Search Results: 16,800 vacancies
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment... ...required by the payer. Work with physician advisor to better manage denials and downgrades.
CONNECTING TO MISSION: All...
Suggested
...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
...depending upon education and experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral health... ...benefits to ensure proper coverage, address lapses in coverage, manage authorization process, billing process, decipher complicated...
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Contract work
...education - these concepts are at the core of Hampton Behavioral Health Center's mission.
We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening patients to ensure that criteria are met, perform admission clinical...
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Full time
Local area
...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...
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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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...Weekly training opportunities
~ Advancement opportunities within the organization
Job Description
The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review, insurance companies, and treatment...
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Full time
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
...application process, please contact Human Resources. Know Your Rights:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating...
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Full time
Work experience placement
...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...
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Contract work
...Utility Worker
Job Details
Job Location
Janitorial - Mt. Holly, NJ
Position Type
Full Time
Education Level
None... ...team, Consumer input, incident/accident and Consumer grievance review, peer record review and Program evaluation/quality improvement...
Suggested
Holiday work
Full time
Shift work
Monday to Friday
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...
Suggested
Holiday work
Local area
Outdoor
...Position Title: Utility Worker PART-TIME Weekends included FLSA Status: Non- Exempt
Department: Dining
Supervisor Title: Executive... ...present information and respond to questions from groups of managers, clients, customers, and the general public.
VII. WORK ENVIRONMENT...
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Part time
Local area
Weekend work
...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
...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...
...Responsibilities:
What you will get to do as a Dishwasher/Utility at Brightview?
You'll wash and clean equipment and supplies so... ...community (if relevant), certifications/training, etc. Brightview reviews and adjusts compensation ranges at least once a year....
...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
...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
