- University of Miami (Doral, FL)
- …received via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions . CTU + ... confirming, and documenting eligibility and benefits, and providing health plan admission notification. + Responsible for pre- admissions log to include… more
- Penn Medicine (Lancaster, PA)
- …detailed, involved instructions is essential. + Medication and Allergy Documentation + Review , collect, update, and enter pre- admission medications into the ... day. Are you living your life's work? Job Title: Medication History Specialist Medication Administration Location: 555 N Duke Street Department: Medication History… more
- Hackensack Meridian Health (Neptune City, NJ)
- … admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance with ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- HCA Healthcare (Tallahassee, FL)
- …is important to you, we encourage you to apply for our Clinical Rehab Specialist PRN opening. Our team will promptly review your application. Highly qualified ... support our colleagues in their positions. Join our Team as a(an) Clinical Rehab Specialist PRN and access programs to assist with every stage of your career.… more
- Trinity Health (Syracuse, NY)
- …college level course in medical terminology.One year of case management or utilization review /billing or coding experience.One year of experience in ... coding/medical records/billing or healthcare related fieldOne year of case management or utilization review , billing, or coding experiencePlease be aware for the… more
- Elara Caring (Dallas, TX)
- …referrals or healthcare needs to appropriate internal partner or supervisor for review . + Participates in clinical record audits, utilization reviews and ... in the Right Place. **Job Description:** **Patient Care Orders Specialist ** At Elara Caring, we care where you are...and efficient systems for orders management to ensure accurate admission processes are followed. + Obtains signed orders for… more
- Datavant (Nashville, TN)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... well versed in DRG downgrade denials and appeal writing for inpatient admission . Experience with clinical criteria resources and payor guidelines. **You will:** +… more
- HCA Healthcare (San Antonio, TX)
- …multi disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending ... want to join an organization that invests in you as an Assessment Referral Specialist ? At Methodist Healthcare, you come first. HCA Healthcare has committed up to… more
- WellSpan Health (Chambersburg, PA)
- …Summary** Provides assessment and coordination of care for patients from admission through discharge by maximizing available internal and external resources to ... and efficiently. + Identifies system/organizational processes which may affect effective utilization of resources, timely scheduling of tests, appropriate level of… more