Director of Utilization Review - Raleigh

+Job summary · We are seeking a Utilization Review & Revenue Cycle Coordinator who is detail-oriented...++Track and manage authorizations... · ...

Your experience matters. Triangle Springs is a behavioral health hospital located in Raleigh NC that provides inpatient and outpatient programming for those facing mental health and addiction challenges. · ...

The Utilization Review Supervisor will work with a team to break down barriers and ensure quality and timely determinations are delivered to providers and members. · Coordinating and providing care management and care that is timely, effective, efficient, equitable, safe, and mem ...

We're seeking a Utilization Review & Revenue Cycle Coordinator who is detail-oriented, · organized and proactive—someone who understands the importance of payer compliance, · authorization management and clean revenue cycle processes in behavioral health and substance use disorde ...

The Director of Utilization Review will ensure utilization review activities are completed accurately and in a timely manner. · Oversees the UR department. · Ensures all pre-certifications are completed for inpatient and outpatient services. · Ensures all re-certifications are co ...

Triangle Springs is a behavioral health hospital located in Raleigh, NC. We provide inpatient and outpatient programming for those facing mental health and addiction challenges. · ...

Dane Street, a nationally recognized leader in Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding its panel of physician reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active Louisiana medical license to perfo ...

h2>Job summary · p> The Utilization Review Coordinator initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans and provides concurrent reviews throughout the patient stays./p> ...

We are seeking a licensed Behavioral Health Utilization Review Clinician to support psychiatric case review and authorization determinations. This role is provider-facing and involves evaluating clinical documentation to determine medical necessity across all levels of psychiatri ...

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. · JOB SUMMARY · Utilizes clinical expertise, review ...

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. · Physician Specialties: · Psychiatry, Addiction Ps ...

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. · Physician Specialties: · Clinical Genetics · JOB ...

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. · Physician Specialty: Endocrinology - · Need a Gen ...

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. · Physician Specialties: · Diagnostic Radiology · J ...

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. · Physician Specialties: Stem Cell Transplant - See ...

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license and Workers Compensation Board Certification to co ...

+ Job summary + · Are you looking to find meaningful work and positively impact the lives of the residents of North Carolina? If your answer is yes, then we want you to join our team at the Utilities Commission and make a difference. · + ResponsibilitiesInvestigate and analyze fi ...

Dane Street is expanding our physician panel Due to added clients and increased volume, we have an urgent need for board-certified, licensed physicians to support Disability Peer Reviews as a Designated Medical Officer. · Currently, we are seeking the following specialties licens ...

Dane Street is expanding our physician panel Due to added clients and increased volume, we have an urgent need for board-certified Physicians to support Disability Peer Reviews. · JOB SUMMARY · Physician Reviewer/Advisor utilizes clinical expertise to review medical records provi ...

Agency · Dept of CommerceDivision · Utilities-Public StaffJob Classification Title · Public Utilities Regulatory Analyst II (NS)Position Number · Grade · NC20About Us · The North Carolina Department of Commerce is the state's lead agency for economic, community and workforce deve ...