Search Results: 18,300 vacancies
...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 Nurse
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization offering... ...inpatient setting (i.e.,SNF/Rehab). Also, responsible to review clinical information provided by facilities and communicates...
Suggested
Remote job
Flexible hours
Shift work
...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...
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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...
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...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...
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...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...
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Relief
Local area
...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
...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
...Description
Job Summary:
Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for... ...criteria to medical records to determine compliance.
Utilizing various software applications to support department operations...
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Work experience placement
...inclusive workplace, and we are looking for talented individuals to join our team.
Job Description Summary
The Utilities & Facilities/GMP Maintenance Manager is responsible for the corrective and preventative maintenance program at the Horsham facilities including:...
Suggested
Contract work
For contractors
$68k - $80k
...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...
Suggested
Immediate start
...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
...work from home position and would work normal business hours
•Review and approve all batch records prior to production to ensure... ...Communicates PSQDC counter measures and safety issues to Quality Management.
•Complies with EH&S and 5S requirements for QADC.
•Other...
Suggested
Full time
Contract work
Worldwide
Flexible hours
Shift work
...Administrator will assist the Senior Director of Health 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...
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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...
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Holiday work
Local area
Outdoor
...and buying group, and a leader in digital communications.
Web: | Facebook: | Twitter:
Job Description
The Manager, Regulatory Review manages a team of Associates and Senior Associates to ensure marketing materials for a client (or group of clients)...
Full time
Flexible hours
Shift work
3 days per week
...Position Title: Medical Claims Review Nurse
Type: Fully Remote
Schedule: Monday... ...clinical appeals experience.
One year of utilization review experience.
Candidates with... ...complaints regarding utilization management and long-term services and supports....
Remote job
Local area
Monday to Friday
...and summarizing information and trends
• Perform conceptual, schematic, and design development budgets
• Review plans for consistency and accuracy
• Manage all levels of take-offs while applying unit prices
• Collaborate with others on the preconstruction team...
For contractors
Local area
...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
...Nothing Bundt Cakes - JobID: 100-138450445 [Busser / Porter / Cleaner] As a Dishwasher/Utility at Nothing Bundt Cakes, you'll: Manually wash, rinse, and sanitize all baking pans, dishes, utensils, and other tools in a thorough and timely manner; Monitor sanitization levels...
Immediate start
