Search Results: 3,508 vacancies
...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered... ...:
The Details
Communicates directly with customer and physician advisor and tracks cases to ensure case is completed and returned...
Suggested
...and resolution planning, capital interpretations, and capital calculations and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge of the capital management and planning process across the capital planning...
Suggested
Holiday work
Full time
...behavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements of insurance... ...reviews between the facility treatment provider and the managed care physician.
Assists the Assessment Department with completion of the...
Suggested
Flexible hours
The Senior Lead Reviewer is responsible for independently managing all aspects of his or her assigned Review Entity in the Americas region. Responsibilities include execution of Business Monitoring and Reviews in accordance with the Banking & International Credit Review...
Suggested
Holiday work
Full time
Work experience placement
...TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/03/2024
~ Duration: 12 weeks
~40 hours per week
~...
Suggested
Remote job
Shift work
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...and comprehensiveness of documentation and collaborates with physician and treatment team to obtain documentation needed to support level...
Suggested
Full time
Immediate start
...Job Description
Job Description 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 identify curative issues. The position...
Suggested
Work experience placement
Remote job
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...Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive... ...billed charges.
Analyze and interpret operative reports from physicians, as well as billed charges and claims from outpatient and inpatient...
Suggested
Local area
...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
Suggested
Holiday work
Full time
Work experience placement
...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
Suggested
Remote job
...Program Physician - TX
Job Summary
Serves as a Physician for a methadone maintenance treatment program at the OTP clinic... ...and electronic medical records Performs (and documents) chart reviews of all subordinate physician extenders
Interviews, trains,...
Suggested
Local area
...Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using... ....
Alerts and partners with appropriate Utilization Review, Physician leadership and/or Provider Team personnel concerning patients who...
Suggested
Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
...to Board and committees; (v) internal controls; and (vi) employee engagement across the Finance CRO organization. The New Activity Review role is a newly created role in Finance CRO. The holder of the role represents Finance CRO as the Accountable Functional Reviewer (...
Suggested
Holiday work
Full time
...Physician Assistant
Job Locations
US-TX-Denton
Type
Full-Time
Overview
Physician Assistant
It's time to practice healthcare the way you always wanted to!
Marathon Health is seeking a full-time Physician Assistant (PA) to support Denton County from its near-site employer...
Suggested
Holiday work
Full time
Remote job
Weekend work
Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services....
Suggested
Permanent employment
Temporary work
Local area
...and written communication skills.
Comprehensive knowledge of Physician Revenue Cycle and related metrics and KPI’s.
Strong... ...environment.
Ensure appropriate contractual discounts are applied.
Review adjustments and refund requests.
Maintain continual...
Holiday work
Temporary work
Flexible hours
...indicators for tracking covenant compliant obligors, industry and subsegment research and consolidation of KPI/KRI for the Risk Directed Reviews and implement Tableau visualization. While working on these priorities the analysts is expected to use SAS, Python, Advanced Excel,...
Holiday work
Full time
...established standards and processes are followed and consistently applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures, programs, and practices as relates to end-to-end risk analysis. The results...
Full time
Interim role
Worldwide
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to 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...
...secure online/mobile video. The companys U.S. board-certified physicians meet or exceed National Committee for Quality Assurance (NCQA)... ...video consultations. Each consultation includes a comprehensive review of a patients electronic health record. Teladoc physicians treat...
Full time
Locum
Flexible hours
