Average salary: $41,164 /yearly
More stats ...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
...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
...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,...
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Contract work
...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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...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...
Suggested
Full time
Relocation bonus
...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
...employees
up to 4 weeks PTO
401(k) with company match
Continuing Education reimbursements
MedBridge Membership
Yearly review for growth opportunities
Professional Development Growth Tracks
Tuition discounts for employees and their families...
Suggested
Full time
Relocation bonus
...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
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
...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...
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Full time
Flexible hours
Shift work
3 days per week
...Italian Grill, you'll: Perform assigned pre-opening quality checks (kitchen and bar line checks, interior and exterior maintenance); Review staffing and station assignments; Prepare for and conduct pre-shift meeting; Ensure the restaurant is completely ready for service...
Suggested
Immediate start
Shift work
...environment and to evaluate staff interactions and clinical skills competency.
Audits 24 hour report as completed by Charge Nurses and reviews clinical records to identify problems, to ensure timely responses to residents' needs, to evaluate documentation skills of unit...
Suggested
Permanent employment
Full time
Part time
Shift work
Weekend work
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 ...
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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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Remote job
Hourly pay
Full time
Flexible hours
...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...
Holiday work
Contract work
Remote job
Relocation package
Flexible hours
...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...
Full time
Flexible hours
Shift work
3 days per week
...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...
Full time
Flexible hours
Shift work
3 days per week
...throughout the United States, Canada, Australia, and New Zealand.
Essential Functions & Responsibilities:
+ Conducts monthly review of Work in Process (WIP) and cost reports, including primary responsibility for certain regions and/or business units directly interacting...
Contract work
For contractors
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...
...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
...Brands policies
Performing assigned pre-opening quality checks (kitchen and bar line checks, interior and exterior maintenance)
Review staffing and station assignments
Preparing for and conducting pre-shift meeting
Ensuring the restaurant is completely ready...
Shift work
All shifts
...~401k with company match
~ Paid time off & paid holidays
~ Employee discounts
~ Employee referral bonuses
~ Annual reviews and merit increases
As a Title Clerk, you are responsible for processing new and used vehicle sales transactions, verifying...
Hourly pay
Holiday work
Work experience placement
Monday to Friday
...appropriate diagnostic studies, pharmacological management, and behavioral interventions.
Leads treatment team members to develop, review, and/or approve treatment, safety, continuing support, and transition plans.
Completes and submits accurate encounter, service,...
Full time
Local area
Shift work
...in order to attract retain and motivate the employees; hire train develop empower coach and counsel conduct performance and salary reviews resolve problems provide open communication vehicles discipline and terminate as appropriate.
Develop a full working knowledge of...
Daily paid
Full time
Temporary work
Local area
...Processing and completing bid forms, bid proposals and bid pre-qualifications
Interpreting bid documents, plans and specifications
Reviewing bid documents, pricing and proposals with department sales representative
Preparing complete and explicit proposals with...
Full time
...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
...include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis.
Summary Description:
The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest...
Contract work
For contractors
Remote job
Weekend work
Afternoon shift
...interpreting reports, implementing and monitoring loss prevention and safety controls, overseeing safety, operational, and quality assurance reviews, developing and implementing action plans, and providing direction and guidance on executing Company programs and strategic...
Holiday work
Full time
Temporary work
Part time
Local area
$22.2 - $23.62 per hour
...coordinate care.
Maintain up to date knowledge and services provided throughout the RHD service line.
Through regular and systematic review, ensure thorough analysis of each client’s care and ensure that they are linked with all available resources.
Develop...
Hourly pay
Permanent employment
Full time
