Search Results: 10,093 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
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 Utilization... 
Suggested
Full time
Local area
Currently hiring
Monday to Friday

UHS

Doylestown, PA
4 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
4 days ago
 ...education and experience Job Summary The Utilization Review Specialist will examine medical and behavioral health insurance...  ...Computer, communications, analytical, and comprehension skills Travel required. About Woods Services Woods Services is a... 
Travel
Contract work

Woods Services

Langhorne, PA
1 day ago
 ...buying 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
Flexible hours
Shift work
3 days per week

Digitas Health

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
10 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
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... 
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Remote job
Shift work

Wegman

Philadelphia, PA
18 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
3 days ago
 ...Job Description Job Description Legal Billing Review Position Type: Temp to Perm Role; 6 months to start  Pay Rate: $32.00 per hour W2  M-F, 40 hours per week: open on time zone • Responsible for the prompt, accurate and efficient auditing of electronically... 
Suggested
Remote job
Hourly pay
Permanent employment
Temporary work

The Fountain Group

Philadelphia, PA
6 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
3 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...
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Temple University

Philadelphia, PA
3 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.... 
Suggested
Full time
Work experience placement

Prime Healthcare

Bristol, PA
16 days ago
 ...abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive... 
Suggested
Full time
Remote job
Flexible hours

Integrity Management Services, Inc.

Philadelphia, PA
3 days ago
 ...this position at the full working level: * Performs closed case reviews using Appeals Quality Standards and Attributes (AQSA). Decides...  ...and use a Government-issued charge card for business-related travel. Qualifications Federal experience is not required. The experience... 
Travel
Full time
Temporary work
Part time
Work experience placement
Remote job
Relocation
Night shift
Day shift
Monday to Friday

Department Of The Treasury

Philadelphia, PA
1 day 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
25 days 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
a month ago
 ...Description Leaderstat - Post Acute is seeking a LPN / LVN for a travel job in Huntingdon Valley, Pennsylvania. Job Description &...  ...LeaderStat candidate profile and send it to our recruiting team for review. If you’re a good fit for this assignment, a recruiter will... 
Travel
Hourly pay
Weekly pay
Contract work
Interim role
Shift work

Leaderstat - Post Acute

Huntingdon Valley, PA
22 hours ago
POSITION SUMMARY: The Physical Therapist - Journey Traveler must be able to travel nationwide for 13 week assignments. This position provides...  ..., examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis... 
Travel
Temporary work

Powerback Rehabilitation

Philadelphia, PA
2 days ago
 ...Nurse Practitioner, Housecalls Statewide Traveler for Pennsylvania $25,000 Student Loan Repayment or $40,000 Sign-on Bonus for individuals...  ...assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and... 
Travel
Holiday work
Immediate start
Trial period
Relocation bonus
Flexible hours

UnitedHealth Group Inc

Philadelphia, PA
1 day ago