- Dignity Health (Rancho Cordova, CA)
- …for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical necessity using InterQual ... needs across the continuum of healthcare. Responsibilities may include: - Concurrently review patient's records to collect data to carefully understand the needs of… more
- Citigroup (Irving, TX)
- …- Capital and RWA Actuals Review Team (Finance CRO - CRRT) annual review plans + Communicating proactively testing progress and exceptions with Finance CRO - ... is within Finance CRO - Capital and RWA Actuals Review Team ("CRRT") whose mandate is to perform independent...team members in each location work together across different review areas through the course of the year. This… more
- City of New York (New York, NY)
- …The unit analyzes error trends and determines the need for corrective action plans and/or training. MAQC also ensures the Medicaid programs' continuous adherence to ... Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the audit findings determined by the Quality Control Case… more
- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review (West Coast) Job Description We are seeking a dedicated Clinical Review Nurse to perform concurrent ... and appropriate setting. + Prepare denial letters for concurrent review without member or provider outreach. + Work within...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review Work Environment + This is a 100% remote position + The schedule is Tuesday to Saturday, 10 AM to 7 PM PST. ... of utilization management processes preferred. + Proficient in clinical review , case management, and concurrent review . Job...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- MyFlorida (Bushnell, FL)
- …Commission Working Title: STATE ATTORNEY'S OFFICE, 5TH CIRCUIT- OPS BODY CAMERA REVIEW ANALYST- 21505031 Pay Plan : Seasonal Position Number: 21505031 Salary: ... STATE ATTORNEY'S OFFICE, 5TH CIRCUIT- OPS BODY CAMERA REVIEW ANALYST- 21505031 Date: Sep 9, 2025 The State Personnel System is an E-Verify employer. For more… more
- State of Georgia (Fulton County, GA)
- Clinical Evaluator- Sexual Offender Risk Review Board- Atlanta Georgia - Fulton - Atlanta ... Job Alerts Job Description Job Title: Clinical Evaluator- Sexual Offender Risk Review Board- Atlanta Pay Grade: K Job Summary: Title Clinical Evaluator Department(s)… more
- University at Albany (Albany, NY)
- …applications for the tenure-track faculty position of Health Sciences and Systematic Review Librarian at the rank of assistant or senior assistant librarian. This ... criteria, and expectations. The UAlbany Libraries work continuously to review organizational structure, assess services, modify roles and responsibilities, adjust… more
- City of Cincinnati (Cincinnati, OH)
- …hardware and software. Operate motor vehicle. Ability to: Interpret, analyze, and review building plans , drawings, and legal descriptions Establish, maintain, ... BUILDING PLANS EXAMINER- NONCOMPETITIVE Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5050952) Apply BUILDING PLANS EXAMINER-… more
- UCLA Health (Los Angeles, CA)
- …as the primary liaison between providers and office staff and Health Plans to facilitate appropriate Health Education opportunities. Additionally, you will performs ... and resolves access-related patient issues, and develops QI reports and action plans , as necessary. Key responsibilities include: + Travel to various clinic sites… more