...is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades...  ...insurance verification Preferred * 1 year experience with medical necessity appeals * Competency of inpatient and outpatient... 
Remote job
Medical
Local area

Highmarkhealth

Pennsylvania
4 days ago
 ...US, Canada, UK, and beyond.  We're looking to grow our global remote team of Former Admissions Officers. Why Crimson? Work...  ...What this role is responsible for Former Admissions Officer Reviewers (“FAORs”) are exemplars of Crimson Education’s philosophy; individuals... 
Remote job
Worldwide
Flexible hours

Crimson Education

Pennsylvania
7 days ago
 ...Remote Licensed Psychiatric Nurse Practitioner Wage: Between $155-$203 an hour Are you a licensed Psychiatric Nurse looking to...  ...psychotherapy sessions with patients to providing and overseeing medication management. Whether you're new to private practice or... 
Remote job
Private practice
Flexible hours

Headway

Pennsylvania
2 days ago
 ...get in a civilian career. Challenging Work Feel inspired with great case diversity and over 40,000 visits coming into the U.S. Army medical facilities and clinics around the world every day. See and study diseases that are not usually encountered in the private sector,... 
Medical

United States Army

Pennsylvania
12 days ago
 ...Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not...  ...workers' compensation claims by providing an interpretation of the medical appropriateness of services provided by other healthcare... 
Remote job
Medical
For contractors
Monday to Friday

Dane Street, LLC

Pennsylvania
4 days ago
 ...the sick and injured; educate physicians, nurses and other health care providers; and...  ...s ability to pay for health care. The Medical Assistant’s primary responsibility is to...  ...RESPONSIBILITIES: 1. Conducts pre-visit planning by reviewing and updating the patient’s medical... 
Medical

St. Luke's University Health Network

Pennsylvania
8 days ago
 ...Dietitian at Peters Township Nursing & Rehab! Apply Today & Join our Fabulous Team!   Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical... 
Medical
Hourly pay
Full time
Temporary work
Part time
Casual work

Peters Twp Nursing & Rehab - McMurray, PA

Pennsylvania
5 hours agonew

$65 - $85 per hour

 ...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction. Driving... 
Suggested
Full time
Part time
For contractors

2M Quality

Pennsylvania
15 days ago
 ...We are seeking to hire Medical Oncologists to help provide long term coverage in one of several locations throughout the North East....  ...multidisciplinary team of healthcare professionals, including nurses, radiologists, and pathologists, to provide holistic care The... 
Medical
Locum

ConnectHealth

Pennsylvania
4 days ago
 ...the sick and injured; educate physicians, nurses and other health care providers; and...  ...s ability to pay for health care. The Medical Assistant’s primary responsibility is to...  ...consideration. ~ Conducts pre-visit planning by reviewing and updating the patient’s medical... 
Medical
Temporary work

St. Luke's University Health Network

Pennsylvania
more than 2 months ago
 ...Social Services Director at Greentree Nursing & Rehab! Apply Today & Join our Fabulous Team!   Join our team as Director of Social Services and foster an environment within the nursing center that enables our patients/residents to maximize their well-being and overall... 
Medical
Hourly pay
Full time
Temporary work
Local area

Greentree Nursing & Rehab - Pittsburgh, PA

Pennsylvania
5 hours agonew
 ...Medical Director -Radiologist - eviCore - Remote page is loaded Medical Director -Radiologist - eviCore - Remote Apply remote type Remote locations United...  ...analytical mindset . Provide timely expert medical review for requests to evaluate the medical necessity of... 
Remote job
Medical
Holiday work
Full time
Work from home
Monday to Friday

Cigna Health and Life Insurance Company

Pennsylvania
4 days ago
 ...Patient First is accepting applications for Medical Technologist/Medical Laboratory Technician in the Wyomissing PA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. Sign-On Bonus! The responsibilities of... 
Medical
Relocation bonus

Patient First

Pennsylvania
1 day ago
 ...Provider (NP/PA) Altheda Medical Center offers multi-specialty...  ...looking for a Psychiatric Nurse Practitioners and/or Physician...  ...active partners in developing, reviewing, and modifying a course of...  ...Pennsylvania State License and DEA. Remote Position About Us: "We... 
Remote job
Medical
Full time
Work experience placement

Altheda Medical Center

Pennsylvania
22 days ago
 ...facilities in Lehigh, Lackawanna, Allegheny and Cambria Counties Nursing home facilities Geriatric experience is a plus but not...  ...any colleague that accepts a position with us. Please contact Medical Search International at ext 808 or me directly at . I look forward... 
Medical
Permanent employment
Full time

Medical Search

Pennsylvania
2 days ago
 ...J190825 **DesignOps Manager, Customer Experience (remote)** Highmark Health ** **Company :**** Highmark Health ** **Job Description...  ...relationships and facilitating collaborative sessions and reviews with stakeholders to ensure solution designs are properly vetted... 
Remote job
For contractors
Local area

