- Eclaro (NY)
- …is one of the world's largest reinsurance firms, providing Property & Casualty, Life and Health Insurance to its clients. If you're up to the challenge, then ... by Merrill Lynch Commuter Check Pretax Commuter Benefits Eligibility to purchase Medical , Dental & Vision Insurance through ECLARO If interested, you… more
- Eclaro (Scotch Plains, NJ)
- …by Merrill Lynch Commuter Check Pretax Commuter Benefits Eligibility to purchase Medical , Dental & Vision Insurance through ECLARO If interested, you ... procedures, such as CSV SOP but no limited and applicable health authority regulations. Required Qualifications: Sound understanding of Electronic Batch Records… more
- Mount Sinai Health System (New York, NY)
- …The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular ... service standards of the Hospital and the Nursing Department. + Performs utilization review in accordance with all regulations, using health plan management tool… more
- Sutter Health (Berkeley, CA)
- …reporting content and format. May perform trending and create summary reports. + Review medical records documentation in response to denials or authorizations ... management activities for the assigned area. Collaborates with hospital administration, medical staff, patient registration and representatives of review … 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
- Serco (VA)
- …in CPC/CCS certification course + 3 years of supervisory/managerial experience in the health insurance industry, a utilization review firm, or another ... **Position Description** Serco is seeking a motivated Medical Review Manager to join our... health care claims processing organization involving medical and coding reviews of a variety of … 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
- RWJBarnabas Health (Oceanport, NJ)
- …physical, emotional, social, and financial health . + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental and Vision Insurance + ... Review ) - Hybrid/RemoteReq #:0000138249 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding South Location: System… more
- Premier Health (Dayton, OH)
- …ensure proper compliance and reimbursement. Engaged in proactive and independent line-item review of charge related items/encounters within Premier Health in ... Full-Time / 8:00am - 5:00 pm The Research Charge Review Specialist is responsible for reviewing and validating all...the new CMS Clinical Research Policy + Knowledge of medical and insurance terminology, CPT, ICD coding… more
- UT Health (Houston, TX)
- …Review Board - Research Compliance Office **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Research UTHealth Houston General Administration ... package includes the benefits you'd expect from a top healthcare organization (benefits, insurance , etc.), plus: + 100% paid medical premiums for our full-time… more
- Ascension Health (Baltimore, MD)
- …providers, patients, and insurance companies to explain utilization review decisions.** **Familiarity with electronic health records and utilization ... management software.** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more
- Beth Israel Lahey Health (Burlington, MA)
- …Manager experience as well as Utilization Review experience ( review medical necessity and discharge planning) **As a health care organization, we have ... making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington… more
- Sanford Health (Fargo, ND)
- …full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...monitoring activities to persons and committees for use in Medical Staff peer review processes and activities… more
- St. Luke's University Health Network (Allentown, PA)
- …the communities we serve, regardless of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits ... registrations and/or physician queries + Serves as liaison between Physician Advisor/ Medical Director, Finance, Utilization Review Department and CDCI. PHYSICAL… more
- Stanford Health Care (Palo Alto, CA)
- …readmissions? Then, join us and make SHC your career home. Our core benefits include medical insurance , dental insurance , vision insurance , an employee ... program, savings and spending accounts, disability, life and accident insurance , and COBRA. For medical insurance...insurance , you have the choice of three generous health plans through Stanford Health Care Alliance,… more
- Methodist Health System (Celina, TX)
- …clinical outcomes. The above is accomplished through the use of medical staff or organizational accepted criteria for determining appropriateness for admission, ... discharge/transition planning. Participates in ongoing clinical improvement, hospital, and medical staff quality initiatives while supporting the mission, vision,… more
- CaroMont Health (Gastonia, NC)
- …daily reviews of medical necessity will be performed and documented in medical review , including daily status update while patient is in observation status. ... Job Summary: Completes initial review for medical necessity for all...physicians regarding utilization issues. Assign patients that have had insurance verified to the UR Specialists on Provider Link.… more
- Ascension Health (Baltimore, MD)
- …willing to obtain within 1 year.** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer ... processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. + Collaborate with… more
- VNS Health (Manhattan, NY)
- …time off (PTO), starting at 30 days of paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, ... OverviewThe Hospice Clinical Review Manager's primary responsibility is ensuring compliance with...with clinical staff and management required CAREERS AT VNS Health The future of care begins with you. Together,… more
- Trinity Health (Livonia, MI)
- …Learn the industry's best, easy-to-use, advanced technology **Other benefits** + First day Medical , dental and vision insurance + Short and long-term disability ... **Employment Type:** Full time **Shift:** **Description:** Trinity Health at Home is seeking an experienced RN...Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required.… more
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