to ensure appropriate process changes are implemented. Supports the Medical Staff Quality Review process by identification... and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family...
. Growing together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication.../Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding...
(Required) Work Shift: 1st shift (United States of America) Please review the following job description: The Team Coordinator III... to have strong computer skills, attention to detail, and the ability to build partnerships across the organization. They take ownership...
. We offer a comprehensive benefits package that may include medical, dental, and vision coverage, life insurance, a retirement plan, employee.... Job Description: Job Description Allied Universal® is hiring a Field Supervisor. The Field Supervisor supports operations for remotely managed accounts...
, and teamwork? At Ntiva, we’re more than a Managed Services Provider, we’re a community dedicated to helping each other, our clients... for Information Technology (IT) and act as an extension of the client’s organization. You will be responsible for developing, managing...
screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits. Obtains... Medical Center's Quality Standards and maintain a positive patient experience at all times. This position will initially...
OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work... and prepares chart documentation to establish that Medical Necessity guidelines have been met. Prepares and completes documentation...
, and will be part of an outcome-oriented treatment plan developed with in a managed care framework, which includes periodic reviews... for appropriateness of services and intensity. The individual in this Job will participate actively in the treatment planning and review...
Job Description: Utilization Review RN Lead II – BPM Who We Are: UST HealthProof is a trusted partner... all, equitably and effectively. You Are: UST HealthProof is searching for a highly motivated Utilization Review RN...
DevOps engineers managed through an MSP partnership. Review and approve DevOps solution architecture, standards... engineers provided by a managed service provider (MSP), ensuring secure, scalable, and compliant CI/CD pipelines and automation...