Search Results: 30,139 vacancies
...This position is located at the Westmont office***
Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a delegated entity for BCBS HMO Medicare and Commercial coverage. Experience with...
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Full time
Work experience placement
Shift work
...Job Description
Lake Behavioral Hospital is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Waukegan, Illinois.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: Ongoing
~40 hours per...
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Weekly pay
Holiday work
Full time
Temporary work
Local area
Flexible hours
Shift work
...operations and staff, and for producing successful outcomes and results. Directs and implements case management programs, including utilization review, intake and discharge planning, and managed care contracting and negotiation. Manages the integration of social services/case...
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...searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your... ...Alsip/South Chicago Area
JOB SUMMARY:
Utilizes clinical expertise, and reviews disability claims...
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For contractors
Monday to Friday
...Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity... ...of stay requirements for all patients. Facilitates physician documentation through concurrent interaction with...
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Full time
...determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal... ...and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is...
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Full time
...Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist will utilize his or her knowledge and skills to review clinical...
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Remote job
Flexible hours
...sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking an Utilization Reviewer/Trainer who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team that...
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Monday to Friday
...Responsibilities
Full-time Utilization Review Opening - Now Offering $7,500 Sign-on Bonus!
The Pavilion Behavioral Health System... ...and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U....
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Full time
Local area
Relocation bonus
...Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
Completes... ...days, and/or any payor-related problems.
Facilitates physician reviews promptly when a case is denied.
Maintains and updates...
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Relief
Immediate start
...business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
As a Oncology, Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non...
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...Job Description
Purpose:
The Utilities Engineer is responsible for oversight of design, operational and troubleshooting support... ...Assessments and participates in validation activities including review of IQ/OQ protocols, executions and summary reports.
Provide...
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For contractors
Summer work
Local area
...This position reviews services to patients of all ages to ensure appropriate status of admission, length of stay and utilization of criteria based Severity of Illness/Intensity of Service... ...reviews.
Refers medical records to physician advisors for secondary reviews....
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Full time
...solutions in the public sector.
Acentra seeks an OBGYN Physician Reviewer (PRN, Remote within Illinois) to join our growing team.... ...expertise to operations relating to the peer review process, utilization review activities, and other activities requiring clinical...
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Remote job
Relief
Local area
...solutions in the public sector.
Acentra seeks a Psychiatrist Physician Reviewer (Illinois Remote, PRN) to join our growing team.
Job... ...to operations relating to the peer review process, utilization review activities, and other activities requiring clinical...
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Remote job
Hourly pay
Relief
Local area
...Are you an accomplished Board Certified physician in one of the below specialties?... ...SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation... ...files and provides recommendations for utilization review, chart reviews, medical necessity...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure... ...and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd... ...for the overall operation. Facilitates physician reviews with payers as required. Maintains...
Full time
...Job Description
Job Description Utilities Director
WATER FILTRATION PLANT AND
WASTEWATER TREATMENT PLANT
Exempt Grade 11... ...officials and other city departments and divisions as appropriate.
Review construction plans and exercises project management over water...
Contract work
Temporary work
Local area
...Job Description
Job Description Department: Utilities
Crew: - Public Contact
Job Title: Clerk/Billing
Labor Grade : 7
Shift: Days (8am - 4:30pm)
Note: The listed duties are only illustrative and are not intended to describe every function that may...
Gangs
Shift work
...:
? ESSENTIAL FUNCTIONS:
? Monitor utilization of services and optimize reimbursement... ...oversees concurrent and retrospective review s for all patients .
? Act as a liaison... ...process .
? Collaborates with physicians, therapist and nursing staff to provide...
Local area
