Search Results: 5,447 vacancies
...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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...introducing you to our mission and celebrated service orientation. Together, let's drive excellence in healthcare.
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...
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Full time
...GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: ASAP
~ Duration: 13 weeks
~40 hours per...
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...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...
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...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...
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Part time
Worldwide
...employees feel respected, valued and have an opportunity to contribute to the company’s success. We are looking to hire a Credit Risk Review Advisor Senior in Credit Risk Review within PNC's Independent Risk Management organization.
This position is primarily based in a...
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...and a leader in digital communications.
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Job Description
The Senior Associate, Regulatory Review must follow the protocol established by our pharmaceutical clients when submitting marketing materials for regulatory review. This...
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3 days per week
...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...
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...communications.
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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...
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3 days per week
...meaningful way - we warmly invite you to join our growing family!
What You'll Do
Evaluate clinical and discharge paperwork: Review documentation from partner hospitals to ensure accuracy and facilitate smooth patient transitions.
Assess high-acuity cases: Diligently...
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...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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...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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Hourly pay
Full time
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...American Physical Society
ID: 1376
Location: Remote
Department: Editorial
Chief Editor, Physical Review X
The American Physical Society is a nonprofit membership organization working to advance physics by fostering a vibrant, inclusive, and global...
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...health system located north of Philadelphia, Pennsylvania, is seeking a Family Medicine physician to work in a non-clinical utilization review setting.
Opportunity Highlights
~ Daytime Monday through Friday position. Potential to work remotely part of the time....
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Part time
Remote job
Monday to Friday
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...
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...GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: ASAP
~ Duration: 13 weeks
~40 hours per...
Contract work
Immediate start
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...employees
up to 4 weeks PTO
401(k) with company match
Continuing Education reimbursements
MedBridge Membership
Yearly review for growth opportunities
New Grad Mentorship Program
Professional Development Growth Tracks
Tuition discounts for...
Full time
Relocation bonus
...appropriate follow-up analyses (15%)
Provide support in the write-up and presentation of analysis results and methodologies for peer-reviewed manuscripts, presentations, and grant proposals (10%)
Meet with Investigators and Team Members to collaborate on aspects of...
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Flexible hours
...other business units and/or customers as a result of studying company or customer-owned systems, processes, equipment, or facilities. Reviews financial data from budget and actual costs of projects. Operates independently and seeks guidance when appropriate. Position may...
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...managing EDI solutions, specifically using Trusted Link, to enhance efficiency and accuracy in data exchange.
Position Responsibilities:
Review data transferred between Crown and customers / vendors.
Ensure programs and data communications are working properly. Verify data...
Work experience placement