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- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...SuggestedRemote job
Vivo HealthStaff
Newark, NJ24 days ago - ...knowledge of a variety of imaging equipment including setup, utilization, troubleshooting, and proper care and sanitization of all equipment... ...00 Accountable Care Organizations to Know - Becker's Hospital Review ~ Best Employers for Workers over 50 - AARP ~ Gold-...SuggestedHourly payDaily paidFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
- Utilization Review Nurse at CareWell Health Medical Center Job Summary The Utilization Review Nurse is responsible for ensuring that patients receive appropriate, cost‑effective care by reviewing medical records, treatment plans, and healthcare services. The role involves...SuggestedFull timeWork experience placement
$95k - $105k
Utilization Review Nurse VillageCare is looking for a self‑motivated and passionate RN for a full‑time, 100% remote position. Location: Must reside within the New York Tri‑State Area (NY, NJ, or CT). From the comfort of your own home, you will be responsible for the...SuggestedFull timeRemote work$214.24k
Join to apply for the Utilization Review Physician role at Hackensack Meridian Health 5 days ago Be among the first 25 applicants Join to apply for the Utilization Review Physician role at Hackensack Meridian Health Description The Utilization Review Physician collaborates...SuggestedHourly payPermanent employmentFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementLocumInternshipShift workNight shiftWeekend workAfternoon shift- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving...SuggestedWork at officeLocal area
$26.5 - $47.59 per hour
Utilization Review Nurse I You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours- Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers.... ...license and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- ...5 applicants Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental...SuggestedPrice workExtra incomeContract workFor contractorsRemote workFlexible hours
- Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for...SuggestedRemote work
- ...to learn, grow, and shine in their careers. Surround yourself with people who care about making a difference - come join us! Utilization Review Manager RN We have an exciting opportunity for a full-time Utilization Review Manager RN to join our Utilization Review team....SuggestedHourly payFull timeMonday to Friday
- Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services,...SuggestedWork at officeRemote workMonday to FridayFlexible hoursWeekend work
- The Utilization Review Physician 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 University Medical Center. These include but are not limited to...SuggestedFull time
- Overview The Advanced Practice Nurse (APN) utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively...SuggestedWork at office
- Overview About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we're offering flexible, remote opportunities for board-certified physicians seeking...SuggestedExtra incomeFor contractorsRemote workFlexible hours
$26.5 - $47.59 per hour
...Children member's - ages 0-18. Position Purpose Performs a clinical review and assesses care related to mental health and substance abuse... ...Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers members and their...Hourly payFull timePart timeWork at officeRemote workFlexible hours- Under the supervision of the Manager for Utilization Management, this position is responsible for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members within Utilization Management. Responsibilities...Work at officeRemote workMonday to FridayFlexible hoursWeekend work
- Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal...Daily paidTemporary workReliefLocal area
- Overview Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is expanding our physician panel. We are seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license to perform...Extra incomeContract workFor contractorsRemote workFlexible hours
$103 per hour
PHYSICIAN UTILIZATION REVIEW SPECIALIST PER DIEM - JFK Johnson Rehabilitation Institute Requisition #: 2024-143324. Shift Day. Status: Per Diem. Position Summary Senior Utilization Review Specialist collaborates with the healthcare team to manage and resolve activities...Hourly payDaily paidShift workNight shiftWeekend workAfternoon shift- ...forms, and all supporting documentation. o Collaborate with review teams to refine and enhance bid packages. 3. Cost Analysis... ...Demonstrate mastery of advanced estimating software and tools, utilizing them to perform precise quantity take-offs and cost calculations...For subcontractor
- ...the Long Term Services and Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and service needs reviews.... ...date that the request was received, nature of the request, utilization determination (and events leading up to the determination). Verifies...Remote workFlexible hours
- ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert physicians. We are currently seeking Board-Certified Occupational Medicine Physicians with an active...Extra incomeContract workRemote workFlexible hours
$115k - $135k
...benefits to help achieve your goals. Please take the time to review our benefits site to see what’s available to you as a CSL... ...production facilities in the U.S., the U.K. and Australia, CSL Seqirus utilizes egg, cell and adjuvant technologies to offer a broad portfolio...Full timeContract workSummer workSeasonal work- ...and Abilities: Working experience of deviation investigations utilizing root cause analysis tools. Working experience in the CAPA process... ...new investigations team members. Serve as author or technical reviewer of departmental procedures as appropriate. Support...Work experience placement
- ...Help us build the next world-class venue.**What you’ll do:*** **Review Project Documents:** + Examine blueprints, specifications, and... ...Responsible Manufacturing - Protecting Our Planet for the Future*** We utilize renewable energy and a closed loop recycled water process.* We...Contract workFor subcontractorWork at officeLocal areaWorldwideFlexible hours
- ...tasked with commissioning and qualifying new equipment facilities, utilities and maintaining equipment systems in a qualified / validated... .... Provides excellent customer service and support: Regularly reviews, prioritizes and promptly responds to customer equipment qualification...Work at officeImmediate start
- ...and Abilities: Working experience of deviation investigations utilizing root cause analysis tools. Working experience in the CAPA process... ...problems with minimal guidance. Serve as author or technical reviewer of departmental procedures as appropriate. Employ lean...Work experience placementWork at officeWeekend work
- ...pays/deductibles from patients/guarantors, assisting with establishing effective and timely payment plans, coordinating with utilization review to limit the risk of non-payment, providing ongoing patient benefit information, coordinating financial arrangements with collection...Work at officeLocal areaWeekend workDay shift
- ...Follow up evaluation process for employees due for performance review and monitor completion rates Assist with the benefits enrollment... .... Ensure the confidentiality of employee records, and utilize good judgment in maintaining all employee information. Perform...Work at office
