- 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
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. ... on the claims transactional system and COB tracking database. + Review of claims identified for overpayment recovery. **Job Qualifications** **REQUIRED… more
- The Boeing Company (North Charleston, SC)
- …with us. **Boeing Commercial Airplanes** is seeking **Mid-Level or Senior Product Review Engineers** to support Liaison Engineering team in **North Charleston, SC.** ... Qualifications (Desired Skills/Experience):** + Current or previous member of the Materials Review Board (MRB). **Drug Free Workplace:** + Boeing is a Drug Free… more
- Defense Logistics Agency (Philadelphia, PA)
- …Requirements Conditions of Employment Qualifications To qualify for an Internal Review Evaluator, your resume and supporting documentation must support: A. ... interviews, and other methods of structuring data, surfacing and presenting review findings. Understanding of the relevant laws, regulations, and policies which… more
- Capital One (Charlotte, NC)
- Senior Manager, Data Science - Credit Model Review Data is at the center of everything we do. As a startup, we disrupted the credit card industry by individually ... save money, time and agony in their financial lives. In Capital One's Credit Review Model, Data and Innovative Solutions Team, we defend the company against model… more