- MTC (Anson, TX)
- …and Prescription Drug Benefits** + **Life, Accidental Death and Dismemberment Insurance (AD&D)** + **Short-Term and Long-Term Disability Benefits** + **401(k) ... clinical impressions. + Inspect, complete and analyze medical records, assign review and update medical classifications; complete admission notes, progress notes,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- HCA Healthcare (Brentwood, TN)
- …invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- HCA Healthcare (Dublin, GA)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage,...are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of… more
- Virtua Health (Pennsauken, NJ)
- …than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, ... process regarding level of service and medical necessity.* Consults with Physician Advisor to discuss medical necessity, length of stay, and appropriateness… more
- CDPHP (Latham, NY)
- …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... affordable health insurance to members throughout New York. The company values...to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical … more
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established guidelines for… more
- Houston Methodist (The Woodlands, TX)
- …one time + Understands medical terminology at a high level and has knowledge of insurance requirements for physician visits and procedures + Ability to manage a ... At Houston Methodist, the Senior Insurance Verifier position is responsible for obtaining and recording eligibility and benefit information for patients receiving… more
- Surgery Care Affiliates (Long Beach, CA)
- …Coverage guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + ... Obtain authorizations from insurance companies/ physician offices. Ensure complete and accurate information is entered into the patient accounting system and the… more