- Actalent (Atlanta, GA)
- …GA Daily Onsite work and rotating weekend shifts Job Description: + Review and approve precertification and medical necessity for designated referrals, procedures, ... appeals, risk management). Qualifications: + 1+ years of utilization management / utilization review / case management experience is must + RN License in GA or… more
- BJC HealthCare (St. Louis, MO)
- …experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity + Must live ... care resources. **Responsibilities** + Uses clinical and analytical skills to review and interpret diagnostic test results to determine appropriateness of patient's… more
- American Express (Phoenix, AZ)
- …will you make an impact in this role?** The Manager GFCSU Quality Control Review position will report to the Director of Financial Intelligence Unit - Governance and ... and proficient manner. + Manage initiatives to expand and enhance quality control review processes and technology. + Undertake the identification of error trends and… more
- Northrop Grumman (Baltimore, MD)
- …space. We seek a motivated and skilled technical leader to lead the Failure Review Board (FRB) for the Space RADAR Payload Assembly Integration and Test (AI&T) for ... data for/from the Anomaly Resolution Team and generate slides for the Failure Review Board (FRB) + Know/enhance/enforce the escalation plan when test failures are… more
- Actalent (St. Louis, MO)
- Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are ... directors to gather additional information when needed. + Document all review decisions clearly, accurately, and in compliance with regulatory and organizational… more
- US Army Corps of Engineers (Fort Worth, TX)
- Summary About the Position: This is a Review Appraiser position with USACE, Southwestern Division (SWD), Fort Worth District, Real Estate Division, in Fort Worth, ... properties to determine cause and justification of variance in estimated values. Provide review of appraisals by other appraisers across the region up to the… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …clinical knowledge and understanding of behavioral health resource management to review and coordinate the care for a designated patient caseload. Collaborates ... benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting optimal communication… more
- The Boeing Company (Hazelwood, MO)
- …#ChangeTheWorld BGS is seeking an **Experienced Mechanical Design Review Engineer** within Government Training Engineering (GTE) in **Hazelwood, ... readiness across all GTE Training platforms. **Position Responsibilities:** + Review and validate engineering drawings and markups for completeness, accuracy,… more
- US Bank (Minneapolis, MN)
- …loan initiative focused on mastering simplified underwriting, enabling Credit Review Specialists to manage underwriting for straightforward programs. + Collaborate ... requirements from the WM LCoE. + Continuously evaluate opportunities for Credit Review Specialists to alleviate tasks from Bankers and ensure delivery of fully… more
- BAE Systems (Hill AFB, UT)
- …as the Integration Support Contract (ISC). The Technical Evaluation Review Board/Configuration Control Board (TERB/CCB) Coordinator has a unique opportunity ... based on position level and/or job specifics. **Technical Evaluation Review Board/CCB Coordinator** **119894BR** EEO Career Site Equal Opportunity Employer.… more
Recent Jobs
-
Strategic Decision Support Analyst
- Aegon Asset Management (Cedar Rapids, IA)