Clinical Utilization Review Specialist
Berkshire Hathaway Homestate Companies - Workers Compensation Division
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 Berkshire Hathaway Homestate Companies - Workers Compensation Division
- ...Utilization Review Specialist Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review... ...documentation of requested medical treatments, to include clinical findings, treatment guidelines, and determinations. Ensures...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
- ...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
- ...business hours Responsible for concurrent review of clinical documentation for all selected... ...with 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
- ...nation’s leading provider of clinically integrated eye care. Our... ...information, visit . Job Title: RCM Specialist-Ophthalmology Must reside in... ...Responsibilities •Prepare, review, and transmit claims using... ...payment discrepancies •Utilizing aging reports and workflow statuses...SuggestedWork at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
- ...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...
- ...Program Specialist Major duties include but are not limited to: Collect and review clinic utilization data; make recommendations on effective utilization of providers within Specialty Medicine clinical areas Review data and workload in outpatient clinical...Permanent employmentRemote workRelocation packageMonday to FridayFlexible hours
- ...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
- ...Summary The Program Specialist is located in the Specialty and Hospital Medicine Service Line of the Nebraska Western Iowa... ...duties include but are not limited to: Collect and review clinic utilization data; make recommendations on effective utilization of...Permanent employmentFull timePart timeSeasonal workWork at officeRemote workTrial periodRelocation packageMonday to FridayFlexible hours
- ...seeking an Ophthalmologist, Retina Specialist to join the Ophthalmology... ...of comprehensive surgical/clinical services and complies with established... ...to quality of care, peer review, improvement and with other... ...REAL ID compliant cannot be utilized as an acceptable form of...Contract workPart timeTraineeshipFreelanceInternshipSeasonal workWork at officeLocal areaWeekend work
$20.98 - $30.12 per hour
...maximum level of cash to reduce receivable. Follows up with insurers to recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any...Immediate startRemote work- Responsible for the collection and review of clinical protocol research data Interpretation of data (including appropriate source documentation) for entry into computerized databases Creation of data definitions and case report forms and other information related to data...
- ...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
- ...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...Full timeWork at officeVisa sponsorship
$20 per hour
...mission to offer hope, is seeking a Behavior Specialist to join our award-winning Alternative... ...and participating in team meetings, clinical supervision, staff meetings, teacher... ...laws. For further information, please review the notice from the Department of Labor....Work at officeImmediate startFlexible hours- ...Job Description: Prior Authorizations Specialist Job Title Prior Authorizations Specialist Reports To Clinic Director Department Clinic FLSA Status Non-Exempt Summary... ...clinics at SMC regarding prior authorizations. Utilize customer service skills in engaging teams,...Work at office
- ...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
$80k - $90k
...we'd love to hear from you! The Enterprise Solutions Specialist is responsible for driving takeaway sales of Institutional... ...Apr and Sept-Nov). Feedback and Collaboration Utilize CRM to review customer data, update sales information and enter activity....Full timePart timeWork at officeLocal areaRemote work3 days per week- 1857843BR Title: Photo Specialist Job Description: Job Summary Delivers a distinctive... .... • Maintains photo equipment and utilizes store systems and technology to support... ...role will remain open until filled. To review benefits, please click here jobs....Hourly payPart timeWork experience placementSeasonal workFlexible hoursAfternoon shift
- ...with a sense of belonging. As an Imaging Specialist , you are poised to embark on a career... ...valued. Key Responsibilities Utilize radiographic and CT techniques to... ...top-notch diagnostic images for physician review Engage with radiologists and the healthcare...Flexible 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...
- ...Counselor for self-pay or inability to pay. Schedule: Lakeside Clinic: 169th & Frances- Monday, Wednesday, Thursday 8:15a-5:15p; Tuesday... ...of clinic/admission locations ensuring security systems are utilized as directed. Works to collect co-payment and payment on account...Work at officeMonday to Friday
- ...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
$17 per hour
...peek into the Day in the Life of a Leasing Specialist: Sell homes to our future residents: Use... ...contact management database Prepare and review all lease, move in, and move out related... ...and vendors for services Assist in utilizing all company software in an accurate and...Hourly payFull timeWeekend work$52k
...you looking for a fun, rewarding career dedicated to helping children reach their full potential? If so, we want YOU to join us as Clinical Administrator at Lighthouse Autism Center! As a Clinical Administrator at Lighthouse, you will provide office management and...Full timeLive outWork at officeMonday 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
- ...they become available. Billing Specialist (Healthcare Claims & AR)... ....) RehabVisions is hiring a Clinic Billing Specialist to help keep... ...services provided. Monitor and review invoices and follow up with... ...learn and effectively utilize specialized billing and practice...Full timeTemporary workWork at officeFlexible hours
$45k - $70k
...quality of life. A strong understanding of clinical conditions and extensive knowledge of... ...beginning of each fiscal year. Consistently reviewing and reporting on sales calls, sales... ...Numotion contracts with while utilizing and comprehending the technological advances...Temporary work- Position Purpose The Asset Protection Specialist is primarily responsible for preventing financial... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...
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