- HCA Healthcare (Ocala, FL)
- …**Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting ... group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If… more
- Abbott (Kansas City, MO)
- …114,000 colleagues serve people in more than 160 countries. **Senior Supervisor, Clinical Review ** **Working at Abbott** At Abbott, you can do work that matters, ... conditions. **On-site role in Kansas City, Missouri** The **Senior Supervisor, Clinical Review ** position is part of our Rapid Diagnostics business. This role is… more
- Salt Lake City Corporation (Salt Lake City, UT)
- Position Title: Engineer IV - Development Review (may underfill) Job Description: As a registered professional engineer and a member of the Development Review ... requiring a broad background in civil engineering. About the Position: Development Review Engineer will review construction plans and documents submitted for… more
- Fedcap (New York, NY)
- Position Summary: The Review Physician works in close collaboration with Clinical Services Department staff and is responsible for review of all applicable ... of assessments to determine and/or confirm FCO + Create review reports based on findings + Perform a comprehensive... reports based on findings + Perform a comprehensive review of systems + Conduct assessment review … more
- Integra Partners (Troy, MI)
- …require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of criteria, leads medical policy ... clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director's responsibilities include but are not limited to: Clinical… more
- Nightwing (Sterling, VA)
- …intelligence community, defense, civil, and commercial markets. Nightwing seeks an Information Review and Release Analyst in support of a dynamic fast-paced business ... The successful candidate will be responsible for performing a combination of Review , Research, Case Management, and ad hoc tasks; applying critical thinking skills… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with… more
- City of New York (New York, NY)
- …Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the audit findings determined by ... the Quality Control Case Reviewers to ensure they are relevant and appropriate. Review the programs' responses to error findings and determine whether MAQC agrees or… more
- CVS Health (WV)
- …journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital role in ensuring members receive timely, medically ... necessary care through thoughtful clinical review and collaboration with providers. This fully remote position offers the opportunity to apply your clinical… more
- Micron Technology, Inc. (Boise, ID)
- …to the growth and innovation of the semiconductor industry. As a Process Change Review Board Engineer, it is essential to have a thorough understanding of the ... effectiveness of the conversion process. **Responsibilities:** + Facilitate Process Change Review Board Meetings. + Align and optimize system setups globally,… more
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