Healthcare Utilization Review Specialist
Sedgwick
Sedgwick in Florida is seeking an Utilization Review Coordinator to support clinical staff by assigning UR requests, verifying data, and entering information into the appropriate systems. This role emphasizes accuracy, teamwork, and timely processing in a busy healthcare environment. Ideal candidates bring at least two years of admin experience in medical settings, familiarity with ICD9/CPT terminology, and strong communication skills. #J-18808-Ljbffr
$17 - $18.15 per hour
...healthy. We recognize that healthcare requires a human touch, and... ...for the next Patient Access Specialist champion. This role is responsible... ...physician orders, and utilizing an overlay tool while providing... ...for future services.Reviews eligibility responses in insurance...SuggestedReliefWork at officeLocal areaRemote work- ...nationwide community of providers, operations specialists and thought leaders who look for the... ...or platforms that improve the healthcare experience. We remain focused on enabling... ...Receivable and Collections, including Review, Follow Up, and Appeal denied claims according...SuggestedTemporary workWork at officeFlexible hours
$35 - $50 per hour
...Summary: ~ Job Title: EM Public Assistance Specialist, Multiple Levels (Mid and Senior levels)... ...time delivery of all assigned tasks. Utilizes grant portal system to track and... ...enabled systems, to support application review and candidate evaluation. Hiring decisions...SuggestedHourly payFull timeTemporary workPart timeReliefSeasonal workWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursWeekend workAfternoon shift$136.24k
...researching labor, material and equipment costs for these take‐offs. Utilizes Timberline to prepare or assists in preparation of Opinions of... ...guidelines and precedence for future estimates. Receives, reviews and files pricings received from project managers or...SuggestedContract workWork experience placementFor subcontractorH1b- ...awareness of inventory/stocking conditions and reports any discrepancies in inventory. Reviews/inspects products for quality and freshness and takes appropriate action with those items. Utilizes production planning tools to accurately produce fresh products and ensures...SuggestedWork at officeLocal areaShift workNight shift
- ...community. Top reasons to work for SMA Healthcare: Career growth and advancement potential... ...served when necessary and conducts a regular review of needs for ongoing supports. Provides... ...for improvement. Ability to utilize positive reinforcement techniques to encourage...Full timeWork experience placementImmediate startShift work
- ...recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and... ...or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center Promote and sell non hearing...Work at officeImmediate startFlexible hours
- ...Description Intake Specialist The Kearney Center Position Overview The Kearney Center is seeking... .... Client Care & Communication Utilize trauma-informed practices during client... ...is better kept as an internal Position Agreement/90-day review tool. #J-18808-Ljbffr...Full timePart timeShift workAfternoon shift
- ...Services, is looking for a Project Management Specialist that can work independently and has... ...a new process.Participate in continuous review and update to ensure that processes meet... ...well-informed, and objective decisions utilizing critical thinking skills and analysis.Flexibility...Work experience placementWork at office
- ...the opportunity for success. As an ESE Specialist, you will support the school's instructional... ...and school's ESE program. Compile and review comprehensive evaluation data required... ...(ESE), regular education, and parents. Utilize resources from school(s), CSUSA, the district...Work at office
- ...every year ~ Full suite of healthcare insurance options including... ...Position The Compliance Specialist role at Padgett Law Group is... ...vendor type, or to consider utilization of a new vendor type altogether... ...Conduct due diligence reviews upon onboarding of new critical...Full timeContract workWork at officeRemote workFlexible hoursShift work
- ...Patient Access Specialist Join Our Team! Are you passionate about delivering exceptional customer service in a fast-paced healthcare environment? Nemours Children's Health is seeking a dedicated Patient Access Specialist to join our Admitting Department in our Tallahassee...Work at office
$46.92k
...Salary: $46,917.00 per person (approximately $180,000 total compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance...Full timeWork from homeRelocation packageFlexible hoursWeekday work$80k - $95k
...LCSW – Regional Intake Specialist Compensation: $80,000–$95,000 OTE/year Location: Regional Territory (Palm Beach, FL) — travel to 8–10... ...conflict resolution. Maintain compliant EHR documentation and review Coordinator documentation for accuracy. Mentor and train Behavioral...Full time$63 per hour
