- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...and resource use, appropriate level of care and program compliance . Identifies when services no longer meet evidence-based criteria,… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization Review ... Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing… more
- Family of Kidz (Westbury, NY)
- School Contract Review Specialist & Processor Job Title: School Contract Review Specialist & Processor Location: Westbury, NY (On-Site - Long Island) ... We are seeking a detail-oriented and reliable School Contract Review Specialist & Processor to join our...and thrives in a deadline-driven environment. Key Responsibilities: + Review contracts for accuracy, completeness, and compliance … more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …Europe, Asia and the Middle East. We are currently seeking an E-Billing Compliance Specialist in the Finance department, reporting to the Client Administration ... and Compliance Manager. The role can reside in our Dallas,...new clients and troubleshooting invoice submission issues. The E-Billing Specialist is expected to maintain expertise in ebilling tasks… more
- BriteLife Recovery (Englewood, NJ)
- 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 substance use disorder (SUD) treatment at… more
- Southwest Power Pool (Little Rock, AR)
- …process. Lead Compliance Engineer| Pay Range: $109,450.00 -$142,250.00 Lead Compliance Specialist | Pay Range: $109,450.00 -$142,250.00 **Join Our ... Compliance Team as a Lead Compliance Specialist or Engineer!** At...pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the… more
- Lamar University (Beaumont, TX)
- Position Information Posting Number 20113145 Position Title Quality Assurance Compliance Specialist FTE 1.0 Position Type Staff Department Digital Learning ... Information Job Summary/Basic Function About This Role: The QA Compliance Specialist ensures quality and regulatory ...the LU system. What You'll Do - Position Responsibilities: Compliance Review and Verification + Review… more
- Koniag Government Services (Washington, DC)
- Koniag Government Services company is seeking a Correlation Review Specialist Level II to support our government customer in Washington, DC. Must be able to ... time off, and more. Koniag Government Solutions (KGS) is seeking an experienced Correlation Review Specialist Level II to support the NIBIN Program and NNCTC… more
- HCA Healthcare (San Antonio, TX)
- …you want to join an organization that invests in you as a Medication Compliance Specialist ? At Methodist Healthcare, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Medication Compliance Specialist like you to be a...Team by developing and submitting required reports for MDT review . + Assists the MDT with investigations of suspected… more
- Textron (Fort Worth, TX)
- **Sr\. HR Compliance Specialist ** **Description** **Sr\. HR Compliance Specialist ** The Human Resources Compliance Specialist implements, ... Review HR policies, programs and practices for regulatory compliance \. + Provide compliance training to the...and support efforts to establish operational excellence within HR Compliance \. + In partnership with Bell Legal, review… more