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...Elevance Health Medical Oncology Medical Director - Utilization Review Midland , Georgia Apply Now
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management
$20,000 Sign On Bonus
Location : The ideal candidate will live within 50 miles...
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...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
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General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
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...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the... ...contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about...
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...determination of the Cost, Income, and Sales Comparison Approaches to value.
Performs other duties, up to and including, final review and valuation of complex commercial/ industrial properties.
Communicates professionally and successfully with the public to share...
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...Medical Director
About the Company
Industry leader in the health & wellness industry & innovative managed care
Industry
Insurance... ...work within regulatory compliance. The Medical Director will review medical records, engage in discussions with external providers,...
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...organizations and the facility professional clinical staff.
•Conduct reviews, in accordance with certification requirements, of insurance... ...patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
•Gather and...
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...Provides accurate and complete clinical information to payors based on synthesized documentation in the medical record.
Conducts utilization review on all assigned cases and ensures authorizations are completed timely with all dates of service reviewed.
Completes...
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...You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspec Clinical, Clinician...
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...Description
Job Description ***This position is fully remote***
JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to...
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...every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical...
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6-Person team in Duluth, GA who will review and corroborate that contracts and paperwork was digitally input correctly.
Will last 1.5+ months. Reliable people with a focus on detail desired.
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...prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization... ...sooner if payor requests, including information regarding patient's medical condition, intensity of services being utilized, treatment plan...
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...Land Plan Reviewer I
Hours: Full-Time
Service Area: Urban Planning
Reports to: Deputy Southeast Officer Director and Principals in Support of City of Atlanta staff
Supervises: Not Applicable
Location: Atlanta
The...
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...exciting opportunity for you to join Memorial Health University Medical Center which is a part of the nation’s leading provider of... ...for admissions, testing and discharges
You will maintain and review patients’ records including posting tests and examination results...
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..., a "2023 Best Place to Work and Healthiest Employer", seeks a Review Nurse, PA/UM. The Review Nurse to conducts prior approval and... ...cannot approve
Consult with the Manager, Supervisor PA/UM, or Medical Directors on issues related to Peer Consultant review decisions...
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Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
...closely with our Hearing Care Providers and other colleagues
We are seeking candidates with the following qualifications:
Previous medical office experience (1-2 years) is helpful but not required. Excellent communication skills, friendly, outgoing
Basic knowledge of...
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...look up. Are you ready to go beyond?
The Metrology & Material Review Board Manager is a highly visible, key leadership role in... ...applicants may be eligible for benefits, including but not limited to, medical, dental, vision, life insurance, short-term disability, long-...
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