- Naven Health (Nashville, TN)
- …and the patients we serve. **Job Description Summary:** The Quality Assurance Chart Review Nurse is responsible for the review of assigned clinical records. ... The Quality Assurance Chart Review Nurse works closely with the Quality Assurance Team...in the patient's clinical records. The Quality Assurance Chart Review Nurse utilizes audit tools and systems to collect… more
- Ascension Health (Tulsa, OK)
- …and coordinate the activities and flow of work for the peer review program. + Collect, evaluate, and maintain practitioner-specific data concerning physician and ... risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in a manner that fulfills the mission and goals of… more
- MyFlorida (Tampa, FL)
- OPERATIONS REVIEW SPECIALIST - 60073723 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865768 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60073723 Pay Plan: Career Service Position Number: 60073723… more
- 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
- City National Bank (Los Angeles, CA)
- *SENIOR CREDIT RISK REVIEW OFFICER* WHAT IS THE OPPORTUNITY? The Credit Risk Review Department (CRR), is part of the 3rd line of defense, and as such is ... are adequately identified, fully justified and properly approved. May lead credit review examinations, prepare final reports, and conduct overall meetings with Bank… 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
- Robert Half Legal (Oakland, CA)
- Description We are seeking a California-barred Document Review Attorney for a fully remote opportunity supporting litigation and compliance projects. This role is ... East Bay area for occasional in-person meetings or onboarding. Responsibilities + Review and analyze large volumes of documents for relevance, privilege, and… 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
- Centene Corporation (Sacramento, CA)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and ... appropriate parties/departments. * Collaborates with healthcare partners to ensure timely review of services and care. * Provides referrals to Case management,… more