- Conduent (Baton Rouge, LA)
- …**Are you eager to learn new skills and help adults in need?** As a Medical Benefit Review Services Associate, Regions 7 and 8, you will help disadvantaged ... addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability … more
- RWJBarnabas Health (Long Branch, NJ)
- …and Medical Technologist Status:Full-Time Shift:Day Facility:Monmouth Medical Center Department:Institutional Review Board Salary:$102,960.00 - ... Branch, NJ 07740 Job Title: Assistant Director Location: Monmouth Medical Center Department: Institutional Review Board Req#:...and financial health. + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental… more
- The County of Los Angeles (Los Angeles, CA)
- …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator, CCS.**...provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient… more
- HCA Healthcare (Nashville, TN)
- …geographical market and productivity. **What you will do in this role:** + Conduct medical record review , validate admission status order, conduct a medical ... authorized or denied and document in Midas + Utilize critical thinking skills to review and apply medical necessity criteria * Proficient in the application and… more
- Medical Center Hospital (Odessa, TX)
- …processes, including the collection and analysis of various computer-based data related to Utilization Review , Care Coordination, and Commercial Insurance . ... + Position Summary: Assists UM Department with utilization reviews… more
- Umpqua Bank (Tacoma, WA)
- Credit Review Director Audit and Loan Review Tacoma, Washington Portland, Oregon Lake Oswego, Oregon Irvine, California **Description** **About Us:** At Umpqua, ... to the Chief Audit Executive and the applicable Board committee, the Credit Review Director oversees the Bank's independent loan review activities; provides the… more
- Houston Methodist (The Woodlands, TX)
- …appropriateness of inpatient or observation services following review of relevant medical documentation, medical guidelines, and insurance benefits and ... (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...determinations + Recent work experience in a hospital or insurance company providing utilization review services +… more
- HCA Healthcare (Nashville, TN)
- …geographical market and productivity. **What you will do in this role:** + Conduct medical record review , validate admission status order, conduct a medical ... authorized or denied and document in Midas + Utilize critical thinking skills to review and apply medical necessity criteria + Proficient in the application and… more
- Sedgwick Government Solutions (Charleston, SC)
- …Utilization Review Case Manager RN (Remote) 2025-1434 Charleston, SC, USA Medical Services Full Time Description **Utilization Review Case Manager RN, ... as necessary. + Documents all utilization review outcomes in utilization review software. + Collaborates with case management, medical services, and the… more
- City of Baytown (Baytown, TX)
- …Medical plan + FREE access to gyms, Shipt, and Walmart+ through our employee medical insurance + Gym partnership with Lee College Wellness Center & swimming ... Plan Review Supervisor Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4889444) Apply Plan ...live and work well - 365 days a year. Medical + United Healthcare + Effective the first day… more
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