- Highmark Health (Pittsburgh, PA)
- …:** **JOB SUMMARY** This job is responsible for the execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The ... and secure financial recoveries when necessary, and/or to develop action plans for cases referred to law enforcement, if applicable. **ESSENTIAL RESPONSIBILITIES**… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... appeals and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all… more
- City of New York (New York, NY)
- …and stormwater plans . - Utilizing the agency database for project review , incorporating a wide variety of layers including soils and topography during ... and field reports that record project progress. Correcting suspected plan inconsistencies, and potential or existing deficiencies and provides...Ability to write and edit reports. - Ability to review and analyze drawings, plans and maps.… more
- TD Bank (Burlington, VT)
- …for cash and/or equity incentive awards, generally through participation in an incentive plan ) and several other key plans such as health and well-being ... credit professional and individual contributor on the team, the Loan Review Commercial Examiner II independently conducts borrower file reviews within the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Utilization Review Manager* to join ourTransitional Care Team.Thisis a full-time role. *Purpose of this position: *Manages ... the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include supervising staff performing… more
- Providence (Tarzana, CA)
- **Description** **Peer Review RN to join our Risk Management team at Providence Tarzana Medical Center in Tarzana, CA. This position is full-time and will work day ... shifts.** The Peer Review RN is responsible for facilitating the design, implementation...Risk caregivers, facilitates medical staff and nursing leadership action plans on designs and implements to address trends in… more
- HCA Healthcare (Houston, TX)
- …important to you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with every stage...life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that… more
- UTMB Health (Webster, TX)
- …+ Assists health care providers in monitoring patients with complicated treatment plans through multidisciplinary conferences and medical record review . + ... Utilization Review Case Mgr CMC- Clear Lake Center **Webster,...as clinical needs. + Demonstrates skill in developing discharge plans for the offender/patient with the receiving unit or… more
- Boehringer Ingelheim (Duluth, GA)
- … Review Committee Perspective and fully understands the integrated strategic brand plans to efficiently and effectively manage the review , approval and ... reflect Boehringer Ingelheim's high regard for our employees. The Associate Manager, AH Review Committee is a strategic partner and the single point of contact for… more
- City of New York (New York, NY)
- …properly evaluated. - Assist in the development and formulation of corrective action plans involving the Renewal and Review Conference units within the Rental ... the Director of the Rental Subsidies, over the Renewal and Review Conference units within the Homelessness Prevention Administration (HPA)/ Legal Initiatives/Rental… more