Part Time Insurance Utilization Review Jobs (NOW HIRING)

This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...

A Farmers Insurance agency is seeking a professional, dependable, and customer-focused Part-Time ... coverage reviews, renewals, and client follow-up Identify opportunities to round out client ...

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME

The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management ... Familiarity with insurance authorization processes and managed care systems. * Excellent ...

FTE: Part-Time (.6) ????️ Schedule: Weekend Only (12-hour shifts) Evaluates patient medical ... Three (3) years of utilization review, case management, or third-party payer experience.

... part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) ... Insurance and Utilization Management Maintains working knowledge of CMS requirements and ...

Reviews the medical record by applying utilization review criteria, to assess clinical, financial ... Pay Range $34-$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...

Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Utilization Review Nurses and Managers for follow up Verify insurance information provided by ...

Utilization of Interqual, MCG care web QI or Indicia evidence based guidelines is strongly ... Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

Utilization of Interqual, MCG care web QI or Indicia evidence based guidelines is strongly ... Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

Provide all clinical data requested by insurance companies for pre-authorizations and all reviews ... Coordinate and communicate with the full time utilization management specialist to ensure ...

Provide all clinical data requested by insurance companies for pre-authorizations and all reviews ... Coordinate and communicate with the full time utilization management specialist to ensure ...

As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE

Experience in Utilization Review, Case Management, Clinical Documentation Improvement, and Medical ... Term Life Insurance Plan. Required Employment / Compliance Language Medix is an equal opportunity ...

... insurance medical directors. Provide subject matter expert guidance regarding utilization ... Provide secondary level physician reviews and continuing stay reviews. When available, participate ...

... | Part-Time Hours Compensation: * Orthodontist: $145/hour * Pediatric General Dentist: $130/hour ... Experience with Medicaid or utilization review preferred * Familiarity with HLD Index strongly ...

Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type ... Conduct peer‑to‑peer reviews and outpatient physician education to improve documentation ...

The Case Manager P.T. participates in marketing of the program, obtaining input from the persons service and the ongoing program evaluation, quality improvement and utilization review systems.

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...