- Trinity Health (Columbus, OH)
- …resources as appropriate. Assist in the development of the Plan's UM Program and the review of the Plan's Medical Management Plan. **What you will do** + ... to the UM Program and at the direction of the Sr. Director of Medical Management. + Coordinates with the utilization review , case management, discharge planning… more
- RWJBarnabas Health (Long Branch, NJ)
- …physical, emotional, social, and financial health . + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental and Vision Insurance + ... Category:Laboratory and Medical Technologist Status:Full-Time Shift:Day Facility:Monmouth Medical Center Department:Institutional Review Board Salary:$102,960.00 -… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 ... stay and level of care. + Extrapolates and summarizes medical information for physician review or other...combination of clinical and utilization/case management experience in the health insurance industry. + Experience in clinical… more
- Integra Partners (Troy, MI)
- Position Summary + Integra Partners is seeking a full-time Utilization Review Medical Director to support our Utilization Management team. This is a salaried, ... compliance, and consistency. Job Responsibilities: + Conducting timely clinical review of Durable Medical Equipment (DME) requests...health plan criteria. + Function within a daily review queue, processing cases throughout the day as part… more
- Virtua Health (Marlton, NJ)
- …of benefits for full-time and part-time colleagues, including, but not limited to: medical /prescription, dental and vision insurance ; health and dependent ... At Virtua Health , we exist for one reason - to...in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in… more
- Centene Corporation (Jefferson City, MO)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...YEAR WITH THIS ROLE **Position Purpose:** Performs a clinical review and assesses care related to mental health… more
- BAYADA Home Health Care (Orlando, FL)
- …following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding ...Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and… more
- Elevance Health (Morgantown, WV)
- …work-life integration. **Work Hours** : Monday through Friday, 8am - 5pm The ** Medical Management Nurse** (Medicaid Utilization Review ) is responsible for ... RN Utilization Management/ Review Nurse - InPatient Medicaid (JR155056) **Location:** This...whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do… more
- Elevance Health (Woodbridge, VA)
- …dynamic and adaptable workplace. The office is located at 609 H. Street NE. The ** Medical Management Nurse** is responsible for review of the most complex or ... RN Utilization Review Nurse (Washington DC Medicaid) JR149756 **Location** :...whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do… more
- BAYADA Home Health Care (Orlando, FL)
- …following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As… more
Related Job Searches:
Health,
Health Insurance,
Insurance,
Medical,
Medical Health Insurance,
Medical Insurance,
Medical Insurance Review,
Medical Review,
Review