- Bank OZK (Little Rock, AR)
- …Assesses business line adherence to credit policy and procedures. + Discusses review findings with the Reviewer-In-Charge and makes recommendations. + Ensures asset ... of continuous process improvement and supports the Credit Risk Review Department's professional practice and quality control standards. +...exposure to basic principles of auditing. + Ability to review and analyze small to midsize loans of little… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Remote Position - Quality Control\Plan Review Specialist Job ID: null Department: Greentech Design Services Location: null-null Description ... Renewables' Design Services Team is looking for a Quality Control\Plan Review Specialist to complete locally code-compliant plan-sets conforming to customer… more
- Centene Corporation (Frankfort, KY)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- Prime Healthcare (Lynwood, CA)
- …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case-manager utilization- review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical… more
- The Boeing Company (Portland, OR)
- …for continued safe operation and maintenance of equipment. + Participates in Material Review Boards and Integrated Product Teams (IPTs). + Ensures supplier and build ... Level). + 1 or more years of experience working with MRB (Material Review Board) activities related to aircraft systems or structures. + Hands-on experience with… more
- Centene Corporation (New York, NY)
- …criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care + ... care to members + Provides feedback on opportunities to improve the authorization review process for members + Performs other duties as assigned + Complies with… more
- Leprino Foods (Lemoore, CA)
- At Leprino Foods, starting compensation for this role is QE Product Review Clerk V Rate$23.78 - $27.35 (Break in rates and $0.75 cents differential pay from 6PM - ... 5:59AM applies). Summary Description: The QE Review Clerk V is responsible for shipping all Corporate and Customer samples and supporting sample pulling duties. QE… more
- Sutter Health (Berkeley, CA)
- …utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the ... with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of services… more
- Actalent (Atlanta, GA)
- Utilization Review (Registered Nurse) Job Description This role involves performing precertification and medical necessity reviews for designated referrals and ... Skills & Qualifications + Experience with MCG or Interqual is preferred. + Utilization review experience is a plus. Job Type & Location This is a Contract position… more