Utilization Review Jobs in Wilmington, DE

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

A Registered Nurse (RN) administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and the plan of care per state Practice Act. In this role you will report to the Director of Nursing (DON).D More...

A qualified Licensed Practical Nurse (LPN) administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Registered Nurse (RN). Servic More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

SUMMARY: The Extended Day Program Coordinator is responsible for coordinating all aspects of before and after school programs in six schools in grades K5 including overall program design philosophy and daily operation. Additionally the Extended Day Program Coordinator is responsible t More...

ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews in accordance with certification requirements of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication conce More...

BAYADA Home Health Care has an immediate opening for a Clinical Educatorin our Wilmington DE Adult Nursing Office. If you are looking for an exciting career opportunity in a growing industry a Clinical Educatorcould be the position for you!Do you want to be part of providing care with More...

A Registered Nurse (RN) administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and the plan of care per state Practice Act. In this role you will report to the Director of Nursing (DON).D More...

A qualified Licensed Practical Nurse (LPN) administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Registered Nurse (RN). Servic More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

Working with UsChallenging. Meaningful. Lifechanging. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the lat More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

Mission StatementThe Salvation Army an international movement is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His n More...

PAY GRADE: 29ECONTEXT OF THE JOB:Osher Lifelong Learning at the Wilmington campus is a membership organization which in cooperation with the Division of Professional and Continuing Studies provides opportunities for cultural and intellectual development for individuals age 50 and olde More...

Operations personnel provides support to the warehouse by performing basic office functions such as answering phones and entering data into the WMS using spreadsheets and data base software to maintain records. Compile poundage reports report in stock and label changes and create and More...

ESSENTIAL FUNCTIONS:Monitor and report on key metrics such as cash collections days outstanding unbilled denials daily census etc. in conjunction with the CFO.Establish and maintain controls for all cash collected and posted in patient accounting system.Maintain effective communicatio More...

Engagement Type Contract Short Description Program Coordinator Division of Vital Records Complete Description As the Program Coordinator you will be responsible for assisting with the daytoday program needs of the Vital Records Data Quality team. The purpose of this position requir More...

Job Description Partnership with Children provides critical counseling schoolwide services and family and community outreach in New York City public schools most impacted by the effects of poverty and trauma so students can reach their full potential. The ideal Program Operations More...