Search Results: 9,832 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
1 day 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
2 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
1 day 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
2 days ago
GDIT - Senior Full Stack - Code Review / Security Specialist How the Senior Full Stack - Code Review / Security Specialist will make...  ...10;stroke-width:2px} Certification Security + - Compt TIA Travel Required None .cls-3{fill:none;stroke:#5d666f;stroke-miterlimit... 
Travel
Holiday work
Permanent employment
Immediate start
Remote job
Worldwide

General Dynamics Information Technology

Philadelphia, PA
23 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
16 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
1 day 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
4 days ago
 ...Remote Department: Editorial Chief Editor, Physical Review X The American Physical Society (APS) is a nonprofit membership...  .... Assume responsibility for allocating the journal's annual travel budget. Maintain and promote a productive and positive work... 
Travel
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, initiat Case Manager, Manager...
Suggested

Temple University Health System

Philadelphia, PA
1 day 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
 ...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
4 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
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
1 day ago
 ...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... 
Suggested
Holiday work
Full time
Temporary work
Part time
Work experience placement
Remote job

PNC

Philadelphia, PA
3 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

Philadelphia, PA
2 days ago

$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... 
Immediate start

Elite

King of Prussia, PA
a month ago
 ...and absolute discretion.   SUMMARY OF DUTIES: The Design Review Engineer is responsible for managing the design review process for...  ...Job Family/Function: Engineering  Relocation Offered: No  Travel Requirements: Up to 25%    You power our progress through... 
Travel
Hourly pay
Permanent employment
Temporary work
Work experience placement
Interim role
Local area
Relocation
Flexible hours

Amtrak

Philadelphia, PA
more than 2 months ago
 ...Cross Country Allied is seeking a travel Occupational Therapist for a travel job in Bala Cynwyd, Pennsylvania. Job Description & Requirements...  ...in patients' homes, nursing homes or memory care, you'll review their medical histories, develop and implement occupational... 
Travel
Temporary work
Work experience placement
Local area
Work from home
Shift work
Afternoon shift

Cross Country Allied

Bala Cynwyd, PA
3 days ago