Utilization Review Specialist

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.Monitor patient length of stay and extensions and inform...

Job Description Job Description Job Profile: Join a thriving entrepreneurial Real Estate Investment and Management company looking to secure a Utility Specialist assist and lead a variety of various operational tasks. We are seeking a passionate, organized, and energetic individual to ensure operational tasks are monitored, audited, managed, and executed in...

Job DescriptionJob DescriptionJob Profile: Join a thriving entrepreneurial Real Estate Investment and Management company looking to secure a Utility Specialist assist and lead a variety of various operational tasks. We are seeking a passionate, organized, and energetic individual to ensure operational tasks are monitored, audited, managed, and executed in a...

Job DescriptionJob DescriptionLeading and innovative plaintiff’s trial law firm is looking for an experienced and charismatic Intake Specialist to join their operations call center team. The Intake Specialist must be experienced in client relations and must understand the key role that they play in being the first person that clients will speak with when...

Leading and innovative plaintiff's trial law firm is looking for an experienced and charismatic Intake Specialist to join their operations call center team. The Intake Specialist must be experienced in client relations and must understand the key role that they play in being the first person that clients will speak with when calling in. They will be...

Job DescriptionJob DescriptionPrairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and...

Job DescriptionJob DescriptionPrairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and...

The Technical Resiliency (TR) Specialist will work with and assist the function of Enterprise Risk Management in executing the Business Resiliency Governance (BRG) Program. The TR Specialist will carry out and execute the review of technology resilie Risk, Specialist, Enterprise, Technology, Technical, Recovery, Business Services

Payroll SpecialistColumbus, OH As a Payroll Specialist you will play a crucial role in ensuring accurate and timely processing of payroll for employees. You will be responsible for various aspects of payroll administration, including but not limited to processing employee timesheets, calculating wages, and ensuring compliance with relevant regulations. This...

Summary This National Guard position is for a IT CYBERSECURITY SPECIALIST (INFOSEC), Position Description Number D and is part of the OH G6, Ohio Army National Guard.The primary purpose of this position is to provide auditing to ensure secure operations of the network enclave and provide incident response actions as directed by the cybersecurity service...

Job Title: Manager, Technical Product Owner- Utility Job Location: Columbus, OH (Hybrid)- But local only Job Type: Full-Time Required: GC, USC only Function: The Manager, Technical Product Owner (TPO) leads the Information Technology (IT) product team(s) providing technology vision, systems development oversight, and day-to-day operational management for all...

eCOB Specialist II Location: Hybrid, within 50 miles of Elevance Health PulsePoint location. Hours: Monday-Friday, an 8-hour shift between the hours of 6am-6pm. An eCOB Specialist II is responsible for researching and investigating other coverage for all of the company's groups and members on multiple platforms. Fully proficient in all key areas; performs...

Coding Specialist / Full-time DaysSt. Luke’s Hospital has a new opportunity for an experienced Coding Specialist! Our hospital is one of the very few critical access hospitals in the country that earned 5 stars in patient satisfaction from CMS in 2020 and we need YOU to help us get to the next level! In this role, you will be part of a progressive team...

Job DescriptionJob DescriptionHotline Resource SpecialistFull Time and Part Time * Days, Evenings, Nights(include weekends)Lutheran Social Services CHOICES for Victims of Domestic Violence has been the sole resource for victims seeking shelter in Franklin County for more than four decades, providing a Temporary Emergency Shelter, 24-Hour Crisis Hotline, DV...

Job DescriptionJob DescriptionHotline Resource SpecialistFull Time Evenings and Nights - 8 hour shifts(include weekends)Lutheran Social Services CHOICES for Victims of Domestic Violence has been the sole resource for victims seeking shelter in Franklin County for more than four decades, providing a Temporary Emergency Shelter, 24-Hour Crisis Hotline, DV...

Summary This National Guard position is for a SURFACE MAINTENANCE SPECIALIST, Position Description Number D and is part of the OH G4 SMO, Ohio Army National Guard.The primary purpose of the work is to analyze and evaluate maintenance operations, production, and procedures; and make recommendations for improvement. This requires practical knowledge of, and...

Job DescriptionJob DescriptionIntroducing IFI, and why you want to be a Strategic Partnership Specialist with us:International Friendships, Inc. is a growing faith-based organization, whose mission is to extend life-changing hospitality and friendship to international college students. We do this by offering services, such as airport pickups, holiday...

Job DescriptionJob DescriptionIntroducing IFI, and why you want to be a Taiwanese Ministry Specialist with us:International Friendships, Inc. is a growing faith-based organization, whose mission is to extend life-changing hospitality and friendship to international college students. We do this by offering services, such as airport pickups, holiday hosting,...

Job DescriptionJob DescriptionIntroducing IFI, and why you want to be a Japanese Ministry Specialist with us:International Friendships, Inc. is a growing faith-based organization, whose mission is to extend life-changing hospitality and friendship to international college students. We do this by offering services, such as airport pickups, holiday hosting,...

Summary: We are currently seeking a Senior Specialist, Quality Assurance (Lab Support) to join the Forge Biologics Team. The Quality Assurance Senior Specialist is responsible for ensuring compliance with regulatory requirements and maintaining the highest quality standards. The QA Senior Specialist will support the Quality Assurance team in activities such...