Clinical Utilization Review Specialist
Berkshire Hathaway Homestate Companies
Berkshire Hathaway Homestate Companies, Workers Compensation Division, in Omaha, is seeking a Utilization Review Specialist to join its Medical Management team. You will ensure medical treatment requests are appropriate and reviewed in line with state laws and company policies. The role involves triaging requests, reviewing authorizations against guidelines, researching claim files, and communicating with providers, injured workers, and claims staff to support integrated medical management. #J-18808-Ljbffr
- ...Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The... ...documentation of requested medical treatments, to include clinical findings, treatment guidelines, and determinations....SuggestedWork at office
- ...Berkshire Hathaway Homestate Companies in Omaha is seeking a Utilization Review Specialist to join the Medical Management team. You will triage, review, and coordinate authorization requests to ensure medical treatments comply with state laws and company policies. You...Suggested
- ...Job Title Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential... ...care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance...SuggestedWork at office
- ...hours Responsible for concurrent review of clinical documentation for all selected admissions... ...staff nurses, care coordinators, utilization review staff, inpatient coding staff... ...management, staff nurses and Coding Specialists to ensure the medical record accurately...SuggestedTemporary workWork at officeLocal area
- ...business hours. Responsible for concurrent review of clinical documentation for selected admissions... ..., staff nurses, care coordinators, utilization review staff and other hospital... ...management, staff nurses and Coding Specialists to ensure the medical record accurately...SuggestedTemporary workWork at officeLocal area
- ...and supports pain management, utilizing variety of coping strategies... ...tailored to the needs of the child. Reviews and revises goals as... ...concise, objective, and accurate clinical notes, documenting pertinent... ..., CCLS (Certified Child Life Specialist), OR obtain child life...ReliefWork at office
- ...Syneos Health is seeking a Clinical Scientist - Cardiovascular to contribute to clinical development and data reviews in a fast-paced environment. You will collaborate with Medical Directors to develop medical plans, review data, and support safety reviews, with a focus...
- ...create a provider profile that highlights your specialties and clinical approach, ensuring the right clients find you. Admin Done... ...clinical measures during visits-encouraging completion, reviewing results, and, when needed, completing them live in session. This...Live inWork at officeRemote work
- ...world around us. Job Description: As a Project Manager within our Utility Coordination group, you will both lead and participate in a... ...Railroads and DOTs. Primary Responsibilities include: Ability to review, interpret, and understand technical plan sets and subsurface...Full timeContract workFor contractorsWork experience placementFor subcontractorWork at officeRelocationFlexible hours
- ...Telecommuting Hybrid (part-time working on site, part-time working off-site) Position Summary Responsible for the collection and review of clinical protocol research data; Interpretation of data (including appropriate source documentation) for entry into computerized...Full timeTemporary workPart timeRemote workWeekend workWeekday work
$45.31 - $67.01 per hour
Job Description: The Nurse Clinical Leader provides leadership and clinical expertise during... ...of annual employee performance reviews. The Nurse Clinical Leader provides leadership... ...evaluating the care of patients. The RN utilizes the nursing process with technology,...Hourly payRemote workShift work- ...We are searching for a Fire &Life Safety Specialist at our global headquarters in Omaha,... ...other discipline models through Design Reviews and 3D Coordination processes.Execute all... ...related industry experience.Proficient utilizing AutoCAD and Revit.Must be able to work well...Work at officeLocal areaImmediate start
$110k - $130k
...collaborative environment? As an experienced Pay Specialist II, you will have the ability to share... ...analysis at the security and fund level utilizing the PAY forecasting tool, to be used by... ...for new data workflows, conduct reviews of all testing results to ensure data integrity...Local area- ...Environmental, Health, and Safety (EHS) Senior Specialist, you will implement plans and procedures... ..., related policies, and procedures utilizing latest metrics, trend data and industry... ...access and use of our website, please review our general California Privacy Notice here...Full timeWork at officeFlexible hoursNight shift
