Medical Necessity Care Specialist

Job OverviewThis role involves conducting peer reviews and clinical case consultations with insurance payers to secure continued stay authorizations.The ideal candidate will be a licensed clinical or medical professional who is deeply familiar with behavioral health documentation and insurance requirements.Main ResponsibilitiesConduct comprehensive chart...

Job Title: Medical ReviewerThe Role:We are seeking a skilled medical professional with expertise in wound care to manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials.Key Responsibilities:Manage records progress for wound care intakePull reports and documents for patients who are at home...

Job OpportunityThe Utilization Management Specialist plays a pivotal role in assessing and interpreting customer needs, requirements, and medical records. This position demands active licensure and participation in professional networks.Experience in bedside care with UR/UM experience is preferred but not required.

Medical Reviewer Position">We are seeking a skilled medical reviewer with expertise in wound care to join our team.''', 'Job Description:The Medical Reviewer will be responsible for managing patient wound care records, verifying insurance eligibility, and coordinating the supply of essential medical materials.Responsibilities:Manage patient wound care...

Healthcare SpecialistWe are seeking a skilled professional to join our team in a dynamic and growing organization.Key Responsibilities:Demonstrate expertise in assessing and interpreting customer needs, requirements, and medical records.Review medical claims for medical necessity with attention to detail and accuracy.Maintain accurate and up-to-date records...

Job Description:">We are seeking a detail-oriented and highly skilled professional to support our Residential, PHP, and IOP levels of care. This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.">Key Responsibilities:">">Conduct comprehensive client chart...

Expert Wound Care SpecialistWe are seeking a skilled professional to manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials.Pull reports and documents for patients who are at home with wounds at time of review. Communicate with the Payer team to determine which patients have insurance...

OverviewThe Medical City Clinic is searching for a Medical Technologist to join the team and help lead the organization to the next level. This role is responsible for carrying out laboratory tests and procedures and prepares necessary results. This role reports directly to the Clinic Manager of TMC Clinic Waltermart Bicutan.ResponsibilitiesExplains...

Job OpportunityThis role is designed for a licensed clinical or medical professional with expertise in behavioral health documentation and insurance requirements.The ideal candidate will be responsible for conducting peer reviews, case consultations, and interfacing with payers to obtain continued authorization.Key Responsibilities:Conduct comprehensive peer...

Job OverviewThe role of Remote Healthcare Assistant is a critical position within our organization, focusing on delivering exceptional patient care and support remotely.This position plays a vital part in redefining the future of work for companies worldwide by providing timely and professional interaction with patients, referrals for specialized healthcare...