Utilization Review Jobs in Allentown
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Search Results - Utilization Review Jobs in Allentown
Highmark Health-Allentown
Highmark Inc. is seeking a physician to be part of a team that performs utilization management in line with the highest clinical standards.
The role reviews escalated cases electronically using Medical Policy criteria to assess medical necessity...
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MTC Care-Allentown
practice, and psychopharmacology including writing orders for medications, as appropriate
• Participate in case reviews, consultations and utilization review
• Respond to urgent calls from the facility and facilitate problem-solving
• Stay current...
Dane Street, LLC-Allentown
expertise in medical necessity, utilization review, and claims support
• Expanded credentials as an expert medical reviewer
• Fully prepped cases, streamlined workflow, transcription services at no cost, and a user-friendly online portal
If you...
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Dane Street, LLC-Allentown
medical record reviews, utilization review, and evidence-based advisory assessments while maintaining flexibility and working remotely....
workable.com -
Dane Street, LLC-Allentown
is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams
• Fully...
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STR Behavioral Health-Allentown
including client, family members, professional referral sources, facility administration, clinical leadership, admitting physicians and utilization review coordinators.
• Builds a strategic regional growth plan by evaluating, analyzing, and interpreting...
Encompass Health Rehabilitation Hospital of Mechanicsburg-Allentown
Ensure accuracy of discharge and payor-related information in the patient record
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed...
Allentown
approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote in Pennsylvania or Massachusetts!
Responsibilities:
• Uses clinical/nursing skills to determine whether...
icims.com -
Highmark Health-Allentown
Company : Highmark Inc.
Job Summary
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases...
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Encompass Health Rehabilitation Hospital of Mechanicsburg-Middletown (PA), 44 mi from Allentown
Ensure accuracy of discharge and payor-related information in the patient record
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed...
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