Search Results: 19,946 vacancies
Genex Service LLC Utilization Reviewer 2 US--Remote Job ID: 24-16859 Type: Regular Full-Time # of Openings: 1 Category: Insurance & Administration Mitchell International, Inc. Overview
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent...
Suggested
Holiday work
Full time
Second job
Remote job
Work from home
Flexible hours
...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
...Utilization Management RN
Responsibilities
Join the mission of Improving Lives as a Utilization Management RN at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia...
Suggested
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 evidence...
Suggested
Immediate start
...excellence in healthcare.
SUMMARY OF JOB:
To review each admission for appropriate... .... Work with physician advisor to better manage denials and downgrades.
CONNECTING TO... ...company, or independent review company in utilization, quality review, homecare or case management...
Suggested
Full time
...and recognize medical conditions, as well as medications and the association to specific medical conditions. Provides feedback to management for provider education and correction purposes. Ensures that the patient records are complete in a timely manner according to the...
Suggested
...demonstrated skill in construction project management with experience in managing a... ...feedback during design and walk downs, Review Bill of Materials and assist with managing... ...contracted work activities for centrally managed Utilities projects during installation, monitor...
Suggested
For contractors
Work experience placement
**Dental Director Utilization Management Appeals (Remote)**
Location: Remote, United States
Primary Job Function: Medical Management
ID... ...leadership in the operational areas of care management, utilization review, appeals, quality improvement and related policy and...
Suggested
Remote job
Holiday work
Full time
Local area
Flexible hours
Description
Job Summary:
Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing... ...criteria to medical records to determine compliance.
Utilizing various software applications to support department...
Suggested
Work experience placement
...chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team.
Utilization Management... ...is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of patient’s...
Suggested
Relief
Local area
...success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candidate will demonstrate... ...participate in team and Valuation department meeting
Responsible for managing assigned reviews including production goals and standards to...
Suggested
Full time
Remote job
Work from home
Monday to Friday
...Job Category Insurance Professional & Clinical
Job Title Utilization Management RN
Job Description
The candidate MUST have Managed... ...compliance with federal and state laws, accreditation standards
Reviews materials submitted, including policies, files, program...
Suggested
Contract work
...Company
ProgenyHealth is a leading provider of care management solutions for premature and medically complex... ...care, from pre-admission, continued stay (concurrent review) and any outpatient services utilizing a pro-active, evidence-based decision-making process...
Suggested
Holiday work
Temporary work
Casual work
Afternoon shift
...Description
Job Description Role & Responsibilities
As the Utilities and Energy Management Analyst your responsibilities will include:
Analyze... ...to identify trends and areas of improvement.
Review and investigate reimbursement, expense, and consumption data...
Suggested
Holiday work
Full time
Temporary work
Flexible hours
...Job Description We are actively recruiting for Medical Review Nurse / Case Managers to join our Medical Review Team! The primary responsibility... .... The role is a combination of Pre-authorization, Utilization Management, and Case Management.
Please note - our current...
Suggested
Holiday work
Remote job
Home office
Shift work
Night shift
Weekend work
Saturday
Utility Foresters needed! Take ownership of your future. Grow your career in a dynamic industry! Our client has a unique culture that... ...do:
Successfully contribute to all aspects of vegetation management planning and analysis.
Utilize innovative technology and practices...
Holiday work
Local area
Outdoor
...purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. The Utility Worker is responsible for maintaining clean, sanitary conditions in the kitchen including all china, silverware, glassware, pots,...
Temporary work
...Overview - We offer weekly pay, paid training, company truck and gas card!
Starting rate $17/hr
We mark underground utilities with flags & paint, and our work is essential to keeping the community safe- Join our Team!
~ Weekly Paychecks
~100% Paid...
Weekly pay
Holiday work
Temporary work
Work experience placement
Local area
Outdoor
Flexible hours
Shift work
Weekend work
Afternoon shift
...proximity to the Wissahickon Valley Park, offering a beautiful, peaceful setting with all the conveniences of the city nearby.
The Utility Worker is responsible for maintaining a clean and sanitary kitchen and dining room area, assumes dishwashing and pot...
Temporary work
Local area
...Your Job
Georgia-Pacific is looking for safety-orientated individuals to join our team as Production Utility Operators in Camden, NJ . Utility Operators create value by working as a team to manufacture high quality, commercial grade flooring underlayment, in...
Holiday work
Flexible hours
Shift work
Night shift
Afternoon shift
