- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service ... medical necessity and/or compliance with reimburesement policy criteria. Provides case management and/or consultation for complex cases. Assists departmental staff… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 860920 Agency: Commission on Offender Review Working Title: GOVERNMENT ANALYST II - 78003000 Pay ... Government Analyst II - CS FLORIDA COMMISSION ON OFFENDER REVIEW Internally Agency The Florida Commission on Offender Review… more
- Deloitte (Detroit, MI)
- Senior Consultant - National Federal Tax Services - Strategic Tax Review (STR) Do you have excellent tax compliance skills and a strong desire to join a cutting-edge ... up of multiple tax service offerings including Strategic Tax Review , Inventory Tax Services, and Meals & Entertainment ...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Deloitte (Los Angeles, CA)
- …facts patterns and laws, regulations, cases and administrative guidance. + Comprehensive review of information to understand a Client's business and its tax returns. ... up of multiple tax service offerings including Strategic Tax Review , Inventory Tax Services, and Meals & Entertainment ...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Sanford Health (WI)
- …use in Medical Staff peer review processes and activities to include case review , Ongoing and Focused Professional Practice Evaluation, and evaluation of ... **Salary Range:** $31.00 - $49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes...The Peer Review Specialist facilitates provider peer review processes at a regional level. Assists in the… more
- AdventHealth (Orlando, FL)
- **Population Health Case Manager (RN) AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days ... ST, Orlando, FL, 32804 **The role you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight… more
- Huntington Ingalls Industries (Pascagoula, MS)
- CARPENTER (DISCRETE REVIEW POSTED BASIC QUALIFICATIONS) Location: Pascagoula, Mississippi, United States Date: Sep 8, 2025 Req ID: 42440 Team: 10 Carpenters Entity: ... your request and your contact information. Reasonable accommodations are considered on a case -by- case basis. Please note that only those inquiries concerning a… more
- CVS Health (Harrisburg, PA)
- …insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review . - Documents all appropriate case activity in case ... tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters. - Assists team in identifying resources and best course of action on… more
- CVS Health (Salt Lake City, UT)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- Molina Healthcare (Rochester, NY)
- …implementation of proactive approaches to improve and standardize overall retrospective claims review . * Ensures core system is updated correctly to process claim.. ... Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review . **Required License, Certification,… more