- Ascension (Baltimore, MD)
- … processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites.Collaborate with the ... review programs and key performance indicators for all utilization review activities.Interact with medical , nursing, and executive leadership to facilitate… more
- Ascension (Towson, MD)
- …but not limited to: Access Authorization and pre-certification, utilization review and denial management, CareCoordination, Collaborative treatment planning and core ... management, and contracting internally and externally.Communicate with administration and medical staff in matters related to appropriateness of hospital admissions,… more
- Ascension (Nashville, TN)
- …to analyze, diagnose and treat the cardiovascular system.Prepare patients for procedures. Review medical history, position patients and clean/shave/numb testing ... accepted.One or more of the following required:Registered Cardiovascular Invasive Specialist credentialed from the Cardiovascular Credentialing International (CCI) obtained… more
- Ascension (Racine, WI)
- …analyze, diagnose and treat the cardiovascular system.Prepare patients for procedures. Review medical history, position patients and cleans/shaves/numbs testing ... accepted.One or more of the following required:Registered Cardiovascular Invasive Specialist credentialed from the Cardiovascular Credentialing International (CCI) obtained… more
- Community Health Systems (Franklin, TN)
- …physician presenting after the call and documented in the case management system by the UR Review Specialist . + In the event a facility does not have an ED Case ... needed, to obtain additional documentation in the record to support hospital medical necessity, discharge needs, or...or to place in outpatient with observation services. + Review medical records for appropriate indicators of… more
- Concentrix (Austin, TX)
- Job Title: VR Gaming App Content Review Specialist - Austin Onsite Job Description As an VR App Review Specialist , you will be reviewing content and ... Growth** " awards every year? Then a VR App Review Specialist position at Concentrix is just...team from 70+ countries where ALL members contribute and support each other's success and well-being, proudly united as… more
- Medical Center Hospital (Odessa, TX)
- … Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review ... Nurse. Training and Experience: Three years clinical nursing experience in general medical /surgical setting or appropriate specialty area; at least one year in an… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed ... up to $300 million in programs to support our incredible team members over the course of...We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a… more
- Henry Ford Health System (Troy, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:...team members is our priority. That's why we offer support in the various components of our team's well-being:… more
- City of Durham (Durham, NC)
- Engineering Specialist - Development Review Group Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4739041) Apply Engineering Specialist ... statuses of incomplete SCMs, and database entry of related inspection/ review information. This position will provide engineering support...+ 2 weeks paid military leave per year + Medical , dental, vision, and supplemental life insurance plans +… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... formal educational lectures and engage in frequent informal meetings c. Retrospective Medical Record Documentation Review d. Clarifying ambiguous or conflicting… more
- ConvaTec (South Easton, MA)
- …administrative support to the teams by processing and evaluating medical record documentation against insurance guideline requirements needed to set up and ... maintain client accounts of 180 Medical . + Review received documentation to determine...client document records within Medtrack, an internal database, to support client services and claim payment processes. + … more
- Munson Healthcare (Traverse City, MI)
- …team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes ... and billing office for coverage and compliance issues. + Works closely with decision support personnel to review resource utilization data and trends to identify… more
- First Horizon Bank (Memphis, TN)
- …The CAS QA Specialist reviews work completed by the CAS (Loan Review ) team to ensure conformance with department standards, plans, budgets and schedules and ... and strategic assurance services to various business units or functions in support of the company's enterprise-wide audit program. The objective of these services… more
- Mount Sinai Health System (New York, NY)
- …Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, ... **Job Description** **Utilization Review Admission Specialist (OR Scheduler), Operating...delineation of privileges for equipment and/or procedures according to medical board guidelines. 8. Verifies scheduled OR procedures with… more
- Medical Mutual of Ohio (OH)
- **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local ... their best possible health and quality of life. **Responsibilities** ** Medical Record Retrieval Specialist ** Supports the company's...which is in the area of billing and coding, medical records, quality assurance, or utilization review .**… more
- Trinity Health (Maywood, IL)
- …campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals.… more
- BioLife Plasma Services (Columbus, GA)
- …is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center ... eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of...results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center… more
- BioLife Plasma Services (Riverton, UT)
- …is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center ... eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of...results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center… more
- BioLife Plasma Services (Roanoke, VA)
- …and can be discussed further in the interview process. **_OBJECTIVES/PURPOSE_** The Medical Support Specialist determines donor eligibility to donate ... plasma, management of donor adverse events, review of laboratory test results, donor notification of unsuitable...test results, donor notification of unsuitable test results. The Medical Support Specialist works under… more
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