- Kemper (Birmingham, AL)
- …balance can be highly motivating and productive. **Position Summary:** As Desk Review Specialist, you will be reviewing incoming auto damage demands from other ... recommendation and basis for reasonable settlement amount following demand review . + Complete ongoing company and external industry training...* Qualify for your choice of health and dental plans within your first month. * Save for your… more
- Belcan (Malden, MA)
- Quality Engineer - FAI Review Job Number: 359513 Category: -MFG & Supply Chain SBU Description: Job Title: Quality Engineer - FAI Review Pay Rate: ... analyze results, and implement process improvements. * Create control plans and submit sampling plans where applicable....* Create control plans and submit sampling plans where applicable. * Handle project or part number-specific… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director, CC/DP and Utilization Review , provides clinical and management leadership across multiple hospitals within the region. This role ... managed care organizations, providers, and payers to address benefit coverage, utilization review , and quality assurance. + Promote adherence to URAC standards, and… more
- Prime Healthcare (Ontario, CA)
- …clinical and cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity, intensity of service ... 3 years RN Utilization Manager working for a Health Plan . + At least 3 years of experience in...+ At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals. + Current BCLS… more
- Molina Healthcare (Everett, WA)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... service. This position will be supporting our Washington State Plan . We are seeking a candidate with a WA...social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital… more
- Colliers Engineering & Design (New York, NY)
- …project documentation, including consultant deliverables. This includes functioning as the primary plans reviewer and engaging directly with the project teams to ... This may include scheduling and leading pre-submittal or design review meetings. + Contribute to project reporting throughout design...but not limited to: + Employer provided employee healthcare plan and reduced cost premium plans , life… more
- State of Colorado (Greeley, CO)
- Professional Land Surveyor I, Plans Unit (Office & Field) - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5004546) Apply ... Professional Land Surveyor I, Plans Unit (Office & Field) - Greeley Salary $86,544.00...field land survey functions related to the production of plan sets, assists the public with ROW research, and… more
- American Express (New York, NY)
- …motivated and detail-oriented colleague to lead our ERM Governance, Reporting and Independent Review team in the second line of defense aligned with our business ... risk, strategic risk, and reputational risk + Provide independent review and challenge to the business unit's risk ID...Bonus incentives + 6% Company Match on retirement savings plan + Free financial coaching and financial well-being support… more
- Elevance Health (Louisville, KY)
- **Clinical Review Nurse I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Medicare and Medicaid Services to transform federal health programs. The **Clinical Review Nurse** is responsible for reviewing and making medical determinations as… more
- Molina Healthcare (Los Angeles, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will ... is completed. Training hours are mandatory._** **_This position supports our California Health Plan . Candidates can live anywhere in the USA if they have a valid… more