HCS 247 is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Arcata, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40...

Description Providence Queen of the Valley Medical Center is committed to delivering top-notch healthcare, earning recognition from the Association of California Healthcare Districts (ACHD) Award in recognition of our outstanding contribu...

required for highly-complex and/or escalated reviews, and providing expert guidance to team members and partnering with the health care... and/or escalated reviews, and providing expert guidance to team members and partnering with the health care team, members...

. In this collaborative position, you'll partner with physicians, investigators, and regulatory leaders to coordinate IRB reviews, ensure... and providing preliminary reviews of draft proposals or portions of draft proposals. Reviews proposals for accuracy, consistency...

. Perform initial and concurrent reviews during hospital stays. MedWatch collects only the information necessary to certify the...

: The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day..., on any of the 7 days per week, utilizing Indicia for Case Management, and performs clinical reviews through document review...

reviews to support the timely and accurate processing of member and provider appeals. This role evaluates medical records... required. (Not encumbered only) Key Responsibilities Conduct comprehensive clinical reviews of medical records and supporting...

assisting with benefit determinations, medical necessity reviews, benefit terminations, and process improvements while ensuring...

appropriately. Medical necessity reviews for designated services are completed for all Priority Health plans. Assesses...

review through bidding and project delivery. What you'll do: - Perform municipal plan reviews of site and engineering...

reviews to support the timely and accurate processing of member and provider appeals. This role evaluates medical records... required. (Not encumbered only) Key Responsibilities Conduct comprehensive clinical reviews of medical records and supporting...

preparation, follow-up, and documentation. · Reviews, analyzes, and summarizes medical records and clinical events for use... organizational readiness for accreditation surveys and regulatory reviews by maintaining complete, accurate, and readily retrievable...

for assigned Review Committee meetings ensuring that reviews are conducted according to all policies and procedures...

Description : Responsibilities Include: Contract reviews - review and revise contracts improving or eliminating...

financial institutions credit review practice, focused on SBA and commercial loan reviews for bank clients. Responsibilities... Perform SBA loan post-closing reviews and standard commercial loan reviews Evaluate compliance with SBA 7(a), 504 and USDA...

U.S. as you take on some tough challenges. Primary Responsibilities: Performs concurrent and retrospective reviews for selected inpatient...

conducting admission criteria assessments, benefits eligibility reviews, care coordination, concurrent and continued stay reviews... patients. Perform care coordination and utilization reviews including concurrent, continued stay, pre-certification, prior...

but is not limited to o Creating strong partnerships with other product segment MPE leadership teams o Support data reviews..., integration and test, verification and sell off, transition to production Experience with technical reviews for large scale...

reviews to support the timely and accurate processing of member and provider appeals. This role evaluates medical records... required. (Not encumbered only) Key Responsibilities Conduct comprehensive clinical reviews of medical records and supporting...

Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being.... Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. Reviews...