemote work- ...UPIN information, etc. Researches test/client information utilizing lab computer system. Matches laboratory requisition forms to... ...expense and travel logs Monday for the week prior or as directed by management. Demonstrates organizational commitment. Adheres to...Work at office
- ...discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with... ...24 months - 6-month increments. Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal...Immediate startRemote workRelocation package
- ...countries and regions. The Technical Support Specialist (TSS) for the Grifols DxCTS (Diagnostic... ...complaints in the Customer Relationship Management System (CRM). The TSS is responsible for... ...in Health Science or related field, Medical Technologist certificate is preferred...Full timeWork at officeFlexible hoursShift workNight shiftWeekend workAfternoon shift
- ...Mid Day/Overnight - Medical Device Service Support Specialist I Location: NC-RTP, US Contract Type: Regular Full-Time Area: TECHNICAL ASSISTANCE... ...inquiries or complaints in the Customer Relationship Management System (CRM). The TSS is responsible for responding to...Full timeContract workWork at officeFlexible hoursShift workNight shiftWeekend workAfternoon shift
$40k - $80k
...customer vehicles in the areas of inspection, diagnosis and repair utilizing the expertise attained through ASE Certifications and/or years... ...repair experience. We are looking for automotive service managers to manage and direct all service department activities of a retail...Flexible hoursAfternoon shift$74.9k - $112.3k
...will drive revenue growth by strategically managing client relationships, generating new and... ...relationships. Understand their needs, utilize consultative skills to close sales,... ...team comes with amazing perks and benefits:Medical/Dental/Vision coverage401(k) planTuition...Temporary workSecond jobWork at officeLocal area- ...JOB DESCRIPTION OVERVIEW As a Senior Manager, you will play a key leadership role in guiding clients through onboarding to managed... ...ensuring alignment with clients Maintain personal billable utilization at the rate of 1700 hours per year 2. Develop client...Full timeWork experience placementRemote work
$100k - $155k
...side of all three. As Partner Marketing Manager, Cloud Alliances, you are Tanium's marketing... ...and influenced, cost per SQL, and MDF utilization and ROI. Bring the numbers to partner... ...generous benefits package consisting of medical, dental and vision plan, family planning...Full timeWork experience placementLive inWork at officeWorldwideFlexible hours3 days per week
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