Average salary: $145,000 /yearly

More stats
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide... 
Suggested

Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
2 days ago
 ...improving and preserving 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... 
Suggested
Part time
Worldwide

Wills Eye Hospital

Philadelphia, PA
3 days ago
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 ...
Suggested

Temple University Health System

Philadelphia, PA
1 day ago
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...
Suggested

Temple University

Philadelphia, PA
2 days ago
 ...Utilization Management Nurse Why Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization...  ...inpatient setting (i.e.,SNF/Rehab). Also, responsible to review clinical information provided by facilities and communicates UM... 
Suggested
Remote job
Flexible hours
Shift work

Health Partners Plans

Philadelphia, PA
1 day ago

$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

Elite

King of Prussia, PA
a month 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...
Suggested

Temple University Health System

Philadelphia, PA
3 days ago
 ...Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Philadelphia, Pennsylvania. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks... 
Suggested
Weekly pay
Holiday work
Shift work

Medical Solutions

Philadelphia, PA
3 days ago
 ...seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candidate will demonstrate initiative, integrity, honesty, professionalism, and will maintain... 
Suggested
Full time
Remote job
Work from home
Monday to Friday

UniversalCIS

Broomall, PA
11 hours ago
 ...Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time....  ...Three years of clinical appeals experience. One year of utilization review experience. Candidates with DRG experience on their... 
Suggested
Remote job
Local area
Monday to Friday

Morgan Stephens

Philadelphia, PA
3 days ago
TGIFRIDAYS // Store #1756 4000 City Line Avenue Philadelphia, PA 19131 Role Purpose To ensure that Fridays restaurants are clean and presentable to provide a quality guest experience. Key Responsibilities & Accountabilities Responsible for ensuring all...
Suggested
Gangs

Jackmont Hospitality

Philadelphia, PA
11 hours agonew
 ...Your Job Georgia-Pacific is looking for safety-orientated individuals to join our team as Production Utility Operators in Camden, NJ . Utility Operators create value by working as a team to manufacture high quality, commercial grade flooring underlayment, in... 
Suggested
Holiday work
Flexible hours
Shift work
Night shift
Afternoon shift

Koch Industries

Camden, NJ
11 hours ago
 ...Summary:  Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for...  ...abstraction criteria to medical records to determine compliance.  Utilizing various software applications to support department operations... 
Suggested
Work experience placement

Compunnel Healthcare

Newtown Square, PA
16 days ago
**Dishwasher/Utility** **Department:** Kitchen Labor **Location:** King of Prussia, PA * **$550-$600 per week** * **Full-time positions available** * **Shift meals and uniforms paid for** **DISHWASHER/MAINTENANCE TEAM MEMBER** Our Dishwashers & Maintenance Team... 
Suggested
Full time
Part time
Flexible hours
Shift work

Founding Farmers KOP, LLC

King of Prussia, PA
3 days ago
 ...and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team. Utilization...  ...System is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of patient's... 
Suggested
Full time
Local area

UHS

Philadelphia, PA
1 day ago
 ...BJ's Wholesale Club - JobID: R155654 [Custodian / Porter / Cleaner] As an Utility Clerk at BJ's Wholesale Club, you'll: Maintain the cleanliness of all areas of the club including the sales floor, offices, restrooms and the outdoor grounds and parking lot; Perform maintenance... 
Part time
Immediate start
Outdoor

BJ's Wholesale Club

Warrington, PA
1 day ago
 ...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

Universal Health Services

Philadelphia, PA
11 hours ago
 ...Job Description Job Description Document review project currently in progress. This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania. Must have an active attorney license in any state Must have a PC/Mac Business hours... 
Remote job
Shift work

Wegman

Philadelphia, PA
7 days ago
 ...Utility Foresters needed! Take ownership of your future. Grow your career in a dynamic industry! Our client has a unique culture that focuses on the open exchanging of ideas, community partnership, a commitment to safety, and delivering unrivaled service while acting... 
Holiday work
Local area
Outdoor

Quality Support Services

Philadelphia, PA
3 days ago
 ...purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. The Utility Worker is responsible for maintaining clean, sanitary conditions in the kitchen including all china, silverware, glassware, pots,... 
Temporary work

Senior Lifestyle Corporation

North Wales, PA
2 days ago