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Review and study structural and architectural drawings of the project then produce fabrication and erection drawings using SDS, Tekla or other software. SDS and/or Tekla utilization experience; Wilhelm uses Tekla for their drafting/detailing software.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Works with Event Sales Manager, other Sales Managers, and Revenue Management to assure maximum utilization of facility. Participates in daily business review meeting, weekly sales meetings, function specific training, mystery shopping and other sales related meetings as required.
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Credential in health information/coding or auditing (e.g. RHIA, RHIT, CCS, CCS-P, CPC, or CFE) and experience with utilization review, coding, or retrospective medical claim auditing is desired.
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Conducts admission interviews by collecting medical, social, emotional, and demographic data and assess for appropriateness of admission to Detox based on written policies and the Utilization Review Manual.
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Knowledge of health insurance/benefits, medical management process, care management, and utilization review management strongly preferred. is responsible for the Case Management and Utilization Management of the complex transplant membership.
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Work schedule: 1st week – 4x10 hour weekdays, 2nd week – 3x12 days to include weekends and holidays, and starting at 5 pm or 10 pm EST. The BH Care Manager I responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.
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This position exists to provide clinical expertise, physician leadership, utilization management, and utilization review expertise to support our patients, providers, and Revenue Cycle Teams.
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Associate degree in healthcare plus a minimum of three (3) years’ experience in a utilization review/case management position, outpatient primary care, care coordination and care management or equivalent combination of education and experience.
$23 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Technology Utilization: Utilize fraud detection tools and technologies to enhance monitoring capabilities and streamline investigation processes. Continuous Improvement: Continuously review and enhance fraud detection and prevention processes to adapt to evolving fraud trends and techniques.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Conduct intake assessments to collect medical, social, emotional, and demographic data to assess for appropriate admissions into Withdrawal Management based on written policies and the Utilization Review manual.
Part-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Ensure cGMP Compliance through establishment and utilization of appropriate quality systems and resources. Ensure that QA review and/or approval occurs for various cGMP documents including Quality Plans, Quality System documents, deviations, change controls, protocols, batch records, audit related documents, etc.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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As a Medical Director you will focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews and reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed.
$374,900Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job Summary: The Psychiatrist takes on a crucial role by providing clinical leadership for peer and utilization review activities within the company. Preferred Qualifications/Experience: Experience in Utilization Management with knowledge of Medicaid programs.
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A cost containment background, such as utilization review or managed care is helpful. Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy.
$96,662 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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A strong knowledge of Quality Assurance and Utilization Review. Utilization Management review experience. Experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical staff on healthcare business and practice issues.
$312,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 21 days ago
review utilization jobs in Indiana, IN
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