Utilization Review Specialist

Utilization Specialist Job Responsibilities: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. *...

Overview: Fully On-Site Role  Utilization Review Specialist Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible scheduling Career growth Competitive compensation Health, Vision, Dental, 401k, and Paid Time Off UKG Wallet – We’ve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to...

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while...

Job DescriptionJob DescriptionDane Street, a certified "Great Place to Work'' company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and other...

About the Employer The Del Norte Unified School District and County Office of Education is a combined District and COE. Our mission: In Del Norte Unified School District, the youth in our schools will be life-long learners who can creatively and effectively communicate, collaborate, and problem solve in a global society. The Del Norte County Unified School...

About the Employer The Del Norte Unified School District and County Office of Education is a combined District and COE. Our mission: In Del Norte Unified School District, the youth in our schools will be life-long learners who can creatively and effectively communicate, collaborate, and problem solve in a global society. The Del Norte County Unified School...

Segoso Caribbean is a diverse BPO located in Montego Bay, Jamaica. We are recruiting Team Members who have experience in medical reports utilization review with US Health Insurance companies. Responsibilities: (The list of tasks is ILLUSTRATIVE ONLY and is not a comprehensive list of all functions and tasks performed by position.) Reviewing insurance claim...

The Crisis Services Specialist provides daily assistance and supports to individuals in the Crisis Services Program who meet the criteria for access to crisis services due to critical need. This position utilizes applied behavior analysis techniques Specialist, Behavioral, Weekend, Support, Service, Healthcare, Education

Job DescriptionJob Description*We are looking for a physician currently board certified in Internal Medicine or Family Medicine, who has a specific interest in Utilization Management/Review Work. This position allows you the comfort of working from home. Utilizing a desktop computer provided for you. This is a permanent position with a 2 month probation...

Description Integrated Proteins in North Kansas City, MO, US is seeking a Logistics Specialist to join our team. As a Logistics Specialist, you will play a crucial role in ensuring the smooth and efficient movement of goods and materials throughout our organization. Your attention to detail and strong organizational skills will be put to the test as you...

Regulatory Compliance SpecialistSenior Regulatory Compliance Specialist: Safeguard Our Success!Do you have a passion for ensuring compliance and mitigating risk in the ever-evolving insurance landscape? Are you a detail-oriented problem solver who thrives in a fast-paced environment? If so, we want YOU!We are seeking a highly motivated and experienced Senior...

Regulatory Compliance Specialist Senior Regulatory Compliance Specialist: Safeguard Our Success! Do you have a passion for ensuring compliance and mitigating risk in the ever-evolving insurance landscape? Are you a detail-oriented problem solver who thrives in a fast-paced environment? If so, we want YOU! We are seeking a highly motivated and experienced...

The Crisis Services Specialist provides daily assistance and supports to individuals in the Crisis Services Program who meet the criteria for access to crisis services due to critical need. This position utilizes applied behavior analysis techniques Specialist, Behavioral, Overnight, Support, Service, Healthcare, Education

Job Description Our CDI team is seeking a Clinical Documentation Specialist to join their team at the plaza! You will be reviewing medical records for accuracy, educating health professionals on documentation processes, and participating in team meetings and projects. The ideal candidate will have previous medical/healthcare experience, be detail-oriented...

Title: GIS Systems Engineering SpecialistClient: DoD/FederalLocation: Kansas City, MORoles and Responsibilities: The Senior GIS Systems Engineer is responsible for the design, build, automation, support, security, management, and optimization of GIS systems, such as such as ESRI ArcGIS Software Suites, ESRI Portal for ArcGIS, and supporting...

Title: GIS Systems Engineering SpecialistClient: DoD/FederalLocation: Kansas City, MORoles and Responsibilities: The Senior GIS Systems Engineer is responsible for the design, build, automation, support, security, management, and optimization of GIS systems, such as such as ESRI ArcGIS Software Suites, ESRI Portal for ArcGIS, and supporting...

Regulatory Compliance SpecialistSenior Regulatory Compliance Specialist: Safeguard Our SuccessDo you have a passion for ensuring compliance and mitigating risk in the ever-evolving insurance landscape? Are you a detail-oriented problem solver who thrives in a fast-paced environment? If so, we want YOUWe are seeking a highly motivated and experienced Senior...

Overview The Kansas City office of Lewis Brisbois are seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matter memos. Essential functions of this role include but are not limited to:...

Senior Electrical Specialist to join our growing team in the Oil, Gas, & Chemical division. The Senior Electrical Specialist will assist in various phases of planning, site evaluations, analytical designs, report preparation, specifications, and preparation of proposal and construction documentation and electrical plans as part of a project team. This...