Search Results: 26,081 vacancies
...Job Description
Job Description The Utilization Management (UM) Review RN is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA...
Suggested
Holiday work
Full time
Local area
Monday to Friday
...mission to support people and families affected by these disorders, and to promote lasting recovery.
SUMMARY:
The Utilization Review Specialist will perform utilization review of pre-certification and concurrent clinical utilization reviews with insurance companies...
Suggested
Holiday work
Full time
Flexible hours
...Evening (United States of America)
Lahey Hospital and Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions.
Emergency Room 3:00-11:30pm
Important Details:
Signing Bonuses are paid out in three payments. You will...
Suggested
Full time
Local area
Relocation bonus
Shift work
Afternoon shift
Utilization Review Specialist Location Lawrence, MA : The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all administrative tasks/responsibilities...
Suggested
Full time
...illness, developmental disabilities, or substance use disorders. For many individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for obtaining initial and concurrent insurance authorizations for all...
Suggested
Hourly pay
Shift work
Monday to Friday
...Advisor will play an active role in optimizing healthcare resource utilization, ensuring quality, patient care, and managing valuable... ...Policy Setting Responsibilities
Responsible for utilization review and medical necessity recommendations, as requested
Decision...
Suggested
Part time
Shift work
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, diversity and teamwork, excellence and innovation consistently in their...
Suggested
...providing exceptional healthcare services to our community with dignity, compassion, and respect.
Statement of Purpose:
The Utilization Review Nurse is responsible for utilization management at MRMC. The UR nurse performs reviews of current inpatient services and...
Suggested
Holiday work
Weekend work
$145.27k - $185.03k
A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team
This not-for-profit acute care hospital is a respected healthcare facility with a long-standing...
Suggested
Local area
...Responsibilities
UTILIZATION REVIEW COORDINATOR
Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized...
Suggested
Temporary work
Local area
Flexible hours
...? Bring your true colors to blue.
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical... ...teams.
Key Responsibilities:
+ Review pending claims utilizing sound clinical judgement, medical policy, payment policy guidelines...
Suggested
Hourly pay
Shift work
Night shift
Medicare Advantage Claims Review Specialist Location Hybrid remote in Somerville, MA : Medicare Advantage Claims Review Specialist - (3271103) This is a hybrid role requiring an onsite presence in the office in Assembly Row, Somerville one day each quarter and when employees...
Suggested
Full time
Remote job
Shift work
Day shift
DEPARTMENT OVERVIEW: Red Sox Productions is responsible for two primary functions within the ; The first is to provide fans at Fenway with an incredible and informative game experience by using the ballpark’s video boards to show stats, replays, crowd shots, video features...
Suggested
...Quality Assurance Reviewer Associate I (Remote) #24-319
{{jcity}}{{jstate}}
Legal & Compliance
Why This Role is Important to... ...communications of Member Services, Provider Services, Broker Specialists, Outreach Specialists and all other Contact Center staff through...
Suggested
Remote job
Immediate start
...quality control, bioassay data reviewer.
+ norwood , massachusetts
+ posted march 27, 2024
**job details**
summary
+ $45 -... ...the opportunity to learn and grow in the life sciences arena. Utilizing a recruiter for your job search gives you access to a large network...
Suggested
Hourly pay
Contract work
Work experience placement
We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The...
Work experience placement
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care taking place at the...
Monday to Friday
...our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of service requests that do not initially...
Remote job
Work experience placement
Internship
Local area
...pharmaceutical/ biopharmaceutical company, all while maintaining full-time benefits.
Key responsibilities:
Provides a variety of review and analytical functions that occur in the Commercial Quality Control (CQC) Lab supporting the commercial reference standard...
Full time
Contract work
...Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced... ...to other colleagues as needed.
Accountabilities:
Utilizing advanced medical information /clinical expertise develops, maintains...
Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift
