- Centene Corporation (Raleigh, NC)
- …authorizations and provisions + Partners with leadership on opportunities to improve the review and therapy services and/or durable medical equipment outcomes to ... Provides feedback to leadership on opportunities to improve the review and therapy services and/or durable medical ...by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA… more
- Hackensack Meridian Health (Hackensack, NJ)
- …integrity of clinical records for the patient population and Hackensack University Medical Center. These include but are not limited to utilization review , ... The Utilization Review Physician collaborates with the healthcare team in...responsibilities below. **Education, Knowledge, Skills and Abilities Required:** 1. Medical degree from a recognized Medical School.… more
- UCLA Health (Los Angeles, CA)
- …the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity and appropriateness, cost containment and efficiency, ... quality reporting for referrals for Medicare Advantage population enrolled under UCLA Medical Group. The ICM Medicare Advantage Utilization Review Nurse ensures… 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 Britelife… more
- Ascension Health (Destin, FL)
- …cases. + Assist departmental staff with issues related to coding, medical records /documentation, precertification, reimbursement and claim denials/appeals. + ... **Details** + **Department: Utilization Review ** + **Schedule: Part time, 3 days per...requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. +… more
- City of Coral Gables, FL (Coral Gables, FL)
- Permit Review Coordinator Print (https://www.governmentjobs.com/careers/coralgablesfl/jobs/newprint/5089186) Apply Permit Review Coordinator Salary $60,560.88 ... customer service issues, either personally, by telephone, or in writing. Maintains records and documents of customer service issues and resolutions. Examines causes… more
- Cambrex High Point (Charles City, IA)
- …a career where You Matter by applying today! Job Overview The Data Review Scientist will be responsible for reviewing laboratory data and supporting documentation to ... must have knowledge of instrument theory in order to thoroughly vet and review data and draw conclusions based on collected data. Responsibilities Reviews raw… more
- Edwards Lifesciences (Naperville, IL)
- …make an impact:** As a member of the Quality team, you will perform final review and release of Device History Records (DHRs.) Key Responsibilities: * Verify DHR ... perform releases in ERP system (ie JDE) * Receive, review , and log Device History Records (DHR)...for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination… more
- Vistra (Perry, OH)
- …to NRC Inspection Report Notices of Violation etc. + Support Company Nuclear Review Board information gathering for assessment. + Participate in the Industry working ... procedures to include Reviews, Procedure Preparer and Independent Qualified Reviewer roles + Perform duties as it related to...basis updates and USAR revisions. + Perform duties as records custodian for quality records produced and… more
- Centene Corporation (Jefferson City, MO)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... rotations. _** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance… more