- 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
- 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
- City of Las Cruces, NM (Las Cruces, NM)
- Plans Review Engineer (Revised) Print (https://www.governmentjobs.com/careers/lascruces/jobs/newprint/5014101) Apply Plans Review Engineer (Revised) Salary ... developers, private engineers, City engineers, and other staff to discuss review comments, design standard requirements and other applicable standards; negotiates… more
- Prime Healthcare (North Las Vegas, NV)
- …more. For more information, please visitwww.northvistahospital.com. Responsibilities The Utilization review tech essentially works to coordinate the utilization ... and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry and tracking data… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the receipt ... reviews notification of emergent hospital admissions, completes inpatient concurrent review , establishes discharge plans, coordinates transitions of care to… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review to determine the medical ... as an RN in a varied clinical setting required. + Previous utilization review experience preferred. + Previous experience in a managed care setting preferred. +… more
- LinkedIn (Sunnyvale, CA)
- …changing the way the world works. We are looking for a Senior Lead Analyst, Account Review for Trust Review Operations (TRO) to be a critical part of keeping ... ARE output as well as to maintain expertise in account review . + Provide coaching to the Account Review Experts to ensure precision and recall is within an… more
- Zelis (St. Petersburg, FL)
- …that shape who you are. Position Overview The Sr. Supervisor, Clinical Chart Review is focused on supervising a team of Clinician's performing clinical reviews of ... team and operational support to the Manager, Clinical Chart Review , Sr. Level Clinicians and Operations Analysts as directed...+ Assess, track and report any delays in claim review or processing to the Manager, Clinical Chart … more
- Municipality of Anchorage (Anchorage, AK)
- PLAN REVIEW ENGINEER - Range 16 / AMEA Print (https://www.governmentjobs.com/careers/moa/jobs/newprint/4976174) Apply PLAN REVIEW ENGINEER - Range 16 / AMEA ... Time Job Number 2025-00607 Department Development Services Department Division Plan Review Opening Date 06/17/2025 Closing Date Continuous + Description + Benefits… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible for conducting medical necessity reviews ... by utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart, clinical nursing judgement, and discussions with the attending… more