Search Results: 76,094 vacancies

 ...injured; educate physicians, nurses and other health care providers...  ...pay for health care. The Utilization Review Nurse will be responsible for...  ...to the Physician Advisors. Works collaboratively with the...  ...full legal name and current home address. Be sure to include employment... 
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St. Luke's University Health Network

Bethlehem, PA
7 days ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment...  ...all payers and all levels of care as required by the payer. Work with physician advisor to better manage denials and... 
Suggested

Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
3 days ago
 ...injured; educate physicians, nurses and other health care providers...  ...pay for health care. The Utilization Review Assistant is responsible for...  ...Organizes and prioritizes daily work and assigned tasks by...  ...full legal name and current home address. Be sure to include employment... 
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St. Luke's University Health Network

Bethlehem, PA
10 days ago
 ...Job Description GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 04/29/2024 ~ Duration: 8... 
Suggested
Shift work

GHR Healthcare

Sellersville, PA
23 days ago
Overview Utilization Review Nurse Berkshire Hathaway GUARD Insurance Companies, an A+ Superior...  ...benefits and job openings. Benefits: ~ Work life balance schedule- No Nights or...  ...Three days in the office, two days from home (if near one of our office locations)... 
Suggested
Holiday work
Night shift
Weekend work

Berkshire Hathaway GUARD Insurance Company

Wilkes Barre, PA
6 days ago
 ...Description With this position you would have the ability to work from home!! Shift: Monday-Friday 8:00 am - 4:30 pm. Deliverables...  ...: • Perform admission, continued stay and discharge reviews on all managed care clients. • Maintain positive relationships... 
Work from home
Remote job
Local area
Flexible hours
Shift work
Monday to Friday

Pyramid Healthcare Inc

Allentown, PA
2 days ago
 ...now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If...  ...(***) ***-**** Remote, must work from office for 8 weeks for...  ...for participants receiving home and community-based services...  ...experience, hospital, nurse auditor, Utilization review, medical fraud,... 
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Hourly pay
Full time
Contract work
Immediate start
Remote job

A-Line Staffing Solutions

Harrisburg, PA
2 days ago
 ...need special accommodation for the 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... 
Suggested
Full time
Work experience placement

Prime Healthcare

Bristol, PA
6 days ago
 ...position is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades...  ..., authorization, and financial counseling/management, and working in tandem with RN to ensure all patients coming into the... 
Suggested
Remote job
Local area

Highmarkhealth

Pennsylvania
2 days ago
 ...This is a part time, 1099 position. Work will be completed on weekends, during appointment windows (often, but not...  ...appointments and taking photos (approximately 3-5 photos per home) of mechanical room. (Reviews take on average 5 to 10 minutes to complete) Driving to... 
Suggested
Part time
For contractors
Weekend work

2M Quality

Allentown, PA
8 days ago
ECI is looking to add Distribution Utility Forester Work Planners to our team! If you are an energetic professional who enjoys working outdoors, values the freedom of working independently, enjoys a fast-paced environment and the challenges of a rewarding profession,... 
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Weekly pay
Holiday work
Full time
Temporary work
For contractors
Remote job
Outdoor
Work alone
Gangs

Environmental Consultants (ECI)

Easton, PA
9 hours ago

$68k - $80k

 ...Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the...  ...employer, therapists, attorney, etc) Participate in audits of work product to ensure compliance. Monitor daily processing... 
Suggested
Immediate start

Elite

King of Prussia, PA
15 days ago
 ...important as what we deliver. Our Heart At Work Behaviors support this purpose. We...  .... Position Summary: This Utilization Management (UM) Nurse Consultant role is fully remote and...  ...regulated turn-around times. This includes reviewing written clinical records. The UM... 
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Remote job
Shift work
Weekend work
Afternoon shift
Monday to Friday

CVS Health

Home, PA
3 days ago
Job Description: Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned and trusted 30 year old business to take charge of your ; Position ...
Work from home

Metro Public Adjustment

Philadelphia, PA
18 days ago
 ...Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA....  .... Benefit Highlights: ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time... 
Suggested
Full time
Local area
Currently hiring
Monday to Friday

Shift Day

Doylestown, PA
a month ago

$65 - $85 per hour

 ...duties include : Looking at newly built homes from a customer's perspective to identify...  ..., consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to...  ...quality reviews on the day it is scheduled. Work may be started anytime during the day between... 
Full time
Part time
For contractors

2M Quality

Pennsylvania
8 days ago
 ...Utility Forester/Contract Arborist/Work Planner This position provides planning, scheduling, reporting, and project management for utility right-of-way vegetation management programs throughout our operating region. Job Type : Full-Time +, Non-Exempt Pay :Competitive... 
Hourly pay
Holiday work
Full time
Contract work
For contractors
Work experience placement
Local area

ArborMetrics Solutions, LLC

Johnstown, PA
2 days ago
 ...important as what we deliver. Our Heart At Work Behaviors support this purpose. We want...  ...and affordable. Position Summary * Utilizes clinical experience and skills in a collaborative...  ...* 3+ years of experience as a Registered Nurse * Must have active current and... 
Hourly pay
Holiday work
Full time
Temporary work
Weekend work
Monday to Friday

CVS Health

Home, PA
3 days ago
 ...of care prior to hospitalization utilizing medical necessity criteria and...  ...payers, etc. (30%) Maintains a working knowledge of care management, utilization review changes, authorization changes,...  ...currently employed UR's) 2-3 years nursing experience with 1 year in... 
Full time
Contract work
Local area
Immediate start

Allegheny Health Network

Pennsylvania
26 days ago
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires...

Temple University Health System

Philadelphia, PA
4 days ago