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 will...Suggested
- ...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 our team. We’re looking for a Design Specialist who thrives in a fast-paced environment,... ..., consistent, and thoughtfully designed clinic spaces to life across our growing... ...specifications to communicate design intent ~Review and refine construction documents and...SuggestedFull timeWork at officeVisa sponsorship
- ...Nebraska Methodist Health System is seeking an experienced RN for concurrent review of clinical documentation to ensure accurate coding and reporting of diagnoses and procedures. You will collaborate with physicians, coders, and care teams to improve documentation quality...
- ...MAJOR RESPONSIBILITIES & DUTIES:Receives, reviews, validates and processes requests for... ...confidentiality of PHI and safeguard data.Utilize electronic medical record (EMR) system... ...fee schedules.Works collaboratively with clinical, administrative, and legal departments to...Work at officeMonday to Friday
- ...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 utility...Full timeWork experience placementRelocationFlexible hours
- ...Patient Registration Specialist Pre-registers patients for hospital... ...of surgeries and/or other clinical services performed at BTNRH,... ...codes as needed through utilization of coding resource materials... ...findings. Initiates expedited reviews with payers when necessary...Part timeWork at officeMonday to Friday
- ...Community Clinical Education Coordinator Why work for Nebraska Methodist College: Nebraska... ...with the program director in the review of clinical materials, accreditation activities... ...changing technology; work independently; utilize critical thinking skills; organize and prioritize...Temporary workPart timeWork at officeFlexible hoursAfternoon shift
- ...providing patient education. The pharmacist will provide both clinical and distributive tasks for safe medication use, and provide training... ...in patient care rounds when applicable.Performs and/or reviews medication histories, comparing prescriber's orders to the patients...Part timeDay shift
- ...Clinical Research Associate - Full-Service Syneos Health is a leading fully integrated biopharmaceutical... ...processes. Conducts Source Document Review of appropriate site source documents and... ...to closure within agreed timelines. Utilizes available hardware and software to...Contract workInterim roleLocal areaImmediate startRemote workFlexible hours
- ...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
- ...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
$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- ...for self-pay or inability to pay. SCHEDULE: Lakeside Clinic: 169th & Frances- Monday, Wednesday, Thursday 8:15a-5:15p;... ...closing of clinic/admission locations ensuring security systems are utilized as directed. Works to collect co-payment and payment on...Work at officeMonday to Friday
- ...pounds. Sharp objects such as knives, hooks, steel, and saws are utilized to perform the duties listed herein. The noise level is often... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Local areaRemote work
$60.2k - $107.4k
...us to start Caring. Connecting. Growing together. The Senior Clinical Administrative Nurse is an outreach‑intensive role in which the... ...ER steerage and education on appropriate emergency department utilization and alternative levels of care * Conduct outreach to members to...Minimum wageFull timeWork experience placementLocal areaRemote workWeekday work$40.8k - $51.61k
...all contact documentation and comply with agency standards. Utilize technology to deliver services when necessary and complete documentation... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Work at officeMonday to Friday$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$45.9k - $78.6k
...valued. Medica's Appeals and Grievance Specialist plays a vital role in ensuring our members... ...include evaluating whether each case is clinical or non-clinical and ensuring it is... ...employment laws. For further information, please review the Know Your Rights notice from the...Work experience placementWork at office3 days per week- ...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. Provides... ...Upon Hire Required and Safety-Care Specialist within 60 Days Required or Safety-Care Specialist...Work at office
$23.39 - $35.24 per hour
...is our commitment to making tomorrow better than today for our customers, communities and each other. Position Summary This Utility Specialist role is primarily focused on developing foundational skills in natural gas utility operations, with key responsibilities in locating...Hourly payTemporary workVisa sponsorshipWork visaFlexible hours- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...
- ...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
$47.5k
...Franchise Specialist At Franchise Sidekick, we help people live life on their terms through... ...energy and focus. You'll begin by reviewing your inbound leads, planning your outreach... ...every member of Team Sidekick to utilize their network to find qualified candidates...Base plus commissionFull timeWork at officeRemote workHome officeShift work$41.12k - $65.79k
...updates for credit card and unsecured consumer loan accounts in compliance with applicable regulations. Utilize basic accounting concepts to resolve payment issues, review/issue credit balances, and ensure transactions are posted accurately and timely to customer accounts....Work experience placementWork at office- ...Investment Advisors. As an Operations Specialist, you will provide a wide range of... ...timely data-entry and quality assurance reviews. What you'll do: Responsible for assisting... ...technical skills, with the ability to utilize multiple applications at one time, including...Full timeWork at office
- ...other colleagues, such as Customer Service Specialists (CSS), as needed.* Ensure customer... ...Ability to assimilate and communicate complex clinical and product information.* Valid U.S.... ...procedures to increase pull through* Effectively utilizes promotional materials* Maintains ongoing...Work at officeLocal areaNight shift
$19.87 - $28.06 per hour
...leverage your analytical expertise to research denial reasons, review medical records, and submit well-written, supported... ...health and operational success of the Alegent Creighton Clinic. Every day you will utilize your deep knowledge of ICD-10 and CPT coding to compare documentation...Apprenticeship
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