Utilization Review jobs in Providence, RI

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Nurse Reviewer
Blue Cross Blue Shield of Rhode Island 7 reviews - Providence, RI
Professional Utilization Review certification... Understanding of utilization review techniques including all aspects of the medical review function...
Sponsored by Blue Cross Blue Shield of Rhode Island - 30+ days ago
Transitions Care Manager
Neighborhood Health Plan of Rhode Island 4 reviews - Providence, RI
degree a plus - CM Certification - Medical Utilization review experience - Long term care experience... but not limited to: - Reviews MDS assessments from...
Sponsored by Neighborhood Health Plan of Rhode Island - 30+ days ago

Clinical Reimbursement Manager

Genesis HealthCare 451 reviews - Fall River, MA 02720
Manages the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within...
2 days ago - save job - email - more...

Nurse Educator

HomeCare Hospice - Fall River, MA
Demonstrates responsibility for self-direction. Develops and provides educational programs for office and direct care professional staff that will improve...
Steward Health Care - 6 days ago - save job - email - more...

Contract Reporting Specialist

Amerinet, Inc. - Providence, RI
College degree or equivalent experience in business/ finance/ accounting. Three years experience in accounting/collections/customer service in a healthcare...
4 days ago - save job - email - more...

Clinician I

The Home for Little Wanderers 4 reviews - Walpole, MA
Travel by car. May participate in agency committees. Provide on-call coverage and crisis intervention as needed....
8 days ago - save job - email - more...

Service Delivery Manager

Ricoh 190 reviews - Providence, RI
Tracks asset lease expiration and/or projected end of service life dates, as required. Systems and IT literate -- understanding networks, security, print...
1 day ago - save job - email - more...

Manufacturing Manager

Tiffany & Co. 153 reviews - Cumberland, RI
Knowledge of JD Edwards business system. Provide coaching/support to address/resolve escalated conflicts regarding scheduling, production and personnel....
4 days ago - save job - email - more...

RI-14-089 Materials Examiner and Identifier

Army National Guard Units (Title 32) - North Kingstown, RI
Errors or omissions may affect your rating. receipt, storage and movement of hazardous and toxic materials and substances such as ammunition, explosives,... $42,830 - $55,680 a year
usajobs.gov - 6 hours ago - save job - email - more...

Case Manager

Sturdy Memorial Hospital 15 reviews - Attleboro, MA
expertise in Case Management /Utilization Review with knowledge of Medicare/Medicaid regulations;. proficiency in review criteria to support medical necessity...
30+ days ago - save job - email - more...

Fee for Service Clinician

Professional Counseling Associates, Inc - East Greenwich, RI 02818
Must be a qualified mental health professional as defined by the Rhode Island Department of Health. Participate in the development and implementation of...
Easily apply
12 days ago - save job - email - more...

Transitions Care Manager

Neighborhood Health Plan of Rhode Island 4 reviews - Providence, RI
Independent Clinical RI License required (RN, LICSW). BS Degree or RN with 3 years clinical practice. Computer literacy with Windows based applications....
30+ days ago - save job - email - more...
Clinical Reimbursement Manager
Genesis HealthCare 451 reviews - Fall River, MA
provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG... clinical resource utilization and/or case management...
Sponsored by Genesis HealthCare - 2 days ago
Tax Analyst
Experis 82 reviews - Providence, RI
competent in the utilization of CorpTax compliance... tax returns Review federal and multi- state and local income tax returns Perform high level review when...
Sponsored by Experis - 12 days ago
Fee for Service Clinician
Professional Counseling Associates, Inc - East Greenwich, RI
Compile, maintain and review clinical case records in... of Health. • Past experience in mental health and utilization of community resources is preferred. • Must...
Easily apply
Sponsored by Professional Counseling Associates, Inc - 12 days ago
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