- AECOM (Sacramento, CA)
- …a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer ** to work **remotely** . However, the ... Manager - Reports of Investigation ("ROI") and the Utilities Senior Project Manager , the Utility Design Reviewer contributes alongside a team of Utility… more
- LGC Group (Petaluma, CA)
- …our industry and chemical and analytical expertise in Kulmbach. Job Description The Technical Reviewer in LGC AxoLabs Quality Control is a dual role with no less ... than 70% focus on reviewer and document generation responsibilities. The remaining time will...integrity following the principles of ALCOA+. This role involves review and generation of testing, reporting, and investigation data… more
- Magellan Health Services (Honolulu, HI)
- …solutions that directly influence quality of care. General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes alternative… more
- Fluor (CA)
- … Manager - Reports of Investigation ("ROI") and the Utilities Senior Project Manager , the Utility Design Reviewer contributes alongside a team of Utility ... Design Reviewers to prepare, review , coordinate, and track all utility Reports of Investigation...Reports of Investigation for the Authority. The Utility Design Reviewer is responsible for preparing ROI reports in conformance… more
- Magellan Health Services (Baton Rouge, LA)
- …engagement, and system-level collaboration with other child-serving agencies. The Clinical Reviewer will support the implementation and ongoing oversight of quality ... plays a key role in reviewing provider and care manager documentation for accuracy, quality, and compliance with state,...+ Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results… more
- Elevance Health (Los Angeles, CA)
- **JR147375 Genetic Counselor Reviewer ** The genetic counselor reviewer (GCR) is responsible for authorization requests and determining their appropriateness per ... requests for genetic tests from front-line intake. Conducting medical necessity review in adherence to guidelines and determining whether clinical information… more
- Commonwealth Care Alliance (Boston, MA)
- …the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the… more
- Elevance Health (Chicago, IL)
- **Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- Elevance Health (Grand Prairie, TX)
- **Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- Elevance Health (IN)
- **Physical Therapist Reviewer ** **Work schedule: M-F 7:30am to 4:30pm EST.** **Location:** **Fort Wayne Indiana.** **This field-based role enables associates to ... is the territory/market that they will work in.** The **Physical Therapist Reviewer ** is responsible for performing medical record reviews specific to services… more