- ...largest technology companies. As a BIM Specialist, you will collaborate with our BIM team... ...the site-level contact for BIM content review, approval, management, and maintenance.... ...CAD/BIM content for data center projects, utilizing professional tools and processes to ensure...Full timeFlexible hours
$78k - $97.5k
...CT Tech / Imaging Specialist / ARRT Omaha, NE $78,000 - $97,500 a year Discover a New... ...recognized. Your Key Responsibilities Utilize advanced radiographic and CT techniques... ...role contributing to a collaborative clinical environment Why Your Work in...Local areaFlexible hours$17 per hour
...accruing on 1st day of employment - can be utilized after 90 days of employment. Sick Leave... ...11pm, Wed - Sun Day to Day The Resident Specialist is responsible for maintaining the... ...scheduled YES staff meetings, case management reviews, training sessions, and meetings with...Hourly payFull timeAfternoon shift$128.06 per hour
...Job Description ~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to determine eligibility and priority... ...documents through FEMA’s Consolidated Resource Centers utilizing a web-based tool, schedules site inspections with...Work experience placementH1bImmediate startFlexible hours$120.2k - $140k
...collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will have... ...eClinical Elluminate, including data review workflows, listings/reports... ...Administrator or SAS Certified Deployment Specialist credential.Familiarity with supplier qualification...Permanent employmentLocal areaRemote workVisa sponsorship- ...Constructors, Inc. JOB SUMMARY: QA/QC specialists ensure that electrical installations... ...to address quality concerns. Reviewing and updating quality documentation and... ...Prior experience in the electrical utilities industry; power distribution, renewable...Contract workFor contractorsFor subcontractorLocal areaVisa sponsorshipWork visa
$15 - $17.5 per hour
...procedures. • Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. • Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift$17 per hour
...find their perfect home, then our Leasing Specialist career at CIP Communities might be the... ...contact management databasePrepare and review all lease, move in, and move out related... ...maintenance and vendors for services Assist in utilizing all company software in an accurate and...Hourly payFull timeWeekend work- ...opportunity Position Summary The Benefits Specialist is responsible for the end-to-end... ...payor of last resort. Initial application review will begin on the date provided in the field... ...position will be communicating with clinical personnel, patients, internal staff and...Full timeTemporary workLocal areaRemote workWeekend workWeekday work
- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...Local area
- ...computer programs/files/systems to gather record, process and report clinical and administrative data relating to all elements/departments of... ...tests including instrument maintenance and performance checks.Reviews completed work for clerical errors and unusual or unlikely...Monday to Friday
- ...oversight of all data management CRO activities supporting company's clinical programs from database start-up through database lock and CSR/... ...forms (CRF), data validation specifications, manual data review guidelines, CRF Completion Guidelines, programable edit checks,...Interim roleImmediate start
- ...providers on the front lines and gain valuable experience as a Clinical Assistant. We’re proud to be acknowledged as a “Best Places... ...and radiology orders for results to help guide patient care Review past history and test results on patients which are critical in...Full timePart timeLocal areaFlexible hoursShift work
$60.2k - $107.4k
...this program is to provide a front line clinical resource to provide education and... ...enrolls members to appropriate internal specialists and programs, based on member's needs and... ...experience ~ Pediatric experience ~ Utilization management experience ~ Adverse Determination...Remote jobMinimum wageFull timeWork experience placementLocal areaWeekday work- ...families in assigned areas of the hospital/clinics, and on an as needed basis in other... ...monitors the progression of the plan of care utilizing strength based interventions.... ...Association Upon Hire Required and Safety-Care Specialist within 60 Days Required A valid...Casual workWork at office
- ...Provides excellent customer service to any individuals presenting for clinic care, surgery, admissions or in need of direction by being able... ...of clinic/admission locations ensuring security systems are utilized as directed. Works to collect co-payment and payment on...Work at office
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