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- Job No: 497118 Department: Medical Care Review Local Title: Utilization Review Nurse Budget Title: Teaching Hospital Quality Assurance Senior Coordinator Work Type: Full Time Location: Brooklyn, NY Categories: Administrative, Nursing, Patient Care Job Summary The...SuggestedFull timeReliefLocal areaMonday to Friday
- ...PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This position is ideal for an RN with prior work in insurance utilization...SuggestedFull timeContract workRemote work
- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...SuggestedTemporary workFlexible hours
- ...Utilization Review Assistant Under the direction of the Coordinator of Utilization Review, the Utilization Review Assistant will provide support with filing, tracking, scheduling, and internal/external communications to the Utilization Review team. Utilization Review...SuggestedTemporary workFlexible hours
- A healthcare facility in Augusta, Georgia, is seeking a Utilization Review Coordinator to join their Case Management team. The role involves reviewing clinical data, collaborating with medical staff, and ensuring compliance with insurance authorization processes. Ideal...Suggested
$211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. Hours: 8am - 5pm in your local time zone Call...SuggestedFull timeLocal areaRemote workWork from homeHome officeWeekend work$32.8 per hour
...divh2Utilization Review (Ur) Coordinator/h2pSince 1938 we have grown to over 70 programs, providing assistance to individuals and... .../ppSalary: Up to $32.80 (with experience)/ppJob Summary/ppThe Utilization Review Coordinator is responsible for securing and maintaining...SuggestedHourly payFull timeMonday to Friday- Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the New York Tri-State Area. The successful candidate will be responsible for assessing member needs and ensuring high-quality...SuggestedRemote jobFull time
- ...Management Nurse to oversee patient care quality. This role involves reviewing patient records for treatment appropriateness and adherence to... ...New Jersey RN license, and experience in clinical nursing or utilization review. The position offers competitive compensation and...Suggested
- ...Orthopedic Surgeon Utilization Review Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical license and...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- A leading healthcare organization is seeking a Clinical Peer Reviewer for Physical Therapy Utilization Management. This role requires a Masters of Physical Therapy and 5+ years of clinical experience, focusing on assessing medical necessity and ensuring compliance with...Suggested
$103 per hour
...Senior Utilization Review Specialist The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. These include...SuggestedHourly payDaily paidWeekend work- A leading Independent Review Organization is looking for Board-Certified Orthopedic Spine Surgeons for a fully remote role performing utilization reviews. Candidates must have an active New York medical license and Workers' Compensation Board Certification. This non-clinical...SuggestedRemote jobExtra income
- ...walks semi-weekly through the plant to engage with the employees.* Utilizing active listening skills, ask probing questions that encourage... ....* Maintain performance evaluations, attendance records and review time cards.* Direct the work of employees to correct improper work...Suggested
- ...members or military spouses as a Registered Nurse (RN) Intern. This position supports the National Medicaid team by conducting clinical reviews for behavioral health services. Candidates must have an active RN license and at least two years of clinical experience. Work hours...SuggestedRemote job
- ...in Kentucky, aimed at transitioning military service members and military spouses. This internship will involve conducting clinical reviews, communicating with healthcare providers, and documenting decisions. Candidates must hold an active RN license in Kentucky and have...Remote jobInternship
- ...Access to Care Conducts inpatient pre‑admission and admission review for Medicare and Medicaid beneficiaries, as well as private... ...colleagues in collaborative problem‑solving regarding appropriate utilization of resources. Promotes the use of best practice guidelines at...Full timeWork experience placementWork at officeLocal areaImmediate startNight shift
- Hackensack Meridian Health Inc. is seeking a Senior Utilization Review Specialist in Hackensack, New Jersey, to collaborate with the healthcare team in managing and resolving utilization review activities and ensuring clinical record integrity. Candidates must hold a medical...
- A leading healthcare organization in New Jersey seeks a Per Diem Advanced Practice Nurse for Utilization Review. The role involves using a patient-centered coordinated care model and collaborating with the hospital team to address patient care needs. Required qualifications...Daily paid
- A healthcare provider located in Georgia is seeking a Utilization Review Coordinator Per Diem to manage the utilization review process and ensure compliance with health care regulations. Candidates should possess a master's degree in nursing or psychology and ideally have...Daily paid
- Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the National Medicaid team, focusing on clinical reviews and patient care. Candidates must be transitioning military service members or...Remote job
- ...145 Quality Engineer (QE) will work with quality management to review, improve, and verify compliance of the quality management system... ...bodies related to Quality Management System. AS9100 QE will utilize corrective and preventive action process to correct compliance...
- ...support staff in the production and dispensing of medication orders to facilities and residents/liliPractice appropriate drug utilization review and follow up/liliCoding (data entry) and checking orders/liliVerification of orders/liliAnswer calls and heavy customer...Daily paidCasual workMonday to FridayShift workWeekend work
$60k - $90k
..., new/safe equipment operation and safe material or substance utilization. Ensure compliance with corporate worker’s compensation program... ...representatives and subcontractors. Create, manage, and review site specific health and safety plans (HASP). Appraise and implement...Full timeContract workFor subcontractorWork at officeLocal area- ...- $26.64**Scheduled Weekly Hours:**40**Position Overview**# **Utilization Assistant**JOB CODE:50219FLSA Exemption Status:Non-Exempt## SUMMARY... ...denial and appeal correspondence to appropriate parties for review and response. Follows up for completion and maintains...Full timeTemporary workPart timeWork at officeFlexible hours
- ...credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments,... ...a comparable credentialing program. Experience preparing, reviewing, and submitting required reports and documentation in...Full timeContract workTemporary workFor contractorsLocal areaRelocationShift workNight shiftWeekend work
Armada Ltd
Springfield, NJ24 days ago $26 per hour
...preventative maintenance Monitor building systems including utilities, smoke detectors, and fire extinguishers Troubleshoot and respond... ...: Submit your résumé through this posting. Applications are reviewed on a rolling basis. Social Clubhouse, Inc. is an Equal...Full timeFor contractorsLocal areaMonday to FridayAfternoon shiftWeekday work- ...Summary We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data...
- ...revising, and drafting new process documents. Specific Duties Utilize Six Sigma and Lean manufacturing tools to refine manufacturing... ...workflow, equipment reliability, and overall efficiency. Develop and review operation sheets for CNC and conventional equipment for both in...
- ...Managed Review Project Manager TransPerfect is the world's largest provider of language services and technology solutions for global... ...the client during the life cycle of a project Develop and utilize strong analytical skills to research potential solutions and determine...InternshipLocal areaRemote workWorldwideAfternoon shift
