- Eisai, Inc (San Diego, CA)
- …want to hear from you. Job Summary The Sr. Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic products ... assigned territory in a compliant and appropriate manner. The Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Eisai, Inc (Louisville, KY)
- …want to hear from you. Job Summary The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Galapagos Federal Systems, LLC (Los Angeles, CA)
- Job Title: Information Technology Specialist L3 -5066 Job Location: El Segundo, CA 90245 Job Salary: $155,000 - $175,000 Job Summary Galapagos Federal Systems LLC is ... an enthusiastic, well-qualified individual to fill the level three Information Technology Specialist position and to join our team of qualified, diverse individuals.… more
- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: Utilization ... review , including the design, testing and evaluation of the review methodology.Performs utilization and quality assessment reviews to maintain compliance… more
- Rose International (Albuquerque, NM)
- …machines) at a customer location(s) with a focus to maximizing uptime, utilization and user satisfaction while minimizing costs. Manages inventory and device ... and utilize TRAC, FMAudit, Oracle and various PS tools. Print Support Specialist Education: 4-year college degree or equivalent work experience requiredPrint Support… more
- US Tech Solutions, Inc. (Brooklyn, OH)
- …(with possible extension) Job Brief: . This position is responsible for the review of loan documentation for complex commercial loan clients and the booking of ... queues to ensure timely processing of tasks. . Effective utilization of "dual monitor" environment. . Ability to work...work in on-line imaged enabled work queues. . Effective utilization of dual monitor environment. Support of virtual team… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …health of our communities. About the Role:Job SummaryUnder the supervision of the Utilization Review Manager, this position is responsible for ensuring the ... the pre-certification process.Works in conjunction with Physician offices, Case Management, Utilization Review , and patients to obtain supporting clinical data… more
- Sunrise Systems Inc (Atlanta, GA)
- Job Title: Contract Administrator Specialist Location: Hybrid role, candidate MUST be local to Metro Atlanta Duration: 09 months of contract The Contract Development ... Specialist (CDS) will be responsible for utilizing the newly...Inclusion of completed Pre-Award Risk Assessment or OIG Financial Review ; Inclusion of W-9 Form; Inclusion & validation of… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …Coding experience Requires a minimum of 2 years' experience in Health Insurance/quality chart audits and/or Utilization Review Bachelor's degree preferred ... accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …Coding experience Requires a minimum of 5+ years' experience in Health Insurance/quality chart audits and/or Utilization Review Bachelor's degree required ... of 95% accuracy on coding quality audits. Responsibilities: Compile chart review findings statistics, analyze data results and implement meaningful action plans… more
- Compass Health Network (St. Louis, MO)
- …CPRC regulations and Medicaid billing guidelines, recovery plan, progress notes and quarterly review paperwork are completed in a timely manner and are neat and ... to stay within targeted goals,tracking program census and aggressively monitoring client utilization of servicesCompletes all tasks related to the hiring of new… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
- Fairview Health Services (St. Paul, MN)
- …meets regulatory requirements. Participates in interdisciplinary communication related to utilization review issues. Educates on status. Provides all ... M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides...+ Current RN licensure in MN + 3-5 years utilization review or case management experience in… 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 ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding ... and compassionate team. **The Utilization Review Specialist Senior responsibilities include:** + Functions as the primary liaison between the funding agents… more
- Sanford Health (Thief River Falls, MN)
- …$26.00 - $41.50 **Department Details** Come join our Behavioral Health team as a Utilization Review Specialist utilizing a team-based approach to patient ... clinical setting required. Preference given to individuals with experience in utilization or with CPT/ICD knowledge. Currently holds an unencumbered Licensed… more
- Spectrum Billing Solutions (Skokie, IL)
- …Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management ... Specialist | Insurance Specialist | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA Utilization Review Specialist |… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
- The Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **JOB DESCRIPTION** ** Utilization Review Admission Specialist (OR Scheduler),… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
