Search Results: 81,541 vacancies
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for assigned... ....
• While performing utilization review identifies areas for clinical documentation...
Suggested
Permanent employment
Shift work
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration...
Suggested
Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
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Holiday work
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...assigns appropriate level of care. The Reviewer is responsible for obtaining the order for... ...and Appeal team.
11. Notifies the managed care companies of patients requiring transfer... ..., one year of which has been served in Utilization Review/Quality Assurance; or,
2....
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Holiday work
Immediate start
Shift work
...Description
Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review... ...with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The...
Suggested
Remote job
Part time
Local area
Shift work
...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!
VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
Suggested
Holiday work
Full time
Local area
Remote job
Overview
The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited...
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Contract work
For contractors
...assigned staff to ensure that all case management processes are in order; including coordinating... .... The role integrates and coordinates utilization management, care coordination, discharge... ...that staff have MCG training modules to review as needed.
Growth Uses MCG Guidelines...
Suggested
Full time
...infrastructure, energy, construction, program management and environmental markets. NV5 is an ENR... ...who will work on New York City utility infrastructure design projects at our office... ...plates, NYCTA Subway records, etc.
Reviewing and assisting with development of catch...
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Local area
Are you a problem solver with a passion for improving healthcare services? VillageCare is seeking a Full Time Utilization Management DME Manager to join our team. In this fully remote role, you will have the opportunity to make a significant impact on patient care by managing...
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Full time
Second job
Remote job
...solutions to satisfy the complex needs of the sectors we serve.
Boswell Engineering is seeking an experienced Project Manager in the electric utility industry.
Responsibilities:
Project managers will be assigned projects that range from replacing a breaker at a...
Suggested
Holiday work
Temporary work
Flexible hours
...medicine, health education, and disease management. Leveraging its vast network of physicians... ...:
The Director of Case Management & Utilization will be responsible for the strategic... ...patients. This position is empowered to review medical services with evidenced-based criteria...
Suggested
Holiday work
Full time
New year
Immediate start
Day shift
Responsibilities:
The Director Utilization and Case Management will be responsible for the strategic direction setting, management, continuous improvement... ...of care for patients. This position is empowered to review medical services with evidenced-based criteria that will...
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...healthcare and serve as a leader of positive change.
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is... ...:
Follows departmental workflows for utilization review activities including admission reviews, admission denials...
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...innovative and experienced leader to join our team as the RN Utilization Management Nurse. Compensation will be commensurate with experience.... ...UM) determinations in accordance with Article 49-Utilization Review. •Ensure UM is completed by following all regulatory guidelines...
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...– come join us!
We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). The... ...collaboratively with the interdisciplinary treatment team to review all managed care medical record documentation for compliance as required...
Holiday work
Full time
Monday to Friday
...services specializing in the installation of utility and industrial process infrastructure... ...expertise and manpower.
PROJECT ENGINEERING MANAGER - UTILITIES
PPG is an EPC contractor... ...ESSENTIAL DUTIES: Lead the coordination and review of our engineering subcontractors...
Contract work
For contractors
For subcontractor
Join our team at VillageCare as a Full Time Utilization Management, Non-Clinical Supervisor in this exciting remote position! As a key player in our organization, you will have the opportunity to demonstrate your problem-solving skills while ensuring the delivery of high...
Full time
Remote job
..., you too can be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of Coding, HIM (Health Information Management). The DRG Reviewer oversees DRG accuracy. The DRG Reviewer will ensure that accurate...
Full time
Work experience placement
...living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program,... ...Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and...
Full time
Contract work
