Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ... Work Shift: Per diem weekends and holiday. Other days available if staff have availability.
Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ... Work Shift: Per diem weekends and holiday. Other days available if staff have availability.
Description The Utilization Review Coordinator reflects the mission, vision, and values of NM ... Not in Patient Care Giver RoleEmployment Type: Part-time
Description The Utilization Review Coordinator reflects the mission, vision, and values of NM ... Not in Patient Care Giver RoleEmployment Type: Part-time
Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ... Work Shift: Per diem weekends and holiday. Other days available if staff have availability.
Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ... Work Shift: Per diem weekends and holiday. Other days available if staff have availability.
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 0800-1630 | Weekend Requirements: N/A | 0.6 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
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.
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.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
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 ...
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 ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time ... Completes first level reviews within the scope of practice relevant to the clinical area(s ...
Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time ... Completes first level reviews within the scope of practice relevant to the clinical area(s ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Utilization Mgmt Rep- Per Diem (As Needed)
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
Utilization Mgmt Rep- Per Diem (As Needed)
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
Utilization Management Nurse (RN) - Part Time
Annapolis, MD · On-site
$34 - $55/hr
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
New
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
New
Part Time Weekend Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
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What is the difference between Part Time Weekend Utilization Review vs Part Time Weekend Medical Coder?
| Aspect | Part Time Weekend Utilization Review | Part Time Weekend Medical Coder |
|---|---|---|
| Certifications | Utilization Review Certification, Medical License (if applicable) | Certified Professional Coder (CPC), Certified Coding Specialist (CCS) |
| Work Environment | Healthcare facilities, insurance companies, remote options | Hospitals, clinics, remote coding jobs |
| Job Focus | Reviewing medical necessity, authorizing services | Translating medical records into billing codes |
| Industry Usage | Insurance, healthcare management | Medical billing and coding |
Part Time Weekend Utilization Review involves assessing medical necessity and authorizing healthcare services, often requiring specific utilization review certifications. In contrast, Part Time Weekend Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are common in healthcare but serve different functions within the industry.
Part-time
Medical, Dental, Vision, Life, Retirement
Posted 6 days ago
Job description
Come work at the best place to give and receive care!
Job Description:
This Role is On-Site
Who We Are:
Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.
About the Job:
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials
What You'll Do:
- Assess acute medical necessity utilizing appropriate criteria.
- Collect and trend Utilization Review data metrics.
- Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
- Understand and apply CMSRegulations to meet compliance
Who You Are:
- Current NH Nursing License as a Registered Nurse.
- ASN accepted; BSN required within 10 years of hire.
- A minimum of 5-years' of experience as a Registered Nurse.
- Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.
Why You'll Love Us:
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Short-term, long-term disability, life & pet insurance
- Student Loan Forgiveness & Discounts
- 403(b) Retirement savings plans
- Continuous earned time accrual
& So much more!
Work Shift:
Per diem weekends and holiday. Other days available if staff have availability.SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
About SolutionHealth
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Nashua, NH, US
Year founded
2018