PRIDE Health is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/07/2026 Duration: 1...

American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portales, New Mexico. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: ...

Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with in 1979, the Valley Health System has grown to include , , Benefit Highl...

validation. Responsibilities Lead and execute operational risk reviews, issue validations, continuous monitoring activities...

continued growth, enhancement, and delivery of IRRA’s operational risk review program by contributing to risk-based reviews... and rating, issue creation, and issue validation. Responsibilities Execute assigned portions of operational risk reviews...

all aspects of the region’s assigned Review Entities, including the execution of Business Monitoring and Reviews in accordance...-country credit reviews related to all or some businesses Represent FCR in the Region with Business and Risk Seniors including...

utilization reviews, providing recommendations for care plans, and ensuring adherence to regulations and guidelines. This role...

annually across AWS Supply Chain operations - Execute contract compliance reviews for vendor agreements valued at $50M...

Teams (IPT) and participating in design reviews Represents the engineering community in the build through post-production...

- Provides knowledge in area of work. Reviews and maintains knowledge of any laws, regulations, and policies that affect specific...

screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization. WHO... reviews for appropriateness of utilization to optimize clinical and financial outcomes. Communicate with physicians...

ROLE REPORTS TO: Director of Estimate Reviews SALARY RANGE: $65,000 - $75,000 annually Position Summary This Review... upload SLAs, estimate reviews, centralized remote estimate creation, and post-QA Approval managed repair Provides direct...

stay reviews per guidelines to ensure medical necessity of level of care and hospitalization for multiple entities.... Reviews medical record for presence of accurate placement orders reconciles variances with patient providers. Works...

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

product/process improvements Supports Integrated Product Teams (IPT) and participates in design reviews Represents the...

Agencies, and case management organizations as needed or identified through quality assurance reviews to strengthen consistency... and other performance reviews on in-home and out-of-home care case management, and statewide service trends. Support legislative...

units or risk segments. Perform proper risk-based sampling techniques for scoping continuous file reviews and process... reviews; determine the need for expanding scope and adjusting exam procedures, as appropriate; guide less experienced...

PAC-3 program and future generations of weapon systems. Position Responsibilities: Performing SPC reviews and Seeker...

systems, ensuring information captured is error-free and accurate Reviews quality reports to identify trends, issues and root...

activities of assigned staff in providing utilization review services. Plans, assigns, reviews, and evaluates work of assigned... of individual UR RN and department - conducts regular and scheduled reviews of utilization RNs work product including reviews, payer...