This Appeal Coordinator position is responsible for medical appropriateness review of and the coordination of appeal reviews by peer consultants. The primary responsibility... .... The Appeals Coordinator will use clinical support criteria and/or established department...
Suggested
Holiday work
Immediate start
Weekend work
...by U.S. News & World Report.
Our clinical expertise, state-of-the-art diagnostic... ...Utilization Coordinator provides utilization review, Amkai chart surveillance and denials... ...review denied claims and assists with the appeals process.
Performs other related...
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Part time
Worldwide
Thoroughly researches and investigates appeals
Reviews appeal documentation to ensure all pertinent information is included
Makes member and provider outreach calls to gather information and answer questions
Makes outreach to other departments to confirm rules and guidelines...
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The Supervisor of Appeals will lead a team of Appeal Specialists and Appeal Coordinators who process clinical and non-clinical appeals, and claim review requests, from all provider types, as well as clinical and non-clinical appeals and claim review requests from members...
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...development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct... ...health, medicine and social science.
Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-...
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...buying group, and a leader in digital communications.
Web: | Facebook: | Twitter:
Job Description
The Manager, Regulatory Review manages a team of Associates and Senior Associates to ensure marketing materials for a client (or group of clients) follow the...
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Flexible hours
Shift work
3 days per week
The Appeals Specialists investigates the appeal requests, gathers all pertinent information to ensure the appeals committee can provide... ...established by State and other regulatory agencies.
Reviews appeal case documentation within the appeal management system to...
Suggested
...RN Clinical Nurse
Please use Google Chrome or Mozilla Firefox when accessing Candidate Home.
By joining the American Red Cross you... .... You can make a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. The...
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Holiday work
Temporary work
Relocation bonus
Flexible hours
Day shift
Monday to Friday
oPerforms daily quality assessments for all function areas of the Appeals and Grievances Department to assure the integrity of processes – for all lines of business.
oReviews include assessments of the decision-making process through the life of the appeal and assuring...
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...workforce, and the residents whom we serve and promote an environment of comradery, accountability, and inclusiveness.
Attorneys in the Appeals Unit of the Law Department represent the City in most appellate matters before state and federal courts. The Unit handles appeals...
Suggested
Holiday work
Full time
Local area
...Job Description
Job Description Document review project currently in progress.
This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania.
Must have an active attorney license in any state
Must have a PC/Mac
Business hours...
Suggested
Remote job
Shift work
...The essential functions, duties, and responsibilities include, but are not limited to the following:
Data entry, annotation and review of documentation submitted for various administered projects.
Recognize discrepancies or lack of information within claim documentation...
Suggested
Full time
Contract work
Immediate start
Remote job
Flexible hours
Marshall Dennehey is searching for an Appeals Coordinator with at least 2 years of experience to join our Philadelphia or King of Prussia office. The accepted candidate will join a growing team responsible for coordinating research, managing deadlines, innovating procedures...
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...Job Description
Clinical Director
The Physical Therapist Clinical Director is responsible for complete oversight of operations and... ...Education reimbursements
MedBridge Membership
Yearly review for growth opportunities
Professional Development Growth Tracks...
Suggested
Full time
Relocation bonus
...accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought that—in order for our clinical team to be accessible to clients—we must fully support our clinicians by allowing them to do what they are trained to do. We...
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Part time
Private practice
Relocation bonus
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
Remote job
Hourly pay
Full time
Flexible hours
...HYBRID FLEXIBILITY
Description:
Responsibilities
The Clinical Research Nurse III performs basic nursing skills, study coordination... ...Skills:
Clinical research, adverse event reporting, Chart review, Oncology, Epic, Pharmaceutical, Research center, Gcp...
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols...
...Clinical Coordinator Nursing
* JOB SUMMARY
* The Nursing Clinical Coordinator actively participates in a collaborative/consultative/supportive role with the Chief Nursing Officer, Administrators and Nurse Managers to assure efficient patient flow and quality patient...
Work experience placement
Immediate start
Shift work
...Job Description
CLINICAL DIETITIAN II - ENDOCRINOLOGY -
\n \n
Seeking an experienced Pediatric Clinical Registered Dietitian (RD) to provide medical nutrition therapy (MNT) to pediatric patients. \n
Direct Hire \n
Full-Time \n
Competitive Compensation,...
Full time
Relocation package
...Clinical Supervisor Philadelphia PA
Master s Degree in psychology, social work or a related field required LCSW, LPC, or CAADC preferred Experience with treatment of persons living with Co-Occurring Disorders preferred Provide clinical supervision to up to eight...
Full time
...function test (PFTs), arterial flow Doppler studies, and other clinical diagnostic studies assigned to meet the needs of the organization... ..., post appointment information), and filing
Data entry and review of computerized worksheets manually completed by claimants...
Local area
Flexible hours
...from you and discussing the opportunity!
The Role:
The Clinical Research Coordinator will support such researchers providing... ..., OR, and PI
•Ensure established procedures are utilized in reviewing the collection of clinical data and the administration of clinical...
Holiday work
Contract work
Temporary work
Flexible hours
GDIT - Senior Full Stack - Code Review / Security Specialist
How the Senior Full Stack - Code Review / Security Specialist will make an impact:
Architecting, designing, coding, testing, implementing and troubleshooting Windows and web based software solutions in T-...
Holiday work
Permanent employment
Immediate start
Remote job
Worldwide
...Health Services (IBHS) has an immediate opening for an License Clinical Supervisor.
License Clinical Supervisor Salary:
$55,000... ...to clinicians and Behavioral Health Technicians while reviewing areas of needed improvement.
Track and monitor the completion...
Full time
For contractors
Local area
Immediate start
...Grade: N03 (Union rates based on experience).
Summary:
The Clinical Research Nurse will perform nursing assessments and procedures... ...conducting comprehensive nursing assessments, obtaining vital signs, reviewing medications, documenting patient information/instructions in...
For contractors
Local area
Remote job
Flexible hours
Weekend work
Afternoon shift
Overview:
Applicants should possess either of the following Clinical Licensures : LCSW, LPC, LMFT or LCADC
We need hope-... ...of care, and state regulations
Participate in funding source reviews and make recommendations for treatment and lengths of stay
Provide...
Holiday work
Temporary work
Weekend work
Afternoon shift
Responsible for the clinical operations of a project within a defined regional/global level. Provides oversight of project deliverables... ...actions. The COL will develop study tools for site and CRA use, review visit reports, review and track protocol deviations, and...
Permanent employment
Temporary work
Local area
Work from home
...Pediatric RN- Outpatient Clinic
Company Overview
Shriners Children's is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster...
Holiday work
Local area
Shift work
Weekday work
...Research and Innovation (CRI) has been a world leader in radiology clinical research for over 50 years. Over this period, the CRI has... ...initiatives across the College.
Principal duties include:
Review protocols and coordinate study set-up activities for trials...
Remote job
For contractors
Flexible hours