...as related civil structures (roads, dams, bridges, facilities, utilities, etc.) to verify compliance with approved design specifications... ...construction, required corrective actions and any needed sampling. • Review contractor submittals, RFIs, shop drawings, and material...Contract workFor contractorsWork experience placementH1bImmediate startOverseasFlexible hours- ...Description Our Opportunity: Chewy Vet Care is a comprehensive pet healthcare practice that delivers connected care through a gold standard... ...Lead Veterinarian and Regional Medical Director to regularly review performance metrics and support the achievement of the hospital...Full timeInternshipShift work
- ...in Advisory.KPMG is currently seeking a Specialist Director, Service Management Office (... ...cadence, and action tracking; lead service reviews, MBRs, QBRs, steering committees,... ...protection, margin, productivity, and resource utilization; identify scope changes early and...Contract workH1bWork at officeLocal area
- ...ID:96955Florida Power & Light Company is the largest electric utility in the U.S., providing reliable energy to nearly 12 million Floridians... ...Supply Chain (ISC) division is seeking a Principal Sourcing Specialist. In this position, you will be responsible for managing...Contract workFor contractorsWork at officeLocal areaRelocation
- ...Coastal Engineering Practice, we are looking for a Bridge Hydraulics Specialist to join our team. You are going to work closely with a team of... ...countermeasures, culverts, and drainage systems.· Prepare and review technical deliverables—hydraulic reports, scour calculations,...Full timeLocal areaWork from homeFlexible hours
$27.02 per hour
...Regulatory Audits by performing first coding review and ranking of charts. Build... ...medical billing/coding, health insurance, healthcare or related field preferred. LICENSES... ...Certified Risk Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information...For contractorsWork at officeLocal areaRemote workFlexible hours$16 - $19 per hour
...expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed. Review for accuracy of prescribed treatment regimen prior to submission of authorization. Facilitate appeals process between the patient,...Work at office- ...procedures. Develop employment resources in the interest of offenders, and distribute updated data to all offenders. Develop, utilize, and maintain relationships with organizations, groups, individuals, and community sources. Assist with other duties as deemed...Full timeWork experience placement
$50k - $100k
...estimated bonus. POSITION SUMMARY The Youth Employment Specialist is a direct service provider to all assigned clients... ...discuss placements and activity, attends team planning meetings, reviews payroll for clients, and ensures case notes and deliverables are...Hourly payWeekly payFull timePart timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- ...coworkers, and community partners Ability to remain focused and calm in dynamic, fast-paced environment Ability to work independently and utilize initiative Cooperative and flexible with people and systems Ability to collaborate with and present to partner agencies. Must...Local areaImmediate startFlexible hoursAfternoon shift
$10k
...hour shifts, and rotating after‑hours and weekend stand‑by at St James Hospital. A sign‑on bonus of up to $10,000 may apply, and the organization emphasizes comprehensive caregiver wellness and equal opportunity employment. #J-18808-Ljbffr Intermountain Healthcare Inc.Full timeRelocation packageRotating shift$84.3k - $155.4k
...Contracts Center of Excellence (“COE”) is responsible for the reviewing and processing of all fully executed net new awards, option periods... ...historical information and documentation. Work you'll do As a Specialist Lead, Government Client Contracts Management on the Enterprise...Contract work$90.4k - $168.2k
...our Enterprise Security Services organization.Responsibilities:Utilize your expertise in IT security, security operations, and incident... ...to identify vulnerabilities and insecure configurations and review security change requests to ensure robust protective measuresConfigure...H1bLocal areaShift work- ...Demand Marketing Specialist (Channel-Focused) Location: Remote Department: Marketing Reports to: VP of Growth About the... ...and SLA expectations Participate in pipeline and performance reviews to ensure demand converts into real opportunities Help...Remote work
$37.58k
...Agency: Department of Corrections Working Title: PAROLE/PROBATION SPECIALIST Pay Plan: Career Service Position Number: 70007917 Salary: $37... ...and monetary obligations into the CDC and OBIS databases, utilizing advanced tools like the Automated Correctional Task System and...Work experience placementWork at officeRemote workTrial period- ...consider a career in Advisory.KPMG is currently seeking a Lead Specialist, Oracle GL/AP to join our Managed Services practice.... ...design, package implementation lifecycle support and project reviews; identify, document and manage client business / functional requirementsAssess...H1bLocal area
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