Utilization Review Jobs in Philadelphia
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Search Results - Utilization Review Jobs in Philadelphia
TalentBurst, Inc.-Philadelphia
and selecting the proper drug, dosage form, strength and quantity. You will monitor patient profiles and perform a drug utilization review for medication appropriateness, duplicate therapy, side effects, drug interactions, etc.
Throughout the work period you...
resume-library.com -
TalentBurst, Inc-Philadelphia
and record retention, for the filling of medication orders timely and accurately, and selecting the proper drug, dosage form, strength and quantity. You will monitor patient profiles and perform a drug utilization review for medication appropriateness...
Jefferson Health Plans-Philadelphia
served.Perform utilization, pharmacy, and quality reviews.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Perform utilization review for requests for services including...
mindmatch.ai -
Encompass Health-Philadelphia
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
Jefferson Health Plans-Philadelphia
the organization complies with regulatory requirements, avoiding penalties and legal issues.
Streamline Medical Management Processes
• Optimize processes related to utilization management, care coordination, and claims review.
• Align medical management practices...
mindmatch.ai -
Philadelphia
on any of these protected categories. Know Your Rights: [...]
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech...
icims.com -
Capital Health (US)-Pennington (NJ), 41 mi from Philadelphia
and basis for expectation of a 2 midnight stay). Refers cases as appropriate, to the UR physician advisor for review and determination.
• Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis...
Philadelphia
Overview:
PURPOSE STATEMENT:
Belmont Behavioral Hospital is seeking an Admissions Counselor to join the Admissions team. Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes...
icims.com -
Insight Global-Camden (NJ), 10 mi from Philadelphia
Insight Global Health is searching for multiple Utilization Review/Utilization Management nurses to join our growing team in Camden, NJ. This team currently works hybrid.
Requirements:
• Active NJ RN license
• Minimum 1 year of experience working...
Inspira Health Network-Mullica Hill, 9 mi from Philadelphia
years of healthcare experience within the last 15 years; Management experience preferred
• 5+ years of case management and utilization review experience within the last 7 years
• Knowledge of MCG criteria and understanding of Centers for Medicare...
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