- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's ... This full-time, salaried role functions within a structured, high-volume authorization review queue and requires adherence to workflow timelines, clinical accuracy… more
- State of Indiana (Indianapolis, IN)
- Environmental Engineer 2 - Permit Review Date Posted: Jan 16, 2026 Requisition ID: 470581 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... perform those activities as necessary to help the Permit Review Section achieve its goals as they relate to...functions of this role are as follows: + Plan Review : Perform detailed technical engineering reviews and specifications of… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization Review ... and payer requirements. Reporting to the Director of Centralized Utilization Review , the Centralized Manager, UR position supports enterprise strategies for denial… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …and the integration of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse (RN) is an active member of the revenue cycle ... revenue cases. Manages clinical denials for revenue. Performs legal case relatedness review for revenue billing purposes. Provides education to VA medical facility… more
- SMBC (New York, NY)
- …offers a competitive portfolio of benefits to its employees. **Role Description** SMBC Credit Review Department (CRVD) seeks a Credit Review Officer. As a Credit ... part of a dynamic team responsible for the independent review and ongoing monitoring of the quality of the...Americas Division. The individual will get a chance to review the underwriting and the portfolio quality of a… more
- TD Bank (Charlotte, NC)
- …Job Description **Department Overview:** **As an expert credit professional, the Loan Review Senior Commercial Examiner serves as both a team leader and individual ... contributor within the scope of Examinations and continuous review testing activities across the Bank's broad range of Commercial loan portfolios. The Senior… more
- MyFlorida (Ocala, FL)
- STATE ATTORNEY'S OFFICE, 5TH CIRCUIT- OPS BODY CAMERA REVIEW ANALYST - 21505006 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more ... Commission Working Title: STATE ATTORNEY'S OFFICE, 5TH CIRCUIT- OPS BODY CAMERA REVIEW ANALYST - 21505006 Pay Plan: Seasonal Position Number: 21505006 Salary: $16.55… more
- City of New York (New York, NY)
- …projects receiving financial assistance from the Agency. Your Impact: As an Integrity Review Specialist, you will serve in EORC under the Director of the Integrity ... Review Unit. Duties of the Integrity Review Specialist include oversight and policy in the areas of procurement, due diligence requirements, contractual… more
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other UR team members in providing ... all identified utilization review functions for the organization to ensure cost effective...referral to MD advisor service(s) to allow for secondary review , contact with providers for notification and to obtain… more
- Prime Healthcare (Philadelphia, PA)
- …nation's oldest and largest hospital accreditation agency. 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 and tracking data… more
Recent Jobs
-
Principal Software Engineer - DevOps & Cloud Infrastructure (Oklahoma City)
- Northrop Grumman (Oklahoma City, OK)