Search Results: 5,204 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

Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
2 days ago
 ...sight. Description Primary Function: Under CNO supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case load. This role utilizes the nationally recognized Milliman... 
Suggested
Part time
Worldwide

Wills Eye Hospital

Philadelphia, PA
3 days ago
 ...opportunities Salary: Starting salary $50000 / Annually depending upon education and experience Job Summary The Utilization Review Specialist will examine medical and behavioral health insurance benefits to ensure proper coverage, address lapses in coverage,... 
Suggested
Contract work

Woods Services

Langhorne, PA
5 days ago
 ...Management and Director of Coding and Data Operations with the development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct hospital reimbursement. Performs daily and random audits to validate... 
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Jefferson Health

Philadelphia, PA
2 days ago
 ...Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time.  Daily Responsibilities: ~ Reviewing medical patient records against standard medical criteria. Minimum Qualifications: Three years... 
Suggested
Remote job
Local area
Monday to Friday

Morgan Stephens

Philadelphia, PA
3 days ago
 ...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

Wegman

Philadelphia, PA
2 days ago
 ...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

Angeion Group LLC

Philadelphia, PA
17 days ago
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

General Dynamics Information Technology

Philadelphia, PA
24 days ago
 ...a leader in digital communications. Web: | Facebook: | Twitter: Job Description The Senior Associate, Regulatory Review must follow the protocol established by our pharmaceutical clients when submitting marketing materials for regulatory review. This... 
Suggested
Full time
Flexible hours
Shift work
3 days per week

Digitas Health

Philadelphia, PA
5 days ago
 ...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

Dauntless Discovery

Philadelphia, PA
17 days ago
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiat Case Manager, Manager...
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Temple University Health System

Philadelphia, PA
2 days ago
 ...communications. Web: | Facebook: | Twitter: Job Description Within Digitas Health, the Vice President, Director, Regulatory Review will provide advice to creative, strategy, planning, marketing, and other capabilities on the latest updates from FDA and other... 
Suggested
Full time
Flexible hours
Shift work
3 days per week

Digitas Health

Philadelphia, PA
5 days ago
 ...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
Full time
Flexible hours
Shift work
3 days per week

Digitas Health

Philadelphia, PA
a month ago
 ...American Physical Society ID: 1376 Location: Remote Department: Editorial Chief Editor, Physical Review X The American Physical Society (APS) is a nonprofit membership organization devoted to advancing and diffusing the knowledge of physics through... 
Suggested
Holiday work
Contract work
Remote job
Relocation package
Flexible hours

American Physical Society

Philadelphia, PA
2 days ago
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols...
Suggested

Temple University

Philadelphia, PA
2 days ago
 ...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.... 
Full time
Work experience placement

Prime Healthcare

Bristol, PA
12 days ago
 ...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... 
Full time
Local area
Currently hiring
Monday to Friday

Shift Day

Doylestown, PA
more than 2 months ago
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires...

Temple University Health System

Philadelphia, PA
3 days ago
 ...position development plans. Position placement is at Amtrak’s sole and absolute discretion.   SUMMARY OF DUTIES: The Design Review Engineer is responsible for managing the design review process for major capital in-house projects, as well as external third-party... 
Hourly pay
Permanent employment
Temporary work
Work experience placement
Interim role
Local area
Relocation
Flexible hours

Amtrak

Philadelphia, PA
more than 2 months ago
 ...the accuracy and compliance of loan information in accordance with Agency/Investor guidelines. As a Mortgage Auditor, you will review multiple loan files, identifying discrepancies, and collaborating with various lenders to ensure loans are ready for purchase by the... 
Hourly pay
Full time
Temporary work
Remote job
Work from home
Shift work
Monday to Friday

Get It Recruit - Real Estate

Bristol, PA
3 days ago