Meta App Review Specialist

The Utilization Review Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program. · ...

We are seeking a knowledgeable and detail-oriented Clinical Review Specialist to join our corporate team. This role plays a critical part in ensuring accurate clinical documentation, compliance with regulatory standards, and optimized reimbursement processes. · Experience with cl ...

The Promotional Review Specialist is responsible for managing the Advertising and Promotional Material Review/Approval Process (A&P Review Process) and will be a contributing member of the Communications & Brand Experience team. · ...

The CBO Account Review Specialist communicates concisely and provides excellent customer service to patients, · patients' family members, healthcare providers, medical staff offices, · and peers with professionalism, · competency, · compassion,,and ownership. · ...

The Woodmark Pharmacy Billing Department is seeking an experienced Accounts Review Specialist to join their team. · ...

+We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. · +Conduct utilization reviews and obtain prior authorizations from insurance companies · Monitor continued stay and discharge criteria for clients · ...

We are seeking detail-oriented Document Review Specialists to assist in evaluating a large volume of electronic documents. · Review and assess electronic documents against established guidelines. · Identify final documents requiring retention and ensure proper classification. · M ...

The Utilization Review Specialist reviews patient care from admission through discharge to ensure medical necessity. · ...

The Utilization Review Specialist reviews each patient's care at regular intervals from admission through discharge by evaluating the medical record and collaborating with members of the interdisciplinary team.The purpose of this review is to determine medical necessity, appropri ...

Job summary · The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies. · QualificationsHigh School Graduate or equivalent. · Post high school training in the medical field, the i ...

Versiti is a fusion of donors, scientific curiosity and precision medicine that recognize the gifts of blood and life are precious. · We are home to the world-renowned Blood Research Institute, · we enable life saving gifts from our donors, · and provide the science behind the me ...

The Utilization Review Specialist role at Mesa Springs involves reviewing clinical criteria and managed care requirements for inpatient and outpatient authorization. The specialist must communicate effectively with interdisciplinary teams and interface with managed care organizat ...

The Grant Review Specialist is responsible for administrative and operational support of multiple concurrent grant review cycles. · ...

The Utilization Specialist is responsible for reviewing of assigned admissions, · continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent pr ...

The Utilization Specialist reviews assigned admissions for clinically valid criteria to obtain authorizations. · ResponsibilitiesPerforms admission reviews using established hospital criteria. · Communicates effectively with insurance companies. ...

The job involves reviewing electronic documents against guidelines and maintaining accurate records of document assessments. · Familiarity with documentation related to community development and regulation is a plus. · Strong communication skills and ability to work effectively i ...

Aerotek has an immediate opening for a Claims Review Specialist at the corporate office in Hanover MD Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager the Claims Review Specialist will assist in the monitoring and administeri ...

We are looking for an experienced Google Reviews Specialist for our growing home care agency to help us consistently generate real five-star Google reviews from actual clients and families. Our goal is to build strong local credibility improve search visibility increase trust wit ...

The Utilization Review Specialist monitors resource utilization under direct supervision for patients according to established guidelines. · Preadmission review on admissions when required by insurance companies/agencies. · Works with discharge planner monitoring medical necessit ...

The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program.Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse. · Three years clini ...

The Transaction Review Specialist (TRS) will ensure every approved consumer transaction is correctly documented in the ecoATM database. · ...