- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that patient care services are appropriately recorded and utilized in accordance with ... hospital standards of quality , the policies of regulatory agencies, and the negotiated...reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure… more
- HonorHealth (AZ)
- …because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care ... services with the goal of maintaining high quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... payers. Meet or exceed established benchmarks for productivity while maintaining quality . + Identify and provide feedback, including identification of trends, to… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates ... on property restoration scope. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + **Conducts quality reviews of contra** ctor documentation for repair estimates to… more
- YesCare Corp (Brentwood, TN)
- …and retrospective review . + Track, trend and evaluate appropriateness and quality of care issues with the implementation of education to internal and external ... based review standards and standards of best practice. + Facilitate quality health care intervention recommendations. + Review and assess over/under… more
- State of Colorado (Denver, CO)
- Highway Maintenance Specialist (Water Quality )- Aurora (CDL Required) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5144327) Apply ... Highway Maintenance Specialist (Water Quality )- Aurora (CDL Required) Salary...ensure that your email will accept these notices and/or review your junk mail and spam filtered email. Immediately… more
- Hunterdon Health Care System (Flemington, NJ)
- This is an in-person role. Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the ... reimbursement. 2. Works with medical and clinical staff to improve overall quality and completeness of clinical documentation. 3. Communicates and educates medical,… more
- Caring Transitions (Lutz, FL)
- …Summary: We're looking for a detail-oriented and self-motivated Online Auction Review Specialist to help ensure the quality and accuracy of our online ... mission, we would love to have you on our team! Key Responsibilities + Review auction lots and provide feedback on missing details (eg, dimensions, model numbers,… more
- Access Dubuque (Dubuque, IA)
- Quality Assurance Specialist **Green Industrial Supply, Inc.** 1 Positions ID: 83322 Posted On 10/17/2025 Refreshed On 11/17/2025 **Job Overview** **Summary** ... The Quality Assurance ...The Quality Assurance Specialist performs a variety of quality -related tasks...claims submissions and corrections in a timely manner. + Review warranty claims in online supplier portals and reconciles… more
- St. George Tanaq Corporation (Bowling Green, VA)
- UXO Safety Officer/ Quality Control Specialist (UXOSO/QCS) Fort AP Hill, VA (http://maps.google.com/maps?q=Fort+A.P.+Hill+VA+USA) Job Type Temporary Description ... shareholders. **Position Summary** Tanaq is seeking a **UXO Safety Officer/ Quality Control Specialist (UXOSO/QCS)** to provide UXO...team peer review , then perform a QC review to ensure overall quality and completeness.… more