- Houston Methodist (Houston, TX)
- …packaging and labeling of organs for transplantation; facilitating organ offer review and acceptance processes, recipient admission and pre-operative preparation ... At Houston Methodist, the Transplant Recovery Specialist position is responsible for supporting the organ...and prepares a thorough report for the physician to review . Facilitates admission /transfer of recipient for transplantation… more
- UPMC (Pittsburgh, PA)
- …daylight hours. The position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This...that all patient resource utilization , diagnostic complications and co-morbidities have been coded in… more
- Beth Israel Lahey Health (Exeter, NH)
- …for all Medicare admissions . 4. Works with pre-certification department and utilization review to issue notices of non-coverage for all payors and/or ... Financial Representative Specialist + Full Time + Exeter, NH 03833...requested. 6. Provides updated information on payor source to Utilization Review and Pre-certification Department to ensure… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... role requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource… more
- Parkview Health (Fort Wayne, IN)
- …with Point of Entry Case Manager to ensure all patients have verified admission order and status review . Monitors and projects bed availability based ... Summary: The Patient Placement Specialist will be responsible for daily patient flow,...acting as the central facilitation point for patients requiring admission within the Parkview Health System (excludes L&D, PBH,… more
- Health Advocates Network (Harrisburg, PA)
- …certified at least twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited, ... Physician Specialist -NDC- Advanced **Pay Rate: ** $160 / hour...for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department.… more
- Penn Medicine (Cherry Hill, NJ)
- …day. Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Financial Clearance **Location:** Penn Medicine Cherry Hill- 1865 ... Route 70 E **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses… more
- Rochester Institute of Technology (Rochester, NY)
- **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** + Patient Care Services & Clinical ... delegated by the Administrative Supervisor: + Create Master Templates + Manage, review and adjust daily appointment schedules; use independent judgement to address… more
- Corewell Health (St. Joseph, MI)
- …role model for staff pharmacists. + Coordinates and implements departmental drug utilization review efforts and other process improvement activities as assigned. ... and professional growth. Our unit provides comprehensive care throughout patient admission -from initial diagnosis through treatment, recovery, or palliation. We are… more
- Northwell Health (Melville, NY)
- …level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective ... plus specialized certifications as needed. Preferred Skills 3-5 years experience in Utilization Review , Case Management, and Clinical Appeals. 3-5 years of… more