- Molina Healthcare (CA)
- …JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- JPMorgan Chase (Chicago, IL)
- …Bank (CIB) Real Estate Team, you will administer the appraisal review process for complex commercial and multifamily properties. **Job Responsibilities** + ... Engage and review external appraisals on moderate to complex commercial and...in connection with real estate related financial transactions + Review and analyze real estate valuation appraisal reports in… more
- Truist (Atlanta, GA)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Responsible for leading multiple specialized ... servicing teams-including Wholesale Documentation Review and Exception Clearing, UCC Monitoring, Life of Loan Flood Servicing, and Hazard Insurance-that support… more
- Molina Healthcare (NM)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team reviews ... social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital...as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within… more
- CTG (KY)
- …Kentucky (remote) **Duration:** 12 months CTG is seeking a detail-oriented Disability Review Specialist to evaluate foster care case files for potential SSI ... submissions to SSA in compliance with federal regulations. **Key Responsibilities:** + Review and analyze case files to determine eligibility for SSI childhood… more
- Robert Half Legal (Cincinnati, OH)
- …are looking for a detail-oriented individual to join our team as a Document Review Specialist in Blue Ash, OH. This role involves reviewing and analyzing customer ... research and documentation skills who are looking to contribute to high-quality review processes. Responsibilities: * Develop and implement data review … more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN/LCSW/LMFT/LPCC ... $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of multi-disciplinary treatment team reviewing patient care… more
- Medical Center Hospital (Odessa, TX)
- + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Utilization Review Program and makes appropriate referrals to designated Physician Advisors. + Qualifications: A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse. B. Training and Experience: Three… more
- US Tech Solutions (Chicago, IL)
- …clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews ... knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT...Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse… more
- Walmart (Bentonville, AR)
- **Position Summary ** As the Manager of Final Review & Routing, you will serve as the last checkpoint in the Delivery Defects & Enhancements workflow. You will ... teams (Customer, Driver, Associate) + **Governance & Consistency:** Enforce standardized review criteria to ensure uniform handoffs across the Last Mile Delivery… more