- Devereux Advanced Behavioral Health (Malvern, PA)
- …answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You ... need. Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work at their acute psychiatric inpatient… more
- Medtronic (Philadelphia, PA)
- …connected, compassionate world. **A Day in the Life** The Surgical Robotics Utilization Team manages all aspects of system installation, start-up, customer training, ... period to ensure successful integration into the hospital's service lines. The utilization team members are seasoned professionals with in-depth knowledge of the… more
- Penn Medicine (Cherry Hill, NJ)
- …day. Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Financial Clearance **Location:** Penn Medicine Cherry Hill- 1865 ... Route 70 E **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses… more
- Datavant (Trenton, NJ)
- …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- CVS Health (Trenton, NJ)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- Cognizant (Trenton, NJ)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, medical ... necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party… more
- St. Luke's University Health Network (Sellersville, PA)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... may require treatment with seclusion/restraints. + Supports the function of utilization management regarding pre-certification process for all intakes and consults.… more
- BioFire Diagnostics, LLC. (Philadelphia, PA)
- …and environmental assessments. Prepares reports and summaries for senior staff review . + Assists in developing and implementing processes for preventative ... maintenance, equipment commissioning, and space utilization . + Assist with creating job plans for on-site...determine action plans for risk reduction + Ability to review the regulatory landscape to identify and mitigate non-compliant… more
- Evolent (Trenton, NJ)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Aveanna Healthcare (Bala Cynwyd, PA)
- …through onboarding process to maintain relationship. - Assists the Onboarding Specialist , when necessary, with any onboarding requirements. - Coordinates the opening ... appropriately skilled clinician, and within insurance authorization. - Responsible to manage utilization of direct care team members based on patient needs as well… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... (Tier 1 Call Center Representatives and Tier 2 Functional Specialist ). Ensure contact center staff have the training and...to get things done regardless of obstacles + Optimized utilization of resources to provide a delightful and consistent… more
- ChenMed (Philadelphia, PA)
- …and explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... as part of the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities (SNF) and home… more
- Lincoln Financial (Radnor, PA)
- …+ AWS and Azure AD networking services + Proxy services and PAC utilization + Provides advance level support for customer network related issues. (Enterprise ... and Switching or Data Center + Symantec (Bluecoat) Certified Specialist (SCS) + Palo Alto Certified Network Security Engineer...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- ASM Research, An Accenture Federal Services Company (Trenton, NJ)
- …on the project in a senior administrator capacity. Considered a technical specialist in a variety of IT administrator disciplines. + Configure, monitor, and ... as needed (aside from on-call rotation). + Optimize system operations and resource utilization as well as perform system capacity analysis and planning. + Utilize… more