Search Results: 9,906 vacancies
...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
...Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and... ...clinical, financial, and resource consumption.
Denial Management: Monitors and identifies patterns or trends in utilization...
Suggested
...Health Advocates Network-Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/17/2024
~ Duration: 14 weeks...
Suggested
Weekly pay
Fixed term contract
Local area
Immediate start
Flexible hours
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
...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...
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Remote job
Hourly pay
Permanent employment
Temporary 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
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...UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends Baltimore, MD GRACE MEDICAL CENTER CARE MANAGEMENT Part-time - Weekends - Day shift - 9:00am-5:30pm RN Other 76078 Posted: March 21, 2024 Apply Now Save Job Saved Summary SHIFT DETAIL : Every other weekend,...
Suggested
Part time
Shift work
Weekend work
Day shift
...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...
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Full time
Contract work
Internship
...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...
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Remote job
Worldwide
Relocation
...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
**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
...Health Advocates Network-Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/17/2024
~ Duration: 14 weeks...
Suggested
Weekly pay
Fixed term contract
Local area
Immediate start
Flexible hours
Shift work
...Maryvale Preparatory School is seeking a Utilities Technician . This position is a full-... ...strong organizational skills and ability to manage competing priorities.
~ Strong... ...Subject to a MSDE Employment History Review screening for Child Sexual Abuse and Sexual...
Holiday work
Full time
Immediate start
Flexible hours
Day shift
Afternoon shift
Monday to Friday
...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...
Hourly pay
Contract work
Local area
Remote job
Shift work
...direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy,... ...the Medical Review and Appeals units and manages multiple strategic clinical projects that... ...**
+ Knowledge of NCQA requirements of utilization review, Case Management standards and...
Work experience placement
Local area
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
...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...
Full time
Immediate start
