UTILIZATION REVIEW SPECIALIST jobs in UNITED STATES, United Kingdom #4

! Job Description Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes... Board of Nursing, is required Minimum of 12 months experience in case management or utilization management...

inpatient admissions requests in the utilization management program. Adheres to policies and procedures in order to meet..., forwards specified requests to the clinician in a timely manner for review and processing. Answers calls from providers...

Requisition No: 833020 Agency: Business and Professional Regulations Working Title: OPERATIONS REVIEW SPECIALIST.../19/2024 Total Compensation Estimator DIVISION OF HOTELS & RESTAURANTS Operations Review Specialist Position...

Requisition No: 833020 Agency: Business and Professional Regulations Working Title: OPERATIONS REVIEW SPECIALIST.../19/2024 Total Compensation Estimator DIVISION OF HOTELS & RESTAURANTS Operations Review Specialist Position...

Requisition No: 832423 Agency: Department of Health Working Title: OPERATIONS REVIEW SPECIALIST - 64026710 Pay... staff, graphic designers, editor and grammar specialist, statewide training unit (Office of Performance and Quality...

Requisition No: 832423 Agency: Department of Health Working Title: OPERATIONS REVIEW SPECIALIST - 64026710 Pay... staff, graphic designers, editor and grammar specialist, statewide training unit (Office of Performance and Quality...

Empower AI: As a Medical Review Specialist III (Medical Reviewer III) you will primarily perform Medicare comprehensive... as a Medical Review Specialist. You will serve as a critical component in meeting our mission of providing excellent services...

Specialist II, on the Deposit Review Operations team, you will be responsible for reviewing transaction images deposited through... are technology based and are accessed via computer applications. Deposit Review Operations (DRO) is within the Payment Services group...

clinical license preferred. Previous utilization review experience in a psychiatric healthcare facility preferred Current... care and an organization with a strong mission to serve our community, we invite you to apply! Utliization Review...

Due to organizational growth, Liberty Healthcare is now hiring for multiple new “Mortality Review Specialist” positions..., and supports to help Indiana become an employment first state. As a Mortality Review Specialist with Liberty Healthcare, the...

System. Nature and Scope The RN Clinical Review Specialist will: Conduct review of clinical-based denials... and provides feedback to the entire Renown Health Network and Care Coordination/Utilization Review staff on potential denials...

Description : The Professional Review Specialist provides analysis of medical services to determine appropriateness... process Prospective, concurrent and retrospective utilization review PAY RANGE: CorVel uses a market based approach...

general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate..., case management, Outpatient Coding, Utilization Review, Physician Assistant or other clinical disciplines...

Description : The Professional Review Specialist provides analysis of medical services to determine appropriateness... process Prospective, concurrent and retrospective utilization review PAY RANGE: CorVel uses a market based approach...

Empower AI: As a Medical Review Specialist III (Medical Reviewer III) for Empower AI company, you will perform Medicare... as a Medical Review Specialist. You will serve as a critical component in meeting our mission of providing excellent services...

to support review and schedule peer review. ​Informs management about the status of current patients; documents utilization...​Join our team as a Utilization Assistant at Erlanger Behavioral Health! Located in Chattanooga, Tennessee, our 94-bed...

Summary Monitors the utilization of resources, risk management and quality of care for patients in accordance to established... as needed. Monitors patient hospitalization to ascertain medical necessity and appropriateness. Assists with retrospective review...