- 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
- US Tech Solutions, Inc. (Chattanooga, TN)
- Job Title: Company Vehicle Operations Specialist Location: Chattanooga TN USA 37412 Duration: 07 Months Job Description: The specialist for Corporate Vehicle ... approve or disapprove order as appropriate o Oversee creation and utilization of vehicle paperwork, including Manufacturer's Certificate of Origin, Vehicle Invoice,… more
- Rose International (Nashville, TN)
- …Organization: Rose International Position Number: 464514 Job Title: Managed Care Specialist Job Location: Nashville, TN, USA, 37243 Work Model: Hybrid Employment ... upon a client's business needs and requirements. ** Only qualified Managed Care Specialist candidates located in the Nashville, TN area will be considered due to… more
- DivIHN Integration Inc (Chattanooga, TN)
- …Arun | 2245071292 Varsha | 6308470953 Title: Vehicle Operations Specialist Location: Chattanooga, TN Duration: 7 months Description: Organization: Corporate ... Customer Experience Skills Strong Computer Skills, including Excel Description: The specialist for Corporate Vehicle Services Chattanooga will assist in all areas… more
- Compass Health Network (Wentzville, MO)
- …treatment plan goalsOther Responsibilities* Other miscellaneous duties as assigned* Perform Utilization Review activities as assigned* Attend all training as ... A Pinocchio Specialist is a mental health professional based in partnering school districts; working a 9 - 10 month schedule. They serve as a liaison between… 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
- Compass Health Network (Wentzville, MO)
- …individual treatment plan goalsOther ResponsibilitiesOther miscellaneous duties as assignedPerform Utilization Review activities as assignedAttend all training ... A Pinocchio Specialist is a mental health professional based in partnering school districts; working a 9 - 10 month schedule. They serve as a liaison between… more
- Blanchard Valley Hospital (Findlay, OH)
- …investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding related or ... team members or other departments to provide accurate and credible guidance. Duty5: Review of quarterly internal quality audits of the PCIS team, in coordination… 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
- Beacon Hill Staffing Group, LLC (Los Lunas, NM)
- …and Change Orders: Verify and track EPC Pay Applications and Change Orders.Schedule Review : Review Project Schedules, making use of comparisons and tracking ... Assist team members with closing and documenting NCRs and quality issues.GIS Utilization : Use the GIS system to assist with observations, open observations, and… 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
- 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
- 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
- Universal Health Services (Champaign, IL)
- …to identify the utilization of services. The information collected by the Utilization Review Specialist will be used to contact insurance/ review ... experience. Knowledge of hospital operations, nursing operations, and insurance review contacts preferred. Possesses the ability to maximize effective communication… more
- WestCare Foundation (Henderson, NV)
- Utilization Review Specialist Job Details Job Location Henderson - 1711 Whitney Mesa - Henderson, NV Position Type Full Time Education Level 2 Year Degree ... LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric… 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
- 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
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **Job Summary** The Manager Utilization Review /MediCal Specialist will develop and maintain a full ... of care from pre-admission through post-discharge for Medi-Cal patients. The Manager Utilization Review /MediCal Specialist will manage the program to… 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
- 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
