Healthcare Specialist for Utilization Review - Providence - beBeeUtilizationReviewNurse

Lensa is a career site that helps job seekers find great jobs in the US. · Participates in the development and ongoing implementation of QM Work Plan activities. · Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendatio ...

This is a hybrid position requiring on-site presence three days per week at one of our local offices. · ...

Reports to the Manager of Utility Operations & Design, and is responsible for supervising Power Plant Operating Engineers, Boiler Operators, Incinerator Operators and mechanics in the operation, repair, and scheduled maintenance of high pressure steam boilers. · ...

Conduct pre and post payment review of inpatient admissions, outpatient services, and other procedures to assess the appropriateness and continuity of care. Apply all aspects of the medical review function, including pre-authorization, concurrent review, screening for quality-of- ...

To perform civil engineering work in connection with the design construction materials and maintenance of highways bridges traffic management projects and other transportation projects; and to do related work as required. · ...

The Environmental Laboratory Scientist conducts routine quantitative and qualitative chemical tests within the field of environmental sciences according to established protocols. · A thorough knowledge of the principles practices and techniques of chemistry biochemistry or micro ...

This is a hybrid position requiring on-site presence three days per week in Louisville, KY; Allentown, PA or Providence, RI.The position is responsible for reporting and financial activities which require knowledge of technical accounting procedures rules and regulations particul ...

Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. · Reviews the medical records to ensure the docu ...

Job summary: Civil engineer for energy infrastructure projects. · Responsibilities:Preparation of engineering drawings. · Civil design in support of electrical substations. · Site civil engineering plans... ...

We are seeking a motivated Tax Analyst to support the preparation and review of U.S. federal and state tax returns under the guidance of senior team members.This role is ideal for recent graduates or professionals with up to 1–2 years of experience who are looking to build a stro ...

We are seeking a Travel Member Relations Counselor to join our team at AAA Northeast. This is an exciting opportunity for someone who is passionate about delivering exceptional customer service and wants to be part of a company that values innovation, community involvement, and e ...

We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements... · We strive to be transparent and accountable. · No matter where you're at in the organization... · ...

The Quality Assurance Analyst I is responsible for creating test cases, managing issues during testing, identifying process improvements, and ensuring quality standards. They will respond to member concerns, increasing retention and ensuring Five Diamond Service. · The analyst wi ...

As one of the largest investor-owned utility companies in the United States, PPL Corporation is committed to creating long-term, sustainable value for our customers and communities we serve. · ...

As a Finance Business Partner IT - Sr Analyst at PPL Corporation, you will develop effective partnerships with line of business management teams and support planning and decision-making processes. · Solve business problems and analyze business results. · Provide accurate and time ...

Interviews patients or patient representative in order to obtain complete and accurate personal and financial patient information; follow-up on missing data by interviewing patients, families or calling employers, nursing homes and other facilities. · ...

+The Director of Quality and Safety reports to the Brown University Health Vice President of Quality & Safety. · ++ The director leads a highly skilled team of quality and patient experience specialists focused on meeting customer needs and exceeding their expectations. · ,+ Over ...

The Account Manager will be responsible to manage the delivery of exterior services for a specific portfolio of client locations in the regional geographic footprint they are assigned. · The main functions of the Account Manager are to manage high levels of on-time delivery execu ...

+ LI Job summary · Provides a well-focused psychosocial and discharge planning assessment of patient and family · ...

The Social Services Clinician provides psychosocial assessments and develops treatment plans for patients at Butler Hospital. · Masters in Social Work (MSW) or Master's degree in Counseling. · ...

The Social Services Clinician performs utilization review functions and serves as the primary liaison with EROs. They are responsible for conducting initial reviews of all cases within 24 hours, · performing concurrent review procedures including pre-admission, admission, continu ...