Utilization Review Specialist

Overview Shift: 7am - 3:30pm PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of...

Shift: 7am - 3:30pm PURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.ESSENTIAL FUNCTIONS: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...

Overview: Shift: 7am - 3:30pm   PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of...

Overview: ​PURPOSE STATEMENT:  ​Direct and manage the day-to-day operations of the Utilization Review department.  Responsibilities: ​ESSENTIAL FUNCTIONS:  ​Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.    ​Conducts and oversees...

Job Details Description Are you looking to work for a practice that offers stability and operates with integrity? Would you like to work for a dentist with an excellent reputation in the community and among dental peers? Look no further. Coast Dental & Orthodontics follows COVID-19 CDC Guidelines and ADA recommendations and makes every effort to...

Job DescriptionJob DescriptionOur Vision is to be the best choice for healthcare in our communityJob Title: Front Office / MA Department: Cardiology - Front office check in and check out, answer phone calls, schedule appointments, medication refills, prep patient charts, and vital signs.Manages the front office processes and assists provider in the...

Job DescriptionJob DescriptionDuties and Responsibilities:We are currently looking to hire an extremely motivated and highly qualified salesperson with previous New Homes Sales experience.The salesperon will be responsible for managing a smooth sales process, while providing excellent customer service.The New Home Sales Representative will work out of our...

Overview: PRN​   PURPOSE STATEMENT:  ​Clinical professional responsible for inquiries, assessments and admissions to facility.  Responsibilities: ​ESSENTIAL FUNCTIONS:  ​Facilitate admissions and assessment processes for incoming patients.   ​Respond to inquiries about the facility within facility policy...

Requisition ID:  843679  Store # : 005381 LensCrafters  Position: Part-Time Total Rewards:  At LensCrafters, we're passionate about bringing people better sight. And it takes thousands of people from all backgrounds to do this. By joining our team, you'll learn about the optical industry while developing the customer service and sales...

Job DescriptionJob DescriptionAre you looking to find a career in the medical field that is working to save a life every day or become part of someone's legacy? If so, HonorBridge is seeking a positive, energetic, and highly motivated individual to join our team.HonorBridge is the largest Organ Procurement Organization in North Carolina. We partner with...

Job DescriptionJob DescriptionAre you looking to find a career in the medical field that is working to save a life every day or become part of someone's legacy? If so, HonorBridge is seeking a positive, energetic, and highly motivated individual to join our team.HonorBridge is the largest Organ Procurement Organization in North Carolina. We partner with...

Who We Are Project Kitty Hawk is a nonprofit ed-tech startup focused on providing technology and online learning services to UNC System institutions to meet the online education needs of adult learners. Founded in 2022, we are funded by a $97 million grant from the North Carolina General Assembly. We are dedicated to fostering a collaborative environment and...

Job DescriptionJob DescriptionWho We Are Project Kitty Hawk is a nonprofit ed-tech startup focused on providing technology and online learning services to UNC System institutions to meet the online education needs of adult learners. Founded in 2022, we are funded by a $97 million grant from the North Carolina General Assembly. We are dedicated to fostering a...

Job DescriptionJob DescriptionAre you ready to take your HVAC career to the next level? Join our team at Comfort Pro LLC, a leading HVAC company that specializes in repairs, replacements, and maintenance. We're seeking an experienced Senior HVAC Service Specialist like you to be part of our family-oriented, laid-back work environment. Enjoy competitive...

Are you ready to take your HVAC career to the next level? Join our team at Comfort Pro LLC, a leading HVAC company that specializes in repairs, replacements, and maintenance. We're seeking an experienced Senior HVAC Service Specialist like you to be part of our family-oriented, laid-back work environment. Enjoy competitive pay ranging from $27 to $35 per...

Summary The purpose of this position is to ensure the prompt payment of all the Town's accounts payable. NOTE: All candidates must pass a pre-employment background check, drug screen, and credit check prior to employment. All job offers are conditional. FLSA : EXEMPT Essential Functions * Reviews approved invoice transactions verifying appropriate...

Description : This job is responsible for providing advice and valuable financial solutions to complex Business Banking clients and prospects. Key responsibilities include serving as the primary point of contact/trusted advisor and acquiring, deepening, and maintaining profitable relationships, collaborating with teammates and facilitating client...

Job DescriptionJob DescriptionAre you a person who is interested in working to save a life every day, making a tremendous contribution to your community, or becoming part of someone's legacy? If so, HonorBridge is seeking a positive, energetic, and highly motivated individual to join our team.HonorBridge is the largest Organ Procurement Organization in...

Job DescriptionJob DescriptionSalary: POSITION: Development Manager WHO WE ARE: Heelstone Renewable Energy is a utility-scale solar developer headquartered in Chapel Hill, NC with expertise in originating, financing, constructing, and operating solar photovoltaic projects. Heelstone has developed and achieved commercial operation on 67 solar projects with...

Job DescriptionPrimary Function of Position:This position is responsible for analysis, development and coordination of all assigned tasks relating to inventory control. These include daily cycle counts, material transactions, interplant replenishment and others. Analyze, utilize, direct and redirect information between various departments in order to...