Utilization Review Jobs in Philadelphia
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Search Results - Utilization Review Jobs in Philadelphia
Dane Street, LLCPhiladelphiaappcast.io
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...
Philadelphiacolliersengineering.com
a production team.
• Evaluate and monitor budgets, billing, and collections.
• Consistently monitors the backlog of work and the sharing of resources within the discipline, maximizing staff utilization. Reviews staff utilization regularly and promptly addresses...
Vibra TravelsPhiladelphia
medical records.
• Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.
• Communication skills, both written and oral, must be outstanding and practiced...
Philadelphiaicims.com
approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote in Pennsylvania!
Responsibilities:
• Uses clinical/nursing skills to determine whether all aspects...
Dane Street, LLCTrenton, 39 mi from Philadelphiaappcast.io
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-friendly work portal
Qualifications
• Board...
Supplied TalentTrenton, 39 mi from Philadelphiaworkable.com
and payer requirements
• Lead utilization review, chart audits, and quality-improvement initiatives
• Maintain readiness for regulatory surveys and accreditation reviews
Program Development & Operations
• Partner with leadership on new service lines...
Vista Autism ServicesMiddletown (PA), 29 mi from Philadelphia
in accordance with BACB and IBHS standards
• Supports quality assurance, utilization reviews, and related monitoring activities
• Uses relevant tools to support staff development and monitor progress toward certification and professional expectations...
Wayne (PA), 14 mi from Philadelphiaenlyte.com
utilization review on workers’ compensation related prospective, concurrent, and retrospective treatment referrals. The ideal candidate will play a crucial role in assessing and ensuring the appropriateness of medical treatment plans, contributing to effective...
Berwyn (PA), 15 mi from Philadelphiaicims.com
potential. This program includes tuition and student loan repayment!
Key Words: social work, case management, social service, case coordinator, BSW, utilization review, human services
#sponsored
Qualifications:
Bachelor’s degree in Social Work, Human...
Berwyn (PA), 15 mi from Philadelphiaicims.com
service, case coordinator, BSW, utilization review, human services
Qualifications:
Bachelor’s degree in Social Work, Human Services, or related field.
Two (2) years’ experience in the Human Services field, working with adults with intellectual...
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