- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review , enter and/or modify charges as appropriate, ... charge/modifier assignments, for designated clinical areas. JOB DUTIES/RESPONSIBILITIES Duty 1: Review , enter and/or modify charge on encounters to ensure accurate… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: System Monitoring Specialist WHAT YOU WILL DO: We are seeking a highly skilled and motivated ... Systems Monitoring Specialist with expertise in New Relic, AWS CloudWatch, GuardDuty,...performance of CPU, Application I/O statements, network bandwidth, Database utilization and storage, VPN tunnels with AWS Cloud. Provider… more
- VA Department of Transportation (Richmond, VA)
- …apply online at https://www.jobs.virginia.gov/jobs/senior-civil-rights- specialist -dbe-richmond-virginia-united-states Job Duties The Virginia Department of ... an opportunity to serve as a Senior Civil Rights Specialist supporting our Disadvantaged Business Enterprise (DBE) Programs. This...Good Faith Team and Resource to DBE Panel to review bidding documentation to determine if prime contractor made… more
- American Honda Motor Co Inc (Alpharetta, GA)
- Website Marketing Specialist Location: Alpharetta, GAWorkstyle: Hybrid (40% Remote) What Makes a Honda, is Who makes a Honda Honda has a clear vision for the future, ... * Define and development of website enhancements for performance optimization and review and approve staging updates. * Oversee the development and execution of… more
- Blanchard Valley Hospital (Findlay, OH)
- …audits of the PCISS, in coordination with the Coding Claims Resolution Specialist . Provide feedback and documented education to the Vregarding the results and ... assistance in response to investigational or potential compliance risks. Duty 7: Review tracking spreadsheets, such as the charge validation tracker and the missing/… more
- nrg (Pekin, IL)
- …to prevent future incidents. Assemble all equipment failure reports. Develop, review & revise station procedures & technical instructions and documentation of ... equipment and systems. Risk management - able to make good judgment on utilization of sometimes limited resources. General to thorough knoledge in root cause… 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
- University of Colorado (Aurora, CO)
- Clinical Utilization Review Specialist - 32339 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | ... Department of Psychiatry** **Job Title: Clinical Utilization Review Specialist ** **Position: #00217340 - Requisition: #32339** **Sign-on bonus available for… more
- Munson Healthcare (Traverse City, MI)
- …families, interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic ... Michigan. + Minimum of three years clinical experience required. Previous utilization review and/or case management in a hospital or insurance industry preferred… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... of candidates. Education Associates Degree preferred Minimum Work Experience Utilization Review experience preferably in a behavioral/psychiatric healthcare… more
- Amity Foundation (Tucson, AZ)
- …and enthusiastic individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this ... community building Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position Utilization Review Specialist you will contribute to… more
- Providence (Portland, OR)
- …the best people, we must empower them._** **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all ... the following clinical teams: + Prior-authorization (PA) + Concurrent Review (CCR) + SNF + Clinical Claims + Provider...+ Reimbursement Policy + Coordinate and execute the medical review and research functions required to support all teams… more
- Universal Health Services (Groton, CT)
- …Washington, DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Corewell Health (Grand Rapids, MI)
- …continued stay. Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides ... financial and utilization management (UM) information to other members of the...acute care, multiple clinical settings or behavioral health with utilization management, discharge planning designing patient centered care plan… more
- Insight Global (Boston, MA)
- …under the provisions of benefits plan. The LTSS Service Authorization Specialist is responsible for applying clinical and benefit administration policy guidelines ... Long Term Services and Supports (LTSS). The LTSS Service Authorization Specialist provides accurate, prompt, and appropriate medical authorizations to requests from… more
- Montrose Memorial Hospital (Montrose, CO)
- …This position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation that clearly ... The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality...experience preferred; and one (1) to two (2) years Utilization Review experience preferred. What We Offer:… more
- Universal Health Services (Ambler, PA)
- Responsibilities The Horsham Clinic is seeking a dynamic and talented Utilization Review Specialist . The Horsham Clinic is a 206 bed private behavioral ... then we invite you send your resume. The UR Specialist is responsible for evaluating medical records to determine...illness and determining the appropriate level of care. UR Specialist will serve as a liaison for patients and… more
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