! Position Purpose: Directs and oversees operations in the medical review, clinical pricing, and re-determination areas.... Coordinates tactical team activities. Ensures area review decisions are accurate and all associates are well informed...
as well as regulators and auditors. As a review participant: Use credit and financial information to verify the credit worthiness..., and enjoy meaningful work! Job Summary: This position is responsible for supporting the Credit Risk Review function through...
Overview: We are Hiring Utilization Review Coordinators! Location: Peace Hospital - 2020 Newburg Rd. Louisville KY... through compassionate, innovative, patient-centered care. Job Summary The Utilization Review coordinator performs...
for level of care within the review citing specific clinical information as necessary. Ensures physician order is appropriate... reimbursement. Provides a comprehensive range of utilization review services associated with and in accordance with standards...
and that the information I provide in my application will be processed in line with Takeda’s and . I further attest... that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role...
with review schedule. Using all available data sources including data vendors, stock exchanges and regulatory filings... of corporate event information and compilation of client notifications. Maintain and update stock information...
against insurance guideline requirements needed to set up and maintain client accounts of 180 Medical. Review received documentation... Interpret reference material to make informed decisions regarding documentation requirements Cross flow pertinent information...
Job Description: General Description and Classification Standards The purpose of this job is to review construction... or all inclusive. Other duties may be required and assigned. Performs skilled plan review and/or inspection work in the enforcement...
against insurance guideline requirements needed to set up and maintain client accounts of 180 Medical. Review received documentation... Interpret reference material to make informed decisions regarding documentation requirements Cross flow pertinent information...
Job Description: General Description and Classification Standards The purpose of this job is to review construction... or all inclusive. Other duties may be required and assigned. Performs skilled plan review and/or inspection work in the enforcement...
staff competencies in all areas of case management (utilization review, resource management, and transition/discharge... orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic...
maintenance of "UR Activity Log", which records every review for the facility with financial classification and U.R. information...Two years minimum experience in utilization review. Must possess good grammatical and communication skills...
in orientation and training of staff. Performs admission and continued stay medical record review to gather information... and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting. Follows patient...
Specialist – Medical Review Team POSITION LOCATION This position is available to Virginia residents as Richmond or Lynchburg... and experience, and Genworth will provide the training necessary to succeed as a Medical Review Nurse. You will be responsible...
Responsibilities The Chart Review Specialist primary responsibility is to review, analyze and report on FCHP patient... charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic...
. Responsibilities Key Accountabilities: Material Review Engineers represent the entirety of Engineering, as members of the Material... Review Board (MRB), in an Aerospace production or preproduction environment. Requires the capabilities to formulate, analyze...
Environmental Review Compliance Specialist Remote Florida Are you interested in helping create communities... that are more resilient in the face of future disasters? Join the ICF team and make a difference! ICF is seeking an Environmental Review...
Environmental Review Compliance Lead Remote Florida Are you interested in helping create communities... that are more resilient in the face of future disasters? Join the ICF team and make a difference! ICF is seeking an Environmental Review...
appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies... AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
POSITION SUMMARY The Civilian Review Board provides independent review of complaints resulting from specific South... Salt Lake Police Department activities. The goal of the Civilian Review Board is to encourage greater communication...