- Actalent (Orlando, FL)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules Available: + ... 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote team. In this...assess member health, care setting, and medical necessity + Review acuity, resource use, length of stay, and discharge… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... Access, Case Management, Managed Care and Business Office to improve concurrent review process to avoid denial or process delays in billing accounts Accountable… more
- Sedgwick (Lexington, KY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Consultant **PRIMARY PURPOSE:** To review all estimates and supporting ... assignments promoting a professional client relationship; + Performs quality review audits for compliance with audit requirements, service contract requirements,… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, appropriateness, and ... prevention protocols and regulatory compliance. Key Responsibilities: * Utilization Review : o Conduct concurrent and retrospective reviews of patient charts… more
- Ascension Health (Tulsa, OK)
- …and coordinate the activities and flow of work for the peer review program. + Collect, evaluate, and maintain practitioner-specific data concerning physician and ... risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in a manner that fulfills the mission and goals of… more
- City National Bank (Los Angeles, CA)
- *SENIOR CREDIT RISK REVIEW OFFICER* WHAT IS THE OPPORTUNITY? The Credit Risk Review Department (CRR), is part of the 3rd line of defense, and as such is ... are adequately identified, fully justified and properly approved. May lead credit review examinations, prepare final reports, and conduct overall meetings with Bank… more
- State of Massachusetts (Boston, MA)
- …able to work, available for work and looking for a job. The Board of Review consists of three staff members, one serving as Chairman. The Board is responsible for ... Approximately 3,000 cases annually are referred to the Board of Review . Members of the Board of Review are appointed by the Governor and report to the Chair… more
- State of Massachusetts (Boston, MA)
- …to work, available for work, and looking for a job. The Board of Review is an independent, 3-member quasi-judicial board, one serving as Chairman, that has ... be appealed to court. Responsibilities include: The Board of Review consists of three staff members, one serving as...3,000 cases annually are referred to the Board of Review . The Chairman oversees the Board's administrative and legal… more
- Nightwing (Sterling, VA)
- …customers in the intelligence community, defense, civil, and commercial markets. **Information Review and Release Analyst - SME** Nightwing seeks a part-time (24 ... hours per week) Information Review and Release Analyst (Subject Matter Expert) in the...flexible work schedule. The position requires an individual to review and thoroughly research the substance and overall context… more
- Micron Technology, Inc. (Boise, ID)
- …to the growth and innovation of the semiconductor industry. As a Process Change Review Board Engineer, it is essential to have a thorough understanding of the ... effectiveness of the conversion process. **Responsibilities:** + Facilitate Process Change Review Board Meetings. + Align and optimize system setups globally,… more