General Summary of Position Reviews and evaluates external denials for medical necessity. Coordinates and monitors the preventive denial and appeals process. Collaborates with the…
Scribe.ology is looking for candidates who are detail-oriented, possess excellent written and verbal communication skills, and have strong computer/typing skills. Scribe.ology is r…
Who you are: As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/…
Job Description: PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review t…
Reviews and evaluates external denials for medical necessity. Coordinates and monitors the preventive denial and appeals process. Collaborates with the physician, nurse manager, an…
Details Sign-on bonus: $3,500 Department: Case Management Schedule: Monday-Friday, standard business hours. 2 holidays per year required and weekend rotation Hospital: Ascensi…
Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination …
Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination …
Job Summary At The City of Frederick, we value diversity and the respect, engagement, and productivity an inclusive environment produces. We seek to consistently improve internal…
The Alaka`ina Foundation Family of Companies (FOCs) is looking for a qualified Senior Biodefense Regulated Quality Review Specialist to support our contract with USAMRIID in Freder…
Johns Hopkins Health System employs more than 20,000 people annually. When joining the Johns Hopkins Health System, you became part of a diverse organization dedicated to its patie…
Summary SHIFT DETAIL: Every other weekend, 9a-9:30p; 16 hours bi-weekly **Position is on-site and requires ability commute to Grace Medical Center for scheduled shifts.** Pos…
JOB DESCRIPTION SUMMARY: Under general supervision, utilize clinical knowledge and critical thinking skills to provide oversight of appropriate admission status and utilization o…
JOB DESCRIPTION SUMMARY: Under general supervision, utilize clinical knowledge and critical thinking skills to provide oversight of appropriate admission status and utilization o…
Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, Maryland to provide care to Active Duty heroes, their families, and retirees at Walter R…
Do you have expertise and scientific reputation in the Metabolic Diseases research area? Are you excited by a role where you will provide global scientific leadership within your a…
Senior Medical Director, Principal Patient Safety Physician - Oncology! Location: Gaithersburg (3 days on site) Are you ready to bring your deep clinical understanding and judg…
Medical Call Center - OBGYN Silver Spring MD MUST: 2 year of solid medical office experience Call Center experience or high volume phones Experience registering patients OBG…
Company Description Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two ye…