Search Results: 8,244 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...
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...MSSP - Admissions Application Reviewer
University Overview
The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among...
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Temporary work
Part time
Immediate start
Remote job
Work from home
...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...
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Part time
Worldwide
...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...
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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...
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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 (...
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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-...
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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...
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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...
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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...
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...Center’s mission.
We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening... ...Qualifications
Requirements:
Graduate of an accredited school of nursing, OR bachelor’s degree in related field (clinical area)....
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Full time
Local area
$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...
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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...
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Remote job
Hourly pay
Full time
Flexible hours
...If you need special accommodation for the application process, please contact Human Resources. Know Your Rights:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives....
Suggested
Full time
Work experience placement
...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...
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...Dialysis Registered Nurse
How you'll change lives
As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross... .... You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according...
...Description
PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... ...to QAI activities.
Facilitates program and annual regulatory review audits
Collaborates with Regulatory to identify and recommend...
Immediate start
...Nurse Manager 1
THE POSITION
Take your nursing career to the next level! The Department of Human Services (DHS), Norristown State... ...:
* Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for...
Holiday work
Full time
Temporary work
Work experience placement
Local area
Flexible hours
Shift work
Night shift
Monday to Friday
...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
...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
