Search Results: 13,833 vacancies
...Policy Setting Responsibilities
Responsible for utilization review and medical necessity recommendations, as requested
Decision-... ...to peer reviews.
- Conduct thorough medical review of patient cases to determine the medical necessity of services provided.
- Assess...
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Part time
Shift work
...difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Joint role of Case Manager and Utilization Review NurseHospital at Home Full Time Days 8:00am-4:30pmweekend and holiday rotations requiredJob Description:The Inpatient...
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...sponsored benefit.
One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide... ...7-6866 or ****@*****.***. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
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Case Manager
*A SIGN ON BONUS OF $1,000 IS BEING OFFERED FOR THIS ROLE*
Summary of Position: The Case Manager plays a pivotal role... ...: Coordinate client acceptance processes promptly, including reviewing referral packets, participating in interviews, and liaising...
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Full time
Immediate start
Relocation bonus
Flexible hours
...abilities
as
a
Case
Manager
Are you ready for a Case Management role... ...standards, company policies/procedures, and department operations.
Review/analyze case management reports, including Key Care Indicators,...
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Part time
Relief
Flexible hours
Reviewer - Therapy Services
Location: Within 50 miles of pulse point location
Hours: Monday - Friday from 9:30 am - 6:00 pm PST
The Reviewer -Therapy Services is responsible for the review of medical records to determine if requests for therapy services (physical therapy...
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Work experience placement
Local area
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Monday to Friday
...Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced... ...Medical Information Contact Center staff on handling of "routine" cases; monitor and manage complex "escalated" cases from the Medical...
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Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift
.../ hr based on experience.
Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings... ...standards, company policies/procedures, and department operations.
Review/analyze case management reports, including Key Care Indicators,...
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Hourly pay
Contract work
Part time
Flexible hours
Weekend work
Sunday
Saturday
...Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care taking place at the...
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Monday to Friday
...The Utilization Management (UM) Review RN is responsible for day-to-day timely clinical and service authorization review for medical... ...clinical teams on service planning as needed.
Works closely with RN Case managers & Medical Director to facilitate escalated reviews in...
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Holiday work
Full time
Local area
Monday to Friday
...**
**Position Summary:**
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally...
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Remote job
Local area
Immediate start
...Supportive Housing Department provides comprehensive, intensive case management support to homeless and chronically homeless individuals... ...for role and maintains current accurate documentation. Reviews work and documentation for accuracy and thoroughness.
Motivating...
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Hourly pay
Permanent employment
Local area
Immediate start
Shift work
Saturday
Monday to Friday
We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The...
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Work experience placement
Job Type Full-timeDescriptionJob title Case Manager /Intensive Case Manager Reports to Program Director Position SummaryThe case manager... ...perspective. Assist in the development of recovery plans and reviews in collaboration with the program participant, clinical and medical...
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Holiday work
Full time
Work experience placement
Relocation bonus
...individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for obtaining... ...initial clinical data for pre-certification and concurrent case reviews to ensure authorization of all necessary dates at each level...
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Hourly pay
Shift work
Monday to Friday
...of Duties This position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include... ...the zoning review process and municipal ordinances
Assigns cases as needed to Zoning Review Planners and manages/oversees...
Full time
Contract work
For contractors
Local area
Outdoor
Flexible hours
Afternoon shift
Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation...
Local area
Case ManagerDepartment: Community CoordinationEmployment Type: Permanent - Full TimeLocation: South EndDescriptionCommunity Coordination handles direct case management services to clients currently at or below 200% of the Federal Poverty Line who live in Boston, Malden...
Permanent employment
Remote job
The Opportunity: Case Manager in a outpatient setting working with low income/ homeless veterans and their families.
Job Type : Full-time, Hybrid
Pay: Starting salary of $50,000/year
Who We Are || VOAMASS gives members of the community who need help the most the services...
Holiday work
Permanent employment
Full time
Immediate start
Flexible hours
...DescriptionWe are immediately hiring in Boston, Massachusetts! Join us at Community Work Services (CWS) for an exciting career as a Case Manager!Mission: To help people who face barriers to work obtain employment and achieve self-sufficiency through innovative job training...
Part time
Internship
Immediate start
