• Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN41383B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... U of U Health - Academics **Department** 00267 - Ophthalmology- Services **Location** Campus **City** Salt Lake City, UT **Type...Work** **that is changing lives** . **About the Role: Medical Review Coordinator** As a Medical more
    University of Utah (03/11/25)
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  • Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN39526B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... Posting may close at any time)** **Job Summary** The Medical Review Coordinator ( MRC ) is...with Operational, Executive, and Medical Directors concerning medical histories. + Maintaining excellent customer service more
    University of Utah (05/12/25)
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  • Medical Review Auditor Analyst…

    Conduent (Charlotte, NC)
    …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst (Remote - Charlotte Area)** **Are you a strong, ... please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our...medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic… more
    Conduent (04/16/25)
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  • Medical Information & Review

    Pfizer (New York, NY)
    …providers, patients, and caretakers, and collaborating with key stakeholders to deliver the Medical Review process for Medical and Promotional content, ... **ROLE SUMMARY** Medical Information and review (MIR) is...coverage. Learn more at Pfizer Candidate Site - US Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit more
    Pfizer (05/28/25)
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  • Utilization Review Medical Director

    Intermountain Health (Las Vegas, NV)
    …and medical review of complex, controversial, or experimental medical services . Engages in peer-to-peer conversations to guide and support delivery ... with MG Clinical Leadership, for the appropriate utilization of medical services within established guidelines and for...in order to be considered for the position.** Performs medical review activities pertaining to utilization … more
    Intermountain Health (03/04/25)
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  • Medical Benefit Review

    Conduent (Baton Rouge, LA)
    … field?** **Are you eager to learn new skills and help adults in need?** As a Medical Benefit Review Services Associate, Regions 7 and 8, you will ... Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100...medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic… more
    Conduent (05/15/25)
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  • Quality of Care Facility Review Specialist…

    New York State Civil Service (Schenectady, NY)
    …individuals served by the mental hygiene services and children and family services delivery systems.* Attend Medical Review Board meetings as assigned ... the NYS Justice Center for the Protection of People with Special Needs; a medical facility; a child protective services organization; or as a professional… more
    New York State Civil Service (05/15/25)
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  • Utilization Review Services RN

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Services RN you want with your current employer? We have an ... is part of the nation's leading provider of healthcare services , HCA Healthcare. ** Benefits ** PDU Other, offers...colleagues. Do you want to work as a(an) Utilization Review Services RN where your passion for… more
    HCA Healthcare (05/31/25)
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  • Utilization Review Nurse

    Independent Health (Buffalo, NY)
    Review Nurse (URN) performs clinical review to determine the medical necessity of requested services . The URN obtains clinical information and utilizes ... and Accountable. **Essential Accountabilities** Provide High Quality, Professional Utilization Management Services : ( Medical necessity review for prior… more
    Independent Health (05/22/25)
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  • Utilization Review Nurse (Monday-Friday)

    Houston Methodist (Houston, TX)
    …prospectively or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation, ... (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, Medicaid,… more
    Houston Methodist (05/20/25)
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