- Lovelace Medical Center (Albuquerque, NM)
- …here: People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance , health savings account / flexible spending, ... program and more . Your team is bigger than your department: Lovelace Medical Center is an acute care hospital, with 263 licensed beds, providing comprehensive… more
- Lovelace Women's Hospital (Alameda, NM)
- …here: People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance , health savings account / flexible spending, ... the state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. We believe healthcare is a team sport and every player has… more
- Lovelace Women's Hospital (Alameda, NM)
- …here: People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance , health savings account / flexible spending, ... the state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. We believe healthcare is a team sport and every player has… more
- Lovelace Women's Hospital (Alameda, NM)
- …here: People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance , health savings account / flexible spending, ... the state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. We believe healthcare is a team sport and every player has… more
- Lovelace Women's Hospital (Alameda, NM)
- …here: People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance , health savings account / flexible spending, ... the state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. We believe healthcare is a team sport and every player has… more
- Central Maine Medical Center (Lewiston, ME)
- …will have contact with patients via phone, hospital departments, practice areas, Insurance Companies, Medical Review Management Organizations, and external ... include: + Secure and complete inbound scheduling requests + Review clinical orders to support service requests + Initiate...required demographic and insurance information + Verify insurance information and coverage + Initiate medical … more
- HCA Healthcare (Austin, TX)
- …opportunity compelling, we encourage you to apply for our Medical Insurance Collections Specialist opening. We promptly review all applications. Highly ... environment where diversity and inclusion thrive? Submit your application for our Medical Insurance Collections Specialist opening with Surgery Ventures powered… more
- St Croix Hospice (Oakdale, MN)
- …of the Intake department which includes evaluating all hospice referrals including: medical record review , insurance verification, and evaluating patient ... staff. + Coordinates and evaluates all referrals for accuracy and completeness including: medical record review , verification of insurance coverage and… more
- Rising Medical Solutions (Chicago, IL)
- …years of clinical experience in acute care, surgery and/or orthopedic + Workers' Compensation medical bill review experience a major plus + Understanding of CPT ... With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers,… more
- UNC Health Care (Lenoir, NC)
- …responsible for verification/modification of patients' demographic data, address, phone numbers and insurance . Review medical records, identify reason for ... providers as appropriate. Prioritization and assignment of new patient referrals/appointments. Review /explain to the patient and/or family the services included with… more
- Gilead Sciences, Inc. (Foster City, CA)
- …**Job Description** Job Description You will establish visions and objectives for the Medical Review (MR) group taking into consideration of the departmental ... lead the MR group to deliver timely and high-quality medical review , ensure the MR process and...time off, and a benefits package. Benefits include company-sponsored medical , dental, vision, and life insurance plans*.… more
- Takeda Pharmaceuticals (Lexington, MA)
- …to the best of my knowledge. **Job Description** **Senior Manager, US Medical Ad/Promo Regulatory Review ** **Takeda Pharmaceutical** **Lexington, MA or Exton, ... the role:** Join Takeda as a Senior Manager, US Medical Ad/Promo Regulatory Review where you will...US based employees may be eligible to participate in medical , dental, vision insurance , a 401(k) plan… more
- Travelers Insurance Company (Albany, NY)
- …Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for prospective, ... basis. + Utilize Preferred Provider Network per jurisdictional guidelines. + Research medical information to support the claim review process. + Occasional… more
- Henry Ford Health System (Detroit, MI)
- The Medical Director of Utilization Review is responsible for the medical oversight of activities related to appropriateness of Henry Ford Hospital (HFH) ... of hospital resources, and continued stays of inpatients. The Medical Director of utilization review will ensure...and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual… more
- ConvaTec (South Easton, MA)
- …needed to set up and maintain client accounts of 180 Medical . + Review received documentation to determine insurance requirements are met. + Communicate to ... To provide administrative support to the teams by processing and evaluating medical record documentation against insurance guideline requirements… more
- SUNY Upstate Medical University (Syracuse, NY)
- …intensity of service for admission and continued stay at the time of medical record screening. Responds to Managed Care/ Insurance Company inquiries regarding ... Job Summary: The Utilization Review Clinical Review (CR) 3 Team...possess comprehensive and broad knowledge of complex clinical and medical concepts and demonstrate overall proficiency in clinical conceptual… more
- Mount Sinai Health System (New York, NY)
- …management tool based on program guidelines and best practices; routes requests to medical leadership when appropriate + Documents authorization review for ... related documents required to modify and/or add necessary services. + Performs continuing review of medical records; analyzing data trends and implementing best… more
- The County of Los Angeles (Los Angeles, CA)
- …direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of ... for and the effective conduct of the system to review patients' medical charts to ascertain the...not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social… more
- University of Colorado (Aurora, CO)
- **IRB Review Specialist** **Description** **University of Colorado Anschutz Medical Campus** **Department: Colorado Multiple Institutional Review Board ... **Job Summary:** **Key Responsibilities:** + Conduct expedited, exempt, and not-human subjects review of research as a designated IRB member. Process IRB submissions… more
- The Arora Group (Bethesda, MD)
- …providers in gathering clinical information and may also provide education on the medical review process. + The Contractor performing as the License Practical ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse...their families, and retirees at Walter Reed National Military Medical Center . Scheduled hours are from 0700AM -… more
