Utilization Review Specialist Part time\weekends
Vidant Medical Center - Greenville, NC
Utilization Review Specialist Part time\weekends The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions... of Participation with regard to Utilization Management. Perform Utiliztion Review according to CMS and commercial payor guidelines. Participate in denial...
Neurosurgery - Physician Assistant (NNMC Bethesda)
STG International - Bethesda, MD
accredited by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA) Current certification by the National Commission... Physician Assistant to support the National Naval Medical Center in Bethesda, MD. Clinical Duties/Responsibilities: Perform a range of Neuro...
FY12 New Graduate Family Nurse Practitioner\Physician Assistant Houston Market
Take Care Health - Houston, TX
support staff both located in the market and overall company. Maintain a good working relationship with collaborating physician(s). Position... Quality Assurance audits to include Peer Review, CP Review, Medication Administration review, and continuing education.Support and follow the...
Registered Nurse- Utilization Management
Review services. REGISTERED NURSE, UTILIZATION MANAGER. Possess a Baccalaureate Degree in Nursing, a Nursing Diploma, or an Associate Degree in....The health care worker shall perform utilization management activities that include retrospective, prospective, and concurrent review...
Medical Director - Physician Executive (IA-HPM-1887)
Managed Medicaid Services - Des Moines, IA
opportunities and career information. Your personal information is NEVER released to any third parties.KEYWORDS: Physician, executive, utilization... management, utilization review, medical director, VP, Vice President, medical officer, CMO, quality improvement, case management, Medicaid, Medicare...
Family Practice-Without OB - Physician
Harris Medical Associates - Alabama
utilization and cost of services; the personalization of patient care; and any other health areas deemed appropriate by the Center Physician and the...Family Practice-Without OB opening in Gadsen, Alabama. This and other physician jobs brought to you by DocCafe. Family Practice/Internal...
Concentra - Addison, TX
Executive with a background inGroup Health and/or Workers Compensation, preferably in Utilization Management (UM)/Utilization Review (UR), Managed... Care Organizations (MCO),Utilization Review Accreditation Commission (URAC) or other related fields. Ability to identify and cultivate new...
Concentra - Addison, TX
professionals in compliance with Concentra Physician Review (CPR) policies, procedures, and performance standards and URAC guidelines and state... medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work...
Medical Director, Commercial Clinical Policy Review
Humana - Tampa, FL
, maintain and assure compliance with physician review policies and procedures (including timeliness) for utilization management and support case...Medical Director, Commercial Clinical Policy Review Requisition ID 84883 Business Overview Humana Inc., headquartered in Louisville...
Mercy Health System - Philadelphia, PA
profile. The Physician Advisor is an active member of the hospitals Utilization Review Committee and functions in accordance with the CMS Hospital... Conditions of Participation for Utilization Review and other applicable regulatory/compliance and accrediting requirements. This position is a full...
Sedgwick - Chicago, IL
Utilization Review RN Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER!Continuing double-digit revenue growth... effective alternatives to acute care.ESSENTIAL FUNCTIONS and RESPONSIBILITIESDelivers utilization review services; i.e., administrative continued...
Physician- Chief, Geriatrics & Extended Care
, Utilization review, development of new programs and Strategic planning. Incumbent has responsibility for medical student and resident rotation in... Required Skills: QUALIFICATIONS REQUIRED: QUALIFICATION REQUIREMENTS: Candidates must meet all regulatory requirements for Physician per VA Handbook 5005...
Utilization Review Registered Nurse RN
XLHealth - Baltimore, MD
The Utilization Review Nurse conducts independent review research and analysis of requests for services to determine medical necessity... ability prioritization and organizational skills are required General Responsibilities: Preauthorization and concurrent utilization review of requests...
Utilization Review Registered Nurse RN
XLHealth - Shavano Park, TX
The Utilization Review Nurse conducts independent review research and analysis of requests for services to determine medical necessity... ability prioritization and organizational skills are required General Responsibilities: Preauthorization and concurrent utilization review of requests...
Medical Case Manager/Utilization Review Nurse Job
Travelers - Buffalo, NY
injured workers receive appropriate treatment directly related to compensable injury and for adhering to jurisdictional Utilization Review... on assigned claims as allowed by state jurisdictions. Perform Utilization Review according to established guidelines on treatment requests. Utilize...
Utilization Review Clinician Per Diem (Home Based)
Beacon Health Strategies - Woburn, MA
expertise in managed care and knowledge of community resources. A staff providing utilization review services will have at least one of the... with Physician Advisors to discuss clinical/authorization questions and concerns regarding specific cases Interacts with providers, crisis teams...
BOOKKEEPER P/T, MA's, RN/UTILIZATION REVIEW - APPLY NOW
HUMAN RESOURCE NETWORK - Reno, NV
you would like to work. (Days only). To $14/hr DOE. RN- UTILIZATION REVIEW - Monday thru Friday days. Part time that may become full time. Will review workman... and are dependable, flexible, willing to work hard and be a team player - then we have a great opportunity for you. Multi-physician specialty practice...
Utilization Review Case Manager RVMC
Rogue Valley Medical Center - Medford, OR
Utilization Review Case Manager RVMC Department: Utilization Management Schedule: Full Time Hiring Range: $62,400 - $86,798 annual Hours... Utilization Review/Case Manager monitors utilization practices from preadmission to discharge to assure cost-effective practices, quality patient care...
Brattleboro Retreat - Brattleboro, VT
by manager of Utilization Review. Communication of information to clinical staff, physicians and fiscal services regarding days/services approved... expectations of reviewers, review schedule, denial of stay, coordination of physician to physician reviews, and/or appeals. NON-ESSENTIAL...
Baptist Health, Inc. - Little Rock, AR
Utilization Review Specialist Department: Utilization Review -(LR) Schedule: Full-time Shift: Day Hours: 8-5 Salary.... Serves as QIO and managed care contact and/or resource person; Coordinates utilization review functions and communicates these to appropriate...