Utilization Review Specialist - Fort Worth, TX

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 ...

+Job summary · + Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. · + · ...

The Utilization Review Specialist at CLEARFORK ACADEMY is responsible for advocating for insurance authorizations and clinical appeals by reviewing and evaluating medical records to support medical necessity. · This role ensures appropriate level of care, length of stay, · and co ...

The Utilization Review Specialist is responsible for advocating for insurance authorizations and clinical appeals by reviewing and evaluating medical records to support medical necessity. · ...

Mesa Springs is part of Lifepoint Health. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. · ...

We are seeking a · Damage Review Specialist responsible for reviewing property damage and hazard-related documentation.This role supports hazard insurance claim creation by identifying insurable losses through detailed document review. · Review photos, damage reports, weather da ...

The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs.This position involves coordinating, assessing, and authorizing treatment plans, collaborating with medical staf ...

The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. · Case Review and AssessmentConduct daily reviews of patient charts, · treatment plans,and progress notes to de ...

The Specialist is responsible for the intake and review of Trustee Sale Guarantees, Title Reports, · Lien Reports, and other title-related products for Non-Judicial states.This role ensures · the use of best practices to support non-judicial foreclosure processes and achieve clea ...

The Mortgage Law Firm seeks a Foreclosure Title Review Specialist to review Trustee Sale Guarantees, Title Reports, Lien Reports, and other title-related products for Non-Judicial states. · ...

Se busca especialista en revisión de denegaciones clínicas para trabajar desde casa. · Triage incoming inventory · validating appeal criteria is met in compliance with departmental policies and procedures · Review Medicare Recovery Audit Contractor (RAC) recoupment requests and p ...

This role involves maintaining operational excellence in document review for mortgage processing. · Wire funding · Processing invoices · Facilitating mortgage document execution · ...

Maintain and develop a culture of operational excellence. · ...

We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. · Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures · R ...

CornerStone Professional Placement is seeking a Quality Assurance Specialist for a healthcare and pharmaceutical company based in the Fort Worth area. · ...

The Mortgage Operations Specialist serves a multi-purpose role and fulfills the responsibilities of a Mortgage Loan Specialist (Processor), Closing Coordinator, and Department Support. · ...

Healthcare United seeks a BC/BE Urologist physician in Fort Worth, TX. Robotics training preferred but not mandatory. · Hospital-Employed position · Responsibilities: · As a urology specialist you will provide medical care services on an outpatient basis such as diagnosis treatm ...

The QI/QM Nurse Specialist will assist facilities to improve 5-Star Ratings with emphasis on Quality Measures through ongoing education and monitoring the MDS process. · Assist facilities in improving overall 5-Star Ratings with emphasis on Quality Measures through ongoing educat ...

This role will serve as the primary TrackWise SME, · leading end-to-end quality investigations, · deviations, complaints and CAPAs while ensuring compliant · documentation and root cause analysis. · $42-50/Hour + Benefits · ...

As an Engineer at Oncor Electric Delivery Company LLC you'll provide in-house support to Transmission Operations including establishing relay/SCADA protection philosophies developing reviewing procedures supporting IED devices providing training promoting safe reliable operation. ...