Utilization Review Nurse

Job Opportunity: We are excited to announce a job opening for a Clinical Reviewer for External Audits at Intermountain Healthcare. As a key member of our team, you will be responsible for reviewing medical records and communicating with stakeholders to support appeals.About the Position:The ideal candidate will have a strong understanding of federal...

Job Summary: We are seeking a talented Clinical Reviewer for External Audits to join our team at Intermountain Healthcare. In this role, you will be responsible for reviewing medical records and communicating with stakeholders to support appeals.About Us:As a leading healthcare organization, we value our caregivers' well-being – mind, body, and spirit –...

Job Title: Clinical Reviewer for External AuditsJob Description:We are seeking a highly skilled Clinical Reviewer for External Audits to join our team at Intermountain Healthcare. As a key member of our utilization review team, you will be responsible for reviewing governmental contractors' response letters and medical records to determine the viability of...

General Surgery Physician AdvisorDane Street is expanding its physician panel and seeks a board-certified general surgeon physician advisor to provide expert medical opinions for independent medical exams. As a remote opportunity, this position offers flexible scheduling and predictable work hours.The ideal candidate will hold a Delaware State Medical...

Estimated Salary: $200,000 - $300,000 per year">Dane Street, LLC is expanding its team of independent medical exam specialists. This telehealth opportunity offers a flexible schedule and the chance to provide supplemental income as a physician advisor.Job Description:Key Responsibilities:Review medical records and provide expert opinions on insurance...

Independent Medical Exam (IME) PhysicianDane Street LLC invites applications from board-certified general surgeons for a part-time physician advisor position. As an IME physician, you will provide expert medical opinions for insurance appeals and claims reviews.The ideal candidate will possess a Delaware State Medical License, board certification in general...

Nursing Practice Strategist At Intermountain Healthcare, we are seeking a skilled Nursing Practice Strategist to lead our evidence-based nursing practices. This role has enterprise-wide accountability to research and track evidence-based nursing practices and requires frequent communication with nursing leaders across the enterprise.About the Role:This...

Evidence-Based Nursing ExecutiveWe are seeking an exceptional Evidence-Based Nursing Executive to join our team at Intermountain Healthcare. As a key member of our organization, you will be responsible for leading our efforts in implementing evidence-based nursing practices across the enterprise.About the Role:This position involves providing direction for...

Job Summary:As a Clinical Audit Specialist at Intermountain Healthcare, you will play a critical role in reviewing and analyzing medical records to ensure the clinical medical necessity of care appeals. With three years of experience in utilization review or care management, hospital insurance billing, third-party claim audits, or auditing in a healthcare...

Job OverviewA Medical Necessity Specialist is needed to review and analyze clinical medical necessity and level of care appeals for denials related to external audits by government and third-party payors. This role will actively manage, maintain, and communicate all levels of denial and appeal activity to appropriate stakeholders.Salary Range$36.35 - $54.53...

Camp Healthcare Professional OpportunityWe are seeking a skilled Camp Nurse/EMT to join our team for the summer season. As a camp healthcare provider, you will play a critical role in ensuring the health, safety, and well-being of our campers.The primary responsibilities of this position include: Healthcare management: Manage all camper and staff health...

Clinical Quality Improvement LeaderIntermountain Healthcare is seeking a skilled Clinical Quality Improvement Leader to join our team. In this role, you will be responsible for leading our efforts in implementing evidence-based nursing practices and improving patient outcomes across the enterprise.About the Role:This position involves spearheading the...

Remote Physician OpportunityWe are seeking a board-certified general surgeon physician advisor to provide expert medical opinions for independent medical exams. As a telehealth medical advisor, you will review insurance appeals and claims, ensuring that services are medically necessary and in compliance with client-specific policies and national...

Estimated Salary: $250,000 - $350,000 per year">Dane Street, LLC is seeking a highly skilled General Surgeon to join its team of physician advisors. As an independent medical exam specialist, you will play a critical role in reviewing medical records and providing expert opinions on insurance appeals, prospective, and retrospective claims.About the...

About the Job:As a Referral Representative at Intermountain Health, you will work closely with healthcare teams to coordinate patient care and navigate complex referral processes.Key Responsibilities:Collaborate with physicians, nurses, and other healthcare professionals to obtain and process referrals, ensuring compliance with regulatory...

About the RoleWe are seeking a skilled and compassionate Camp Nurse/EMT to join our team at JCC Greater Boston. This is a great opportunity for a medical professional to work in a fun and dynamic environment, providing excellent healthcare services to children and staff.The Camp Nurse/EMT will play a critical role in ensuring the health, safety, and...

Job OverviewAs a Care Coordination Specialist with Intermountain Health, you will play a vital role in supporting the health and well-being of our patients. This is a fully remote position that requires strong communication skills and the ability to work independently.**Key Responsibilities:*** Assess and document patients' socio-economic reviews and...

Highmark Health Senior Pricing Analyst Job SummaryThe Chief Actuary position at Highmark Health is a critical leadership role responsible for the daily, weekly, monthly, and annual actuarial functions associated with HM Insurance Group (HMIG). This role will lead the organization's product and pricing strategy, provide overall direction relative to the...

We are Lynx Therapeutics, a leading specialty healthcare company focused on innovative segments of the U.S. pharmaceutical market.The estimated salary for this position is $80,000 - $110,000 per year, depending on experience and performance.Job Description:This is an exciting opportunity to join our team as a Pharmaceutical Sales Representative. As a...

About the Role:We are seeking a highly skilled Freelance Site Engineer to join our team at Kenton Black Ltd. The successful candidate will be responsible for delivering complex projects, with a minimum of 5 years' experience in setting out and project management.Key Responsibilities:Set up and manage site operations, including total stations and traditional...