- Riverside County, CA (Moreno Valley, CA)
- …System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in Moreno Valley. ... accredited acute care hospital. Professional experience in case management and utilization review in a hospital is preferred. Schedule: 9/80 after 90 days… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- Clinical Review Manager - The BlueAdvantage Inpatient Utilization Management department is looking for an RN with at least 3 years of clinical experience to join our ... provider and member appeals, denial interpretation for letters, retrospective claim review , special review requests, and UM pre-certifications and appeals,… more
- SoFi (Jacksonville, FL)
- …career, and the financial world. The role: The Associate Manager, Originations ( Review ) is responsible for leading, coaching, and developing a team of Origination ... Specialist ( Review ) agents who handle the review and...origin, ancestry, age (40 or over), physical or medical disability , medical condition, marital status, registered domestic partner status,… more
- BlueCross BlueShield of South Carolina (Columbia, SC)
- …on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. ... or have unacceptable denial rates and/or error rates under the medical review program. Conducts coverage and documentation workshops for provider staff (Medicare… more
- Texas Health and Human Services Commission (Austin, TX)
- …details on the Benefits of Working at HHS webpage. Functional Title: Quality Review Team - Financial Examiner III Job Title: Financial Examiner III Agency: Health ... Brief Job Description: The Financial Examiner III reports to the Quality Review Manager in the Provider Finance Department (PFD). Performs moderately complex… more
- UnitedHealth Group (Louisville, KY)
- …US as you take on some tough challenges. Primary Responsibilities: Post service review of medical records to determine coverage for mental health and substance use ... services Collaborate with Medical Directors regarding patient care Review treatment plans and benefits using external guidelines Coordinate with appeals and claims… more
- Gaggle (Phoenix, AZ)
- …making a positive impact to the lives of K-12 students. Responsibilities: Review and analyze student activity to identify potentially inappropriate usage including ... tasks as assigned Requirements: Experience in education, crisis management, safety content review , child advocacy, or a related field Interest and enthusiasm for… more
- Setpoint (Park City, UT)
- …We're building trust in this system of credit. Setpoint is looking for a Collateral Review Associate (RTL) to join our team! The Collateral Review Associate is ... from competitive salaries, stock options, medical, dental and vision coverage, 401k, disability coverage, and flexible vacation. Setpoint has offices in Austin, New… more
- EvergreenHealth (Kirkland, WA)
- …the Social workers in coordinating post-discharge care. Clinical Documentation Specialists review documentation to ensure that the patient experience is being ... intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team members to… more
- Actalent (St. Paul, MN)
- Clinical Review Pharmacist (100% Remote) Job Description In this role, you will utilize your clinical skills to conduct utilization management reviews, including ... & AD&D for the employee and dependents) *Short and long-term disability *Health Spending Account (HSA) *Transportation benefits *Employee Assistance Program *Time… more
- Nuvance Health (Mahopac, NY)
- …and calling patients with test results when requested. 8. Complete and review disability and workman's compensation forms and obtain physician signature. ... to dirt, odors, noise, human waste, etc. EOE, including disability /vets. We will endeavor to make a reasonable accommodation...or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship… more
- Jobs for Humanity (Akron, OH)
- …States Veterans as part of the VA'sdisability benefits process. In performing Disability Assessments,you will review medical records electronically through a web ... NOT makedisability determinations. The United States VeteransAdministration makes all disability determinations. This role ONLYperforms Disability Assessments on… more
- ProMedica (Toledo, OH)
- …services. Participate in patient's clinical appointments, assisting in care of patient. Review and complete FMLA & disability paperwork for patient and ... patient plan of care, as outlined by provider during office visit. Review the patient's Health Risk Assessment to identify potential barriers, risk factors,… more
- NFP (Atlanta, GA)
- …NFP Executive Benefits is an administrator of executive benefits of supplemental disability and long-term care insurance for corporate clients. This role is central ... take the reins of ongoing administration for our Multi-life disability plans while providing vital pre-sale quoting and support...work closely with the sales team to request and review quotes and put together sales presentations that drive… more
- Tishman Speyer (New York, NY)
- … all EEO policies, notices, and relevant posters. Please click here to review E-Verify Information. Disability Assistance - Tishman Speyer is committed to ... to our comprehensive medical, dental, and vision insurance, life and disability insurance, 401(k) plan (with matching contributions), wellness benefits and all… more
- Tishman Speyer (Long Island City, NY)
- … all EEO policies, notices, and relevant posters. Please click here to review E-Verify Information. Disability Assistance - Tishman Speyer is committed to ... to our comprehensive medical, dental, and vision insurance, life and disability insurance, 401(k) plan (with matching contributions), wellness benefits and all… more
- Ascension (Wichita, KS)
- …plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance ... functional resource and perform similar duties with staff. Assign, monitor and review progress of work. Monitor and report compliance with policies and/or… more
- Maritime Administration (Great Neck, NY)
- …career opportunities. Conduct pre-screening of applications from prospective students. Review applications for completeness and ensure that applicants meet academic ... requirements prior to submission to the Candidate Evaluation Board. Review and evaluate candidates based on their academic records, extracurricular participation,… more
- Weltmann Lighting, LLC (Chicago, IL)
- …Competitive benefits - Medical, Rx, Dental, Vision, 401(k), Parental Leave, Life and Disability Insurance and more. You can review our benefits at ... and interprets laws, rulings, and regulations and formulates legal opinions for review . Identifies causes of action and prepares lawsuits based upon an investigation… more
- Ventura County Community College District (Camarillo, CA)
- …orientation, marital status, veteran status, and/or physical or mental disability . Representative Duties Provide academic instruction to students through lecture, ... the Supplemental Questionnaire for Equivalency with their application for review by the Districtwide Equivalency Committee. Example: Minimum Qualifications state:… more
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