Utilization Review Nurse

Join Our TeamWe're seeking a Clinical Appeals Coordinator to join our team! As a key member of our Utilization Review department, you will be responsible for reviewing and analyzing clinical medical necessity and level of care appeals for denials related to external audits by government and third-party payors. Your expertise will help us identify areas for...

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...

Dane Street, LLC is a leading provider of independent medical exams and physician advisory services. We are seeking a highly skilled Board Certified General Surgeon Physician Advisor to join our team of expert reviewers.About the OpportunityThis is a telework opportunity that offers a robust chance for supplemental income. As a Physician Reviewer/Advisor,...

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...

We are looking for an experienced Community/District Nurse to join our team on a 3-month locum contract in Dover.As a Community/District Nurse, you will work independently, utilizing your skills and knowledge to provide high-quality patient care.Key benefits of this role include effortless registration, compliance made easy, exclusive opportunities, expert...

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...

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 OverviewWe are seeking a highly skilled and experienced Project Manager to join our team at the Port of Dover. The successful candidate will be responsible for managing a range of projects designed to deliver on our Port Wide Energy Strategy.About the RoleThis is an exciting opportunity to work in a live operational port environment, requiring a...

We are seeking a highly organized and detail-focused Admin Coordinator to join our client's team in the Southeast of Kent.Job DescriptionUpdate and maintain accurate records of suppliers and performance metrics, utilizing Microsoft Office tools.Conduct regular reviews of supplier performance, identifying areas for improvement and potential risks.Travel to...

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...

Salary: £11.47 per hourWe are seeking genuinely caring Female Support Workers with a passion for enhancing the quality of life of the people we support.The role involves helping individuals gain more independence in their daily lives while working within a dynamic team to support a fantastic group of people.This is a rewarding opportunity to work closely...