Utilization Review Jobs in Dallas
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Search Results - Utilization Review Jobs in Dallas
LanceSoft-Dallas
with physicians, nurses, social workers, and interdisciplinary teams.
• Perform utilization review and assess medical necessity of services.
• Facilitate discharge planning, including referrals to rehabilitation facilities, skilled nursing facilities, home health...
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LanceSoft-Dallas
social workers, and interdisciplinary teams.
• Perform utilization review and assess medical necessity of services.
• Facilitate discharge planning, including referrals to rehabilitation facilities, skilled nursing facilities, home health, and community resources...
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Dallas
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
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icims.com -
Reny Company-Dallas
developing strategy, developing action plans and executing the plan, within the prospected sales of managed care services to Non-subscribers, Maritime Accounts, Insurance Companies, TPA. Managed Care Services include: Medical Bill Review, Utilization Review...
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appcast.io -
Dallas
and utilization review. Accountable for ensuring compliance with contractual as well as applicable federal, state, and regulatory requirements.
Minimum Specifications
Education
• Graduate of an accredited school of nursing required; BSN preferred.
• Master's...
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tiptopjob.com -
Dane Street, LLC-Dallas
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 prepped cases...
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workable.com -
Dallas
deliverables, and timelines are met.
• Evaluate and analyze productivity, utilization, efficiency, finding rates, savings, appeal overturn rate, and reviews completed by staff to identify opportunities for process improvements.
• Meet with clients and providers...
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tiptopjob.com -
Dane Street, LLC-Dallas
is established, and no treatment 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...
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workable.com -
Dallas
of clinical experience or 5+ years of medical record coding experience required.
• 3+ years of utilization review experience or claims auditing required.
• Working knowledge of the appeals and hearings process.
• Experience using MCG or InterQual criteria...
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tiptopjob.com -
Dallas
approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote with a preference of working hybrid out of one of our AmTrust office locations!
Responsibilities:
• Uses...
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icims.com -
Dallas
practices
• Provide input on drug utilization reviews and formulary managementSupport Medicaid Drug Rebate Program operations and assist with state pharmacy audits
• Deliver training to pharmacy providers and contribute to reporting and administrative...
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tiptopjob.com -
Dane Street, LLC-Dallas
your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams
• Fully prepped cases, streamlined case flow, transcription services at no cost, and a user...
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workable.com -
Dallas
and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.
Minimum Specifications
Education: Must be a graduate...
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tiptopjob.com -
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