- George C. Grape Community Hospital (Hamburg, IA)
- Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, appropriateness, and ... prevention protocols and regulatory compliance. Key Responsibilities: * Utilization Review : o Conduct concurrent and retrospective reviews of patient charts… more
- State of Massachusetts (Boston, MA)
- …able to work, available for work and looking for a job. The Board of Review consists of three staff members, one serving as Chairman. The Board is responsible for ... Approximately 3,000 cases annually are referred to the Board of Review . Members of the Board of Review are appointed by the Governor and report to the Chair… more
- State of Massachusetts (Boston, MA)
- …to work, available for work, and looking for a job. The Board of Review is an independent, 3-member quasi-judicial board, one serving as Chairman, that has ... be appealed to court. Responsibilities include: The Board of Review consists of three staff members, one serving as...3,000 cases annually are referred to the Board of Review . The Chairman oversees the Board's administrative and legal… more
- Nightwing (Sterling, VA)
- …customers in the intelligence community, defense, civil, and commercial markets. **Information Review and Release Analyst - SME** Nightwing seeks a part-time (24 ... hours per week) Information Review and Release Analyst (Subject Matter Expert) in the...flexible work schedule. The position requires an individual to review and thoroughly research the substance and overall context… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 41500190 Date: Dec 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865196 Agency: Florida Gaming Control Commission Working Title: OPERATIONS REVIEW SPECIALIST - 41500190 Pay Plan: Career Service Position Number: 41500190… more
- Amergis (Aberdeen, MD)
- …+ Documents patient case information within a database system + Performs chart review /audits monthly or as needed + Participates in monthly case conferences by ... to patient's needs/goals + Partners with the Program Director in development and review of the patient's individualized coordination of care plan + Ensures that the… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign utilization review requests; ... and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone inquiries proving accurate information and… more
- UnityPoint Health (West Des Moines, IA)
- …and hospital by conducting timely initial and ongoing concurrent chart review for hospitalized patients to monitor appropriateness of treatment, resource ... utilization criteria using designated software to complete documentation related to utilization review activities in an accurate and timely manner for the purpose of… more
- Actalent (Atlanta, GA)
- Job Title: Utilization Review RN - Critical Care Location: Buckhead, GA (on-site position) Schedule: Monday-Friday, 8:30 AM-5:00 PM (Rotating weekends) About the ... Role We are seeking a detail-oriented and compassionate Utilization Review Registered Nurse (RN) to join our team. In this role, you will ensure appropriate care by… more
- Nightwing (Sterling, VA)
- …community, defense, civil, and commercial markets. Nightwing seeks part-time Information Review and Release Analysts for our Ft. Meade, Maryland client in ... the substance and overall context of select documents, conduct first-level review of classified information and make the appropriate redactions-electronically and/or… more