Highmarkhealth

Pennsylvania
3 days ago
 ...care prior to hospitalization utilizing medical necessity criteria and third party payer...  ...knowledge of care management, utilization review changes, authorization changes, contract...  ...for currently employed UR's) 2-3 years nursing experience with 1 year in Utilization Management... 
Medical
Full time
Contract work
Local area
Immediate start

Allegheny Health Network

Pennsylvania
a month ago

$15 - $20 per hour

 ...Medical Receptionist Altheda Medical Center offers multi-specialty medical services on a mission to provide high-quality and easily...  ...well versed in insurance rules and regulations, able to work remotely in a very collaborative team environment, be adaptable, and pay... 
Remote job
Medical
Full time
Work experience placement

Altheda Medical Center

Pennsylvania
10 days ago
 ...Job Title: Phlebotomist - Geisinger Medical Center - Full Time - Evenings Location: Danville, Pennsylvania Job Category: Diagnostic...  ...coverage as required to Medical Group offices, skilled nursing facilities, or performs in-home phlebotomy for homebound patients... 
Medical
Full time
Temporary work
Part time
Relocation bonus
Flexible hours
Afternoon shift

Geisinger

Pennsylvania
3 days ago
**Inventory Planner - Remote** - | Mon, 17 Jan 2022 05:37:45 GMT Must be a great listener and appreciate different perspectives while...  ...product availability while minimizing inventory. Execute and review material forecast, internal orders and pipeline **** - | 1 day... 
Remote job
Holiday work
Part time
Local area

Qonten

Pennsylvania
3 days ago
 ...manage multiple facets of curriculum development, school engagement, review of pilot content, and adaptations to curriculum. Curriculum...  ...training. General Job Information Title Curriculum Developer (Remote) Grade 26 Work Experience - Required Instructional... 
Remote job
Temporary work
Work experience placement

Magellan Health, Inc.

Pennsylvania
2 days ago
 ...ASCP Certified Medical Technologist or Medical Laboratory Technician Flexible shift - Days, evenings or nights (larger need for evening/nights) Generalist - Chemistry, hematology, urinalysis, coagulation, blood bank and basic micro Opportunities for growth... 
Medical
Permanent employment
Flexible hours
Night shift
Afternoon shift

KA Recruiting Inc.

Pennsylvania
4 days ago
 ...Position Title: Paralegal, Asset Finance (Remote) Contract: Full-time Posting Jurisdictions: 100% remote working (US - EST time...  ...with legal research, document preparation, and case management. Review and analyze legal documents for accuracy and completeness.... 
Remote job
Full time
Contract work

Sterlington, PLLC

Pennsylvania
17 hours ago

$46k - $53k

 ...Imagine360 is currently seeking a Medical Claims Auditor to join the team! This position audits and adjudicates stop loss insurance...  ...include but are not limited to: Stop Loss Claims Management Review medical stop loss claim submissions Audit claims against... 
Medical
Holiday work
Full time
Contract work
Temporary work

Imagine360

Pennsylvania
2 days ago
 ...projects that shape the future of medicine. This role is remote - based in the USA. What you will do: As a Clinical...  ...is vital. ~ Bachelor's degree or higher, preferably in medical, pharmaceutical, nursing, or biological sciences. ~3-4 years of relevant work... 
Remote job
Medical
Full time
Contract work
Work experience placement

Pharmaron

Pennsylvania
2 days ago
 ...go into effect the 1st of the month following the start date Medical (Highmark Insurance) Dental (United Concordia) Vision...  ...depression screening tools. Completes annual wellness visit screenings. Reviews, updates and screens medication list in the EHR. Reviews social... 
Medical
Holiday work
Full time
For contractors
Work experience placement
Local area
Relocation bonus

Allegheny Health Network

Pennsylvania
10 hours agonew
 ...make. Job Posting Title Business Intelligence Specialist - Remote Job Description Summary Delivers against business...  ...Pay range may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our... 
Remote job
Work experience placement
Local area
Visa sponsorship
Work visa

Prime Therapeutics LLC

Pennsylvania
2 days ago
Job description We are urgently looking for people interested in taking online surveys for Fortune 500 brands. If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey. Share your opinion and help influence...
Remote job
Full time
Part time
Freelance
Second job
Work from home
Flexible hours

Earn Haus

Pennsylvania
10 hours agonew
 ...legal, finance as well as other health plan departments. As a Medical Director in Utilization Management, you share responsibility for...  ...members commensurate with company values. Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to... 
Medical
Hourly pay
Full time
Contract work
Internship

Devoted Health

Pennsylvania
3 days ago
 ...observances; sex (including pregnancy or disabilities related to nursing); gender (including gender identity and/or gender expression);...  ...or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence... 
Remote job
Medical
Holiday work
Work experience placement
Internship
Local area
Immediate start
Relocation

RSM Global

Pennsylvania
4 days ago