...Description
Utilization Review Analyst
Job Summary
This position helps to ensure clinical documentation integrity and ICD... ..., physicians, nurse practitioners, PA's, and the department managers for revenue integrity, coding and data quality.
Perform...
Suggested
Shift work
...Healthcare Support is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Baltimore, Maryland.
Job... ...Utilization Review RN
REQUIRED: Compact RN License; Both Acute and Managed Care Utilization Review Experience
About Healthcare...
Suggested
Hourly pay
Contract work
Local area
Immediate start
Remote job
Shift work
...Interim RN Director Case Management and Utilization Management
Details
* Department: Ascension Interim Leadership Travel Program
* Schedule... ...for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to implement...
Suggested
Contract work
Temporary work
Work experience placement
Interim role
Relief
Local area
Monday to Friday
...related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
35% Reviews authorization requests for initial determination and/or triages for clinical review and resolution...
Suggested
Work experience placement
...We want the same like - minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their patients at optimal times to keep them healthy...
Suggested
Remote job
Hourly pay
Permanent employment
Temporary work
...A bit about this role:
This position interacts with utilization management, clinical management, pharmacy, network management, data analytics... ...commensurate with company values.
Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer...
Suggested
Hourly pay
Full time
Contract work
Internship
...General Summary
Assume 24-hour accountability for managing the functions of Utilization
Management. With the Manager of Case Management and the... ...Utilization Management Lead (s) and frontline Utilization Review staff.
~ Completes annual and interim performance...
Suggested
Interim role
Immediate start
...Job Description
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as...
Suggested
...Summary
Reports directly to the JHH VP of Care Coordination/Utilization Management and indirectly to the JHBMC Senior Director of Care... ...appropriate performance of prospective, concurrent and retrospective reviews. The Director collects, analyzes and reports on data...
Suggested
Local area
...digital innovators, program and construction managers and other professionals delivering... ...Description**
**AECOM** is seeking a **Utility Asset Management Specialist** to be based... ...GPS data collection, or project safety reviews.
+ Prepares and modifies maps, inspection...
Suggested
Remote job
Worldwide
Relocation
**Utility Program Manager / Sales Coordinator**
Baltimore, MD | Operations | Posted: Mar 28, 2021 **Summary**
The primary purpose of the Field Service Project Management Specialist is to understand the customers remediation and service needs as they relate to materials...
Suggested
Immediate start
Work alone
...Healthcare Support is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Baltimore, Maryland.
Job... ...WFHUtilization Review RNREQUIRED: Compact RN License; Both Acute and Managed Care Utilization Review Experience
About Healthcare...
Suggested
Hourly pay
Contract work
Local area
Remote job
Shift work
Insight Global is looking to hire an Inventory Data Review Specialist to support a client in Linthicum Heights, MD. This individual will... ...Degree or Associates Degree in STEM Field
Strong skills utilizing Microsoft Suite (Word, PowerPoint, Excel, etc.) for data entry...
Suggested
...Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of... ...the descriptive or medical information utilizing the CPT and HCPCS manuals. Keeps up-to-date... ...clinical experience, previous case management, discharge planning or utilization review...
Suggested
Full time
Immediate start
The staff writer provides dynamic content for all Catholic Review Media channels, including but not limited to The Catholic Review and... ...social media, or digital media, WordPress or other web content management is a plus.
Use Microsoft Word and other word-processing...
Suggested
Work experience placement
Flexible hours
...Job Req ID: 113083
Grounds/Utility Worker
The Bloomberg School of Public Health Facilities Management Department is seeking a Grounds/Utility Worker. This position... ...accordance with applicable law, the university will review, on an individual basis, the date of a...
Hourly pay
Work experience placement
Casual work
Monday to Friday
Description
JOB DESCRIPTION
POSITION: Utility
Department: Store / Warehouse
FLSA: Non-Exempt
KEY RESPONSIBILITIES:
In the Utility... ..., and have the capability to independently organize and manage the functions listed below.
Supervision:
Incumbent reports directly...
Contract work
Immediate start
...UTILIZATION & CASE MANAGEMENT EDUCATOR (RN)
Baltimore, MD
SINAI HOSPITAL
CARE MANAGEMENT
Full-time - Day shift - 8:00am-4:30pm
RN Other
82791
Posted:
April 29, 2024
Summary
Position Summary: Under the direction and assistance of the AVP of Utilization...
Permanent employment
Full time
Day shift
...services, committed to delivering high-quality, patient-centered care.
We are currently seeking a dedicated and experienced Clinical Review Nurse (CRN) to join our team.
Collaborate with clinical staff and other team members to foster a culture of continuous...
Permanent employment
...As a Assessor Reviewer you will be responsible for face-to-face assessments of vulnerable populations for various clients. Persons being... ...experience in working with persons with disabilities.
Case management experience preferred.
At least one year of experience...
Remote job
