- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization review … more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST Date: Nov 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865392 Agency: Department of Corrections Working Title: OPERATIONS REVIEW SPECIALIST Pay Plan: Career Service Position Number: 70007705 Salary:… more
- Elderwood (Buffalo, NY)
- …Pharmacy Billing Department in Williamsville, NY is seeking an experienced, detail-oriented Accounts Review Specialist to join our team and make a difference in ... employee reward program: redeem for prizes! Responsibilities Accounts Receivable Review Specialist Responsibilities: + Assisting to facilitate collections… more
- University of Miami (Medley, FL)
- …Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding ... Review Specialist (H) under the general direction of the Inpatient...all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that… more
- Trinity Health (Columbus, OH)
- …to call your own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider peer ... review processes across the facilities and service areas within...in a responsible manner. + Facilitates the provider peer review process including case identification through internal reporting data,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...position is able to cover a multitude of utilization review functions through point of entry, observation progression of… more
- MyFlorida (Tallahassee, FL)
- MANAGEMENT REVIEW SPECIALIST - SES - 79000454 Date: Nov 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 865829 Agency: Business and Professional Regulations Working Title: MANAGEMENT REVIEW SPECIALIST - SES - 79000454 Pay Plan: SES Position Number: 79000454… more
- Koniag Government Services (Washington, DC)
- Koniag Government Services company is seeking a Correlation Review Specialist Level II to support our government customer in Washington, DC. Must be able to ... and more. Koniag Government Solutions (KGS) is seeking an experienced Correlation Review Specialist Level II to support the NIBIN Program and NNCTC operations.… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- … Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's ... utilization review plan to ensure the effective and efficient use...experience. + 2-3 years experience working as a UR Specialist , Medical Billing or health care quality assurance. +… more
- ThermoFisher Scientific (Waltham, MA)
- …Partnership (FSP) Team in North America. We are seeking an experienced and skilled Document Review Specialist II who will be dedicated to one or more clients in ... of document management systems would be preferred. As a remote-based Document Review Specialist within the FSP Team, you will effectively review regulatory… more