Synergy Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Utilization Review for a travel nursing job in Waterville, Maine. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 11/02...

review, and related appeals, and ensures reviews are timely, criteria-based, and aligned with payer and regulatory...

The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity reviews to support the... to detail and commitment to quality and compliance. Conduct comprehensive clinical reviews of medical records and supporting...

Social Worker - Clinical Review Team and Team Lead Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $32 / Hour Hours: 39.00 Location: Augusta, ME The Social Worker - Clinical Review Team and Team Lead collabora...

About this Job: General Summary of Position Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of all acute services for appropr...

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...

Production Packers Marathon Staffing is hiring Production Packers to support a fast-paced production environment. If you enjoy hands-on work, take pride in quality, and want to be part of a team, we’d love to hear from you. Pack and prep...

Production Packers Marathon Staffing is hiring Production Packers to support a fast-paced production environment. If you enjoy hands-on work, take pride in quality, and want to be part of a team, we’d love to hear from you. Pack and prep...

Production Packers Marathon Staffing is hiring Production Packers to support a fast-paced production environment. If you enjoy hands-on work, take pride in quality, and want to be part of a team, we’d love to hear from you. Pack and prep...

Product Reviews to join our team. This role is responsible for managing the Annual Product Review program at Catalent..., KY 100% Onsite The Role Author Annual Product Reviews to verify process consistency, assess trends, and determine...

, medical director referrals and execution of member/provider approval and/or denial letter. Reviews provider requests... for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility...

and feedback. Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client...

: The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the... Director and clinical leadership for complex cases, denials, and escalated reviews. Key Responsibilities: 1. Concurrent...

activities (i.e. active engagement in effective challenge meetings, secondary reviews of work papers and supporting review... of credit risk management processes across the Bancorp. Assume leadership roles and/or participate in due-diligence reviews...

services are delivered related to medical necessity reviews, precertification, denial analysis, and other revenue related... of Utilization Review (UR) for precertification, admission, concurrent and retrospective reviews; Report quality of care issues...

for medical staff and departmental reviews, and promotes continuous quality improvement throughout the hospital. The RN - Quality... Participates in safety huddles, rounding, and interdisciplinary quality teams Reviews and abstracts data for CMS, TJC...

authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The...

Position Purpose: Performs complex clinical reviews of clinical therapy services and/or durable medical equipment... services based on clinical reviews of service request. Key Details: Must be authorized to work in the U.S. without the need...

reviews and functions to ensure that appropriate data is tracked, evaluated and reported. This individual actively...

Management Job Description: The Appraisal Review Specialist II reviews, analyzes, and evaluates real estate appraisals... within areas of responsibility. Reviews and evaluates appraisal companies and individual appraisers for approval to pursue Company...