Manager Utilization Management Review - Newtown Square, PA

We are looking for a Manager Utilization Management Review who will direct the day-to-day activities of Clinical Care Reviewers for our Pennsylvania business units. · The ideal candidate will oversee staff performance regarding prior authorization medical necessity determinations ...

The Consumer Credit Review Senior Manager is responsible for executing independent risk-based assurance reviews within Capital One's Consumer credit portfolios (card and auto). This includes assessment of credit strategies and practices, · effectiveness of policy implementation a ...

Consumer Credit Review Senior ManagerThe Consumer Credit Review Senior Manager is responsible for executing independent, risk-based assurance reviews within Capital One's Consumer credit portfolios (card and auto). This includes assessment of credit strategies and practices, effe ...

The Senior Credit Review Manager is responsible for executing independent risk-based assurance reviews within the Consumer credit portfolios (card and auto) at Capital One.They will assess credit strategies and practices, effectiveness of policy implementation and risk governance ...

The Consumer Credit Review Senior Manager is responsible for executing independent, risk-based assurance reviews within Capital One's Consumer credit portfolios (card and auto). This includes assessment of credit strategies and practices, effectiveness of policy implementation an ...

The Consumer Credit Review Senior Manager is responsible for executing independent risk-based assurance reviews within Capital One's Consumer credit portfolios (card and auto). This includes assessment of credit strategies and practices. · Conducting risk-based reviews covering c ...

CASE MANAGEMENT UTILIZATION REVIEW EXPERIENCE · REGISTERED RN BLS · ...

Johnson & Johnson is recruiting for a Senior Technology Product Manager, Copy Approval and Digital Asset Management. · ...

The applicant will be responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost-effective patient outcomes. · Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.Utilization Man ...

The position of Outcomes Manager/Utilization Review RN is available for a full-time role. The job involves applying medical necessity tools to maintain compliance and achieve cost-effective patient outcomes. · Utilizes payer-specific screening tools to determine level of service ...

Remote work position available after in-office training. Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes. · ...

BAYADA Home Health Care has an immediate opening for a Full Time, OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. · This is a fully remote position that requires review of clinical information for appropriateness, congruency, and accuracy as ...

We are seeking a Clinical Coding Manager who will apply their skills and knowledge of OASIS and ICD-10 coding to help clients receive the home health care services they need. · ...

The role involves developing enhancing and validating methods for measuring and analyzing all types of risks including market credit and operational. · In areas related to credit risk individuals develop enhance and validate models for measuring obligor credit risk or early warn ...

BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. · ...

+Discover your future at Citi · Working at Citi is far more than just a job. · A career with us means joining a team of more than 230000 dedicated people from around the globe. · At Citi you'll have the opportunity to grow your career give back to your community and make a real i ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · We are looking for the next generation of healthcare leaders. · ...

At Sunoco LP, we take great pride in what we do and wholeheartedly believe our employees drive success for our company and customers. We are always looking for the best and brightest talent and are committed to making your job a challenging and rewarding experience. · Learn the S ...

The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements. · ...

Our client, a well-established real estate management firm, is hiring a Senior Property Accountant to join its accounting team. · ...