Search Results: 7,968 vacancies
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
...supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient... ...Educational requirements:
~ Bachelors of Nursing Degree or equivalent required
Licensure:
Active...
Suggested
Part time
Worldwide
...Responsibilities
Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-time benefits and competitive pay.
The Utilization...
Suggested
Full time
Local area
Currently hiring
Monday to Friday
...education and experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral health insurance... ..., billing procedures, and disputes.
Works directly with nursing department, care coordination department and finance department...
Suggested
Contract work
...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...
Suggested
Flexible hours
Shift work
3 days per week
...development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct... ...; ten Magnet®-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (...
Suggested
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-...
Suggested
Holiday work
Permanent employment
Immediate start
Remote job
Worldwide
...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
...Hospital setting (Required)
2 Years experience working as a Case Manager (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred) or OCN - OCN - Oncology Cert Nurse (Preferred)
Your Tomorrow is Here...
Suggested
$68k - $80k
...Utilization Review Nurse /Workers Comp
Location - King of Prussia, PA
Job Purpose:
Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and...
Suggested
Immediate start
...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...
Suggested
Remote job
Hourly pay
Full time
Flexible hours
...analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity,... ...Requirements
Minimum three (3) years’ experience practicing nursing as a licensed Registered Nurse
Minimum of three (3) years’...
Suggested
Full time
Remote job
Flexible hours
...where all of our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Credit Risk Review Advisor within PNC's Credit Risk Review organization, this position is primarily based in a location within PNC's footprint. Preferred...
Suggested
Holiday work
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
...the opportunity to learn to perform these duties and receive training to help you grow in this position.
* Performs closed case reviews involving very large amounts of tax in dispute and the most complex and difficult factual and/or legal issues, using Appeals Quality...
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Remote job
Relocation
Day shift
...Clinical Nurse
Responsibilities
Join the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42,00... ...and assesses patient responses to medication.
* Participates in reviewing and/or implementing clinical pathways and care coordination.
The...
...Clinical Nurse
Responsibilities
Join the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42,00... ...and assesses patient responses to medication.
* Participates in reviewing and/or implementing clinical pathways and care coordination.
The...
...Respite Nurse Manager
PHMC is proud to be a leader in public health. PHMC requires all employees to be fully vaccinated for COVID... ...healthcare entities.
* Convene and facilitate weekly team meetings to review patient progress and for discharge planning.
* Work in...
Immediate start
...Utilization Management Nurse
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization... ...-acute inpatient setting (i.e.,SNF/Rehab). Also, responsible to review clinical information provided by facilities and communicates UM...
Remote job
Flexible hours
Shift work
...Registered Nurse
Are you a compassionate Registered Nurse (RN) looking for an opportunity to make a difference in the lives of individuals... ...team, actively participating in staff meetings and monthly reviews with the QIDP.
* Complete quarterly assessments in a timely...
Daily paid
Flexible hours
