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...Job Description
Job Description Responsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities...
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Under minimal supervision and using clinical knowledge, the RN Utilization Review completes utilization review activities to ensure... ...and subsequent payment. Acts as a clinical resource for the Coordinator Utilization Review.
Position Highlights:
Position: RN Utilization...
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Holiday work
Part time
Flexible hours
Monday to Friday
Title: Medical Review Coordinator Department: Pension
FLSA: Non-exempt Hours: 40
Union: UFCW 1546 Grade: 23
Date Posted: 02/28/2024
Position Summary
The Medical Review coordinator ensures documentation needed for medical review is complete and accurate in accordance...
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Local area
...Extra Help Health Care Utilization Review Coordinator (HURC II) - Continuum of Care
This Position is temporary, non-benefits eligible, and is limited to 900 hours.
Hiring Department: Continuum of Care
Location: Chicago, IL USA
Requisition ID: 1022315
FTE...
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Temporary work
Worldwide
Shift work
Weekend work
Weekday work
Monday to Friday
...of medicine.
Description
The RN Utilization Specialist reflects the mission, vision... ...hospital utilization. Through regular reviews and audits and collaboration with the clinical... ...of educational forums
* Develops, coordinates, presents, and participates in service-...
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Hourly pay
Holiday work
Full time
Part time
For contractors
Local area
Flexible hours
...SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure... ...and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3... ...rd and 4th party reviewers, effectively coordinating collection of all supporting data to support...
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Full time
...Responsibilities
JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information...
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Full time
...payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and... ...written communication skills to support patient advocacy/negotiating skills to ensure quality reviews with payers....
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Full time
...proprietary system will quickly have you in front of a live recruiter.
The Opportunity
Description
We're looking for a Physician Reviewer , working in Insurance industry in Chicago, Illinois, United States .
Evaluates clinical service requests made by an organization...
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Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote position.
Physician medical...
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Remote job
Shift work
Weekend work
Sunday
Saturday
...Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials. Participates in...
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Holiday work
Remote job
Weekend work
...admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers.
Responsibilities include reviewing documents for complex litigation matters using an electronic review platform to code for...
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Hourly pay
Temporary work
Remote job
Work from home
Home office
Flexible hours
Monday to Thursday
...physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload... ...following areas: Alsip/South Chicago Area
JOB SUMMARY:
Utilizes clinical expertise, and reviews disability claims by providing...
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For contractors
Monday to Friday
...Initiative (BFHI) for the United States. We coordinate and conduct all activities necessary to... ...volunteers to join the External Review Board (ERB) team. This is a fully remote... ...3 blinded Assessment Reports per month, utilizing the Guidelines and Evaluation Criteria for...
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Remote job
...Summary:
Under the direction of the Utilization Management Team Lead, the Utilization Management... ...management activities to include reviewing, screening, processing and authorizing... ...Medical Director when appropriate.
* Coordinates an interdisciplinary approach to...
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...Geophysics. The Geophysics services include utility mapping, non-destructive imaging for... ...schedule planning for field operations.
Review of record information prior to and during... ...Utility Locator
CCTV Sewer Camera
Coordinate with clients, utility stakeholders, property...
Full time
...Description
Job Description Digital Marketing Coordinator
Job Details
Job Type: Full Time... ..., to complex computer data input utilizing property management software. The... ...community and also the use of an online review dashboard.
Assist office personnel with...
Holiday work
Full time
Relocation bonus
As a part of our growing Utilities division, you'll have the opportunity to leverage what... ...comparisons, and similar technical work. You’ll review shop drawings and recommend necessary... ...and be responsible for project CAD coordination. Additionally, you’ll maintain project documentation...
Flexible hours
...Hiring Immediately!
Transdev Services, Inc., is seeking a Utility Worker at its 615 W 41st Street, Chicago, IL 60609 location.... ...slippery and uneven surfaces; normal manual dexterity and eye-hand coordination; ability to lift or handle material weighing up to 50 to 75...
Holiday work
Full time
Contract work
Local area
Immediate start
Remote job
Work alone
Long distance
Flexible hours
Shift work
Afternoon shift
...Job Description Salary: $30.80/hour
Job Position: Website Coordinator
Location: Work from home (must be located in IL)
Pay Rate... ...and efficiently and track resolutions.
Content testing and review (e.g., email marketing campaigns, newsletters, website).
Manage...
Local area
Remote job
Work from home