- Trinity Health (Columbus, OH)
- …resources as appropriate. Assist in the development of the Plan's UM Program and the review of the Plan's Medical Management Plan. **What you will do** + ... to the UM Program and at the direction of the Sr. Director of Medical Management. + Coordinates with the utilization review , case management, discharge planning… more
- Beth Israel Lahey Health (Burlington, MA)
- … medical and hospital staffs. -Case Manager experience as well as Utilization Review experience ( review medical necessity and discharge planning) **As a ... making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Utilization review tech essentially works ... calls, data entry, mailing/faxing appeals and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals.… more
- Lockheed Martin (Littleton, CO)
- …market and business considerations when extending an offer\. **Benefits offered:** Medical , Dental, Vision, Life Insurance , Short\-Term Disability, Long\-Term ... II D5 Fleet Ballistic Missile As a Systems Engineering Review Coordinator, you will: * Provide technical guidance for...Coordinator, you will: * Provide technical guidance for internal review of baseline artifacts included as data products for… more
- BAYADA Home Health Care (Orlando, FL)
- …includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, ... Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care… more
- Citigroup (Irving, TX)
- …interpretations, and capital calculations and reporting. More specifically, the Capital Planning Review Team ("CPRT") leads the holistic independent review and ... of the CPRT team, the Sr. Vice President will provide independent review and challenge across the capital management and planning continuum encompassing… more
- Alameda Health System (Oakland, CA)
- …outpatient). 3. Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not meet medical necessity criteria. ... of current trends and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care) by participating in appropriate… more
- HCA Healthcare (Richmond, VA)
- …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- City of Tacoma WA (Tacoma, WA)
- Development Review Engineering Supervisor, Engineer PE, Principal Salary $127,420.80 - $179,400.00 Annually Location Tacoma, WA Job Type Non-Classified Job Number ... Description + Benefits + Questions Position Description APPLICATION FIRST REVIEW - MAY 5, 2025 The Public Works Department's...this posting closing. The City of Tacoma provides excellent medical , dental and vision plans for the whole family;… more
- Spectrum Billing Solutions (Skokie, IL)
- …issues. + Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial ... healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing team. The UR...+ Demonstrate the ability to make critical decisions about medical necessity of treatment by using good judgment. +… more
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