• Institutional Review Board Administrative…

    Alaka'ina Foundation Family of Companies (Camp Lejeune, NC)
    Institutional Review Board Administrative Support Services Location NC - Camp Lejeune Job Code 13003 # of openings 1 Apply Now ... Family of Companies (FOCs) is possibly looking for an Institutional Review Board Administrative Support to provide research support administration services for… more
    Alaka'ina Foundation Family of Companies (06/07/25)
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  • Utilization Review Clinician (Santa Rosa)

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN/LCSW/LMFT/LPCC ... $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of multi-disciplinary treatment team reviewing patient care… more
    Sacramento Behavioral Healthcare Hospital (07/04/25)
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  • Patient Records Coordinator

    Option Care Health (Irving, TX)
    …routine clerical duties such as data entry, filing, compiling and/or posting records , and photocopying as needed in the department. Scanning, indexing, processing ... worksheets). + Basic level skill in Microsoft Word (for example:opening a document , cutting, pasting and aligning text, selecting font type and size, changing… more
    Option Care Health (08/01/25)
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  • Utilization Review Intake RN Behavioral…

    AdventHealth (Glendale Heights, IL)
    …of pending denials, which have been referred to the physician for peer-to-peer review with the Medical Director of the insurance carrier. Qualifications **The ... Registered Nurse (RN) is to use clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment, and appropriate level of… more
    AdventHealth (06/13/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Britelife… more
    BriteLife Recovery (08/03/25)
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  • LVN - Quality Assurance/Utilization Review

    Emanate Health (Covina, CA)
    …United States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... decisions using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical more
    Emanate Health (07/23/25)
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  • School Contract Review Specialist…

    Family of Kidz (Westbury, NY)
    School Contract Review Specialist & Processor Job Title: School Contract Review Specialist & Processor Location: Westbury, NY (On-Site - Long Island) Position ... We are seeking a detail-oriented and reliable School Contract Review Specialist & Processor to join our team in...gather necessary documentation and approvals. + Maintain organized digital records of contract documents. + Flag and follow up… more
    Family of Kidz (06/06/25)
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  • Senior Estimate Review Specialist

    Sedgwick (San Francisco, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and ... reviews, and sends fair and accurate estimates through various platforms. + Records data around initial estimates reviewed, number of reviews, and rejections on… more
    Sedgwick (06/29/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Annapolis, MD)
    …additional licenses as needed. + Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies ... thinking and knowledge in clinically appropriate treatment, evidence-based care and medical necessity criteria for appropriate utilization of services. + Consults… more
    CVS Health (07/24/25)
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  • Patient Care Technician - PCT Ccht - Dialysis

    Fresenius Medical Center (Fort Washington, MD)
    review ) + Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance ... regarding appointments + Weigh patient and obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete / missing … more
    Fresenius Medical Center (06/14/25)
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