...improving and preserving 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...
Suggested
Part time
Worldwide
...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
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Philadelphia, Pennsylvania.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~36 hours per week...
Suggested
Weekly pay
Holiday work
Shift work
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...
Suggested
...chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team.
Utilization Management (UM)... ...is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of...
Suggested
Relief
Local area
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
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 ...
Suggested
$68k - $80k
...Utilization Review Nurse /Workers Comp
Location - King of Prussia, PA
Job Purpose:
Review Workers Compensation requests submitted... ...appropriate, or prepare a case for peer review referral.
Coordinates information between all parties (injured worker, physicians...
Suggested
Immediate start
...Utilization Management Nurse
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization... ...inpatient setting (i.e.,SNF/Rehab). Also, responsible to review clinical information provided by facilities and communicates UM...
Suggested
Remote job
Flexible hours
Shift work
...Connecting. Growing together.
The Clinical Coverage Review Medical Director is a key member of the Optum Enterprise Clinical... ...focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and...
Suggested
Remote job
Minimum wage
Work experience placement
Local area
...babies, one family at a time.
Job Role
Clinical care (UM) nurses coordinate overall member care, from pre-admission, continued stay (concurrent review) and any outpatient services utilizing a pro-active, evidence-based decision-making process that is physician...
Suggested
Holiday work
Temporary work
Casual 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...
Suggested
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...
Suggested
Holiday work
Flexible hours
Shift work
Night shift
Afternoon shift
...Information 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...
Suggested
...Utility Foresters needed! Take ownership of your future. Grow your career in a dynamic industry! Our client has a unique culture... ...habitat, and environmental conditions, & support IVM projects.
Coordinate with Project Managers, Planners, and Vegetation Crews to...
Suggested
Holiday work
Local area
Outdoor
...Position Title: Medical Claims Review Nurse
Type: Fully Remote
Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time.... ...Three years of clinical appeals experience.
One year of utilization review experience.
Candidates with DRG experience on their...
Remote job
Local area
Monday to Friday
...Utility Engineer
University Overview
The University of Pennsylvania, the largest... ...metering and billing process. Collect, review and record the monthly utility meter information... ...preparing market forecasts and coordinating communications and presentations by Penn...
Full time
Contract work
Work from home
Flexible hours
**Dishwasher/Utility**
**Department:** Kitchen Labor **Location:** King of Prussia, PA
* **$550-$600 per week**
* **Full-time positions available**
* **Shift meals and uniforms paid for**
**DISHWASHER/MAINTENANCE TEAM MEMBER**
Our Dishwashers & Maintenance Team...
Full time
Part time
Flexible hours
Shift work
...Job Category Insurance Professional & Clinical
Job Title Utilization Management RN
Job Description
The candidate MUST have Managed... ...with federal and state laws, accreditation standards
Reviews materials submitted, including policies, files, program documents...
Contract work
...predictability, and sustainability.
Job Description
•This is not a work from home position and would work normal business hours
•Review and approve all batch records prior to production to ensure that they conform to requirements of cGMP and SOP requirements.
•...
Full time
Contract work
Worldwide
Flexible hours
Shift work
