Utilization Review Specialist

Job Summary:As a Utilization Review Nurse at Trinity Health, you will play a vital role in ensuring that patients receive appropriate care while managing healthcare costs effectively. You will assess patient care plans and medical records to verify the necessity and effectiveness of treatments being proposed or provided. Your expertise will help determine...

Job Summary: We are seeking a skilled Utilization Review Nurse to join our team at Holy Cross Hospital in Fort Lauderdale, Florida. The successful candidate will have well-developed knowledge and skills in areas of utilization management, medical necessity, and patient status determination. Key Responsibilities: * Assess patient care plans and medical...

Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the department by developing and/or maintaining effective and efficient processes for determining the appropriate...

Job OverviewAward-winning boutique law firm, Denovo Review, is seeking an experienced Legal Intake Specialist to connect with and capture new clients for the firm in South Florida.About the RoleThis full-time position based out of the firm's Ft. Lauderdale office involves gathering information from clients, assessing their needs, and determining the best...

This business litigation law firm, De Novo Review Inc, serves clients in the Miami-Fort Lauderdale area, with a focus on business litigation, dispute resolution, and corporate law. Their extensive experience in business and technology law enables them to deliver client-specific legal services and exceed expectations.This full-time hybrid role for a...

Job DetailsDenovo Review is seeking an ambitious attorney for its Ft Lauderdale office. The ideal candidate must have a passion for insurance defense litigation.Manage significant caseload from inception to post-trial.Attend hearings, depositions, mediations, and trials.Prepare pleadings, discovery/discovery responses, motions, and other litigation...

De Novo Review Inc - Litigation Administrative AssistantThis business litigation and transactional law firm serves clients in the Miami-Fort Lauderdale area, focusing on business litigation, dispute resolution, creditors' rights, bankruptcy, corporate law, finance, intellectual property, international law, labor and employment, and real estate. With...

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY  (#25154 B)Minimum of 1-3 years of experience in utilization review/appeals backgroundGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Lake Success, New YorkRequirements of the Registered Nurse...

De Novo Review Inc: Seeking Experienced Legal Intake SpecialistAward-winning boutique law firm De Novo Review Inc, based in South Florida, is expanding its team and seeking a seasoned Legal Intake Specialist to connect with and capture new clients. The ideal candidate will have experience in credit repair, be comfortable gathering information from clients,...

Job Title: Utilization Management NurseHealthCare Support is seeking a skilled Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will play a critical role in ensuring the optimal utilization of healthcare resources while maintaining high-quality patient care.Key Responsibilities:Review prior authorization requests for...

Job SummaryWe are seeking a highly skilled Utilities Maintenance Supervisor to join our team at the Town of Davie. As a key member of our Utilities Department, you will be responsible for overseeing the maintenance and repair of our water and wastewater treatment plants, as well as other facilities and equipment.Key ResponsibilitiesPlan, develop, and...

Job SummaryWe are seeking a highly skilled and experienced Utilities Maintenance Supervisor to join our team at the Town of Davie. As a key member of our Utilities Department, you will be responsible for overseeing the maintenance and repair of our water and wastewater treatment plants, as well as other facilities and equipment.Key ResponsibilitiesPlan,...

Job Summary:Universal Health Services, Inc. (UHS) is seeking a skilled Utilization Management Coordinator to join our team. As a Utilization Management Coordinator, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Key Responsibilities:Coordinate and monitor appropriate...

Job DescriptionJob DescriptionLHH Recruitment Solutions seeks experienced US-licensed attorneys for upcoming, fully remote W2 contractor positions. These projects offer competitive hourly pay rates ($24-$75 DOE and foreign language requirements), flexible full-time schedules (minimum 40 hours/week with potential for overtime), and opportunities for...

A leading national business law firm is seeking a highly skilled Foreclosure Sales Paralegal to support its Banking and Finance Department. The ideal candidate will have prior NY Sales experience and be responsible for enhancing attorney effectiveness by providing information management support and assisting with client services.Key Responsibilities:Prepare...

Job Title: Medical Billing SpecialistJob Summary:We are seeking a highly skilled Medical Billing Specialist to join our team at Collabera. As a Medical Billing Specialist, you will be responsible for reviewing charges in patient accounts, entering claims into insurance carriers' billing systems, and ensuring accurate payment reconciliation.Key...

Job SummaryDe Novo Review Inc is seeking an ambitious attorney to join its Ft. Lauderdale office. The ideal candidate must have a passion for insurance defense litigation.Responsibilities:Manage a significant caseload from inception to post-trial.Attend hearings, depositions, mediations, and trials.Prepare pleadings, discovery responses, motions, and other...

Credentialing and Contracting SpecialistExact Billing Solutions is a leading provider of medical billing services, specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge and a reputation for innovation.About the RoleWe are seeking an experienced Credentialing and Contracting...

MasTec Utility Services is a leading provider of critical infrastructure construction and engineering services for power delivery, gas, and water customers.Our teams are empowered with abundant training, tools, and opportunities to follow their curiosity and ambitions.The UGE Lineman is responsible for performing diversified work related to the construction...

WE ARE FLORIDA MEDICAL CENTER! Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the...