- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P27076 Occupational ... City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
- Emory Healthcare/Emory University (Decatur, GA)
- …and leadership programs + And more **Description** We're seeking a **Clinical Utilization Review Nurse Preceptor (Registered Nurse / RN)** . This individual will be ... responsible for training, mentoring, and coaching for the Utilization Review Department and must be an expert in the...Department and must be an expert in the utilization review functions and able to cover any role at… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for a **Medical Bill Review Senior Nurse** to work from our Schaumburg, IL office. ... standards by adhering to Best Practices and participating in monthly peer review audits. + Ensure legal compliance by following regional, country and/or local… more
- RWJBarnabas Health (Long Branch, NJ)
- Assistant Director, Institutional Review Board - Long Branch, NJReq #:0000197806 Category:Laboratory Status:Full-Time Shift:Day Facility:Monmouth Medical Center ... Department:Institutional Review Board Pay Range:$102,960.00 - $128,960.00 per year Location:...Title: Assistant Director Location: Monmouth Medical Center Department: Institutional Review Board Req#: 0000197806 Status: Full-Time Shift: Day Pay… more
- Banc of California (Santa Ana, CA)
- …expectations and internal governance standards. + Enhance the Credit Review program by strengthening governance, expanding portfolio coverage, and refining ... risk assessment methodologies and implement other critical elements for a credit review program to align with heightened regulatory expectations (eg, Federal Reserve… more
- Amentum (Washington, DC)
- This role will serve as a Project Supervisor ( Review ) assigned to the Radiation Exposure Compensation Act (REDA) program of the DOJ Civil Division. Works under the ... + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily oversight...Assist in the daily oversight and management of Claims Review support processes. + Coordinate tasks and responsibilities of… more
- Huron Consulting Group (Chicago, IL)
- …for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the Utilization Management Department ... Annapolis, MD + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to the Director of Utilization… more
- University of Washington (Seattle, WA)
- …and Pathology department** has two outstanding opportunities for **VARIANT REVIEW SCIENTIST'S** (FULL-TIME, DAY-SHIFT). The positions location is hybrid; work ... **PRIMARY JOB RESPONSIBILITIES** Data Analysis + Generates data and responsible for review and interpretation of genomic test results under direction of clinical… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry, mailing/faxing appeals… more