- Molina Healthcare (Vancouver, WA)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... health care experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
- Citigroup (Wilmington, DE)
- …business strategy. This position is part of the Artificial Intelligence (AI) Review Team within Citi's Model Risk Management (MRM) organization. This position will ... perform independent review and effective challenge of all lifecycle activities of Generative AI and Unsupervised Learning models used in Citi. **Responsibilities** :… more
- DC Group (Minneapolis, MN)
- …Microsoft Word Track Changes. + Experience coordinating and collaborating on contract review aspects that require input between various departments such as the legal ... to execute contract documents. + Track and maintain contract review status. + Review contract documents for alignment with DC Group's business policies… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Summary of the Position:** The Private Bank Quality Review Specialist position is comprised of the quality review of documents and assisting in supporting the ... which are ultimately sent to the customer for their signature. The job of quality review is a demanding one that requires extreme attention to detail and an acute… more
- Molina Healthcare (Louisville, KY)
- …who must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and ... JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
- Providence (Olympia, WA)
- **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), ... Degree Or Associate's Degree in Nursing + 3 years of Utilization Review , Care Management, Quality Management, and/or Discharge planning **Why Join Providence?** Our… more
- Dignity Health (Rancho Cordova, CA)
- …from home** **within driving distance of Sacramento, CA** **.** As a Utilization Review (UR) LVN, you will use clinical judgement in providing utilization management ... position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent review . Responsibilities may include: - Conducts… more
- Capital One (Mclean, VA)
- Manager, Product Management - Credit Review **Manager, Product Management (PXDP50)** Product Management at Capital One is a booming, vibrant craft that requires ... the Team** As a Manager, Product Management - Credit Review , your responsibilities include, but not limited to: +...needs + Deeply understand the analytical needs of Credit Review and partner with them to identify opportunities for… more
- Molina Healthcare (Long Beach, CA)
- …JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... health care experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more