American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/26/2026 Durat...

Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York. Job Description & Requirements Specialty: Utilization Review Discipline: Therapy Start Date: 10/26/2026 Duration: 13 weeks 40 hours ...

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Austin, Texas. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/06/2026 Duration: 13 w...

Case Review Analyst Req number: R8071 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 yea...

Case Review Analyst Req number: R8528 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 yea...

are completed thoroughly and on a timely basis. Interface with managed care organizations, external reviews, and other payers.... Communicate with physicians to schedule peer to peer reviews. Accurately report denials. Qualifications and requirements...

How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays... and on a timely basis. Interface with managed care organizations, external reviews, and other payers. Communicate with physicians...

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...

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 Hig...

's internal loan risk rating system. Periodically also responsible for managing reviews of loan portfolios; coordinating workflow... department policies and procedures; reviews/approves project plans, samples, results, and draft reports for assigned areas...

MHACs, HACs, PSIs and Mortality reviews. MedStar Health is a great place to work and grow your career. We provide... of coding compliance plan to direct efforts to achieve plan by focusing on areas identified through coding reviews or targeted...

, Integrated Transitional Care, the Claims Review Nurse, LVN is responsible for conducting timely medical reviews of IEHP facility..., LVN exercises independent judgment in conducting claims reviews and supports key clinical determinations in alignment...

first-level clinical reviews to determine the medical necessity and appropriateness of treatment requests, working under the... or post service reviews. Ensure proper referral to medical director for denial authorizations through independent review...

); researches, reviews, prepares, and/or approves executive summaries, zoning certificates for all businesses obtaining occupational...

and documentation is sufficient to support the level of care being billed. Conducts concurrent reviews as directed in the hospital's UR... management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates...

for a variety of purposes including job evaluations; performance reviews; recruitment; etc. All Associates are required to adhere...

plan reviews for planning and building conformance, process staff-level site development permits, and approve minor permits...

. Responsible for developing and executing audit strategies, conducting detailed reviews of medical records and HEDIS data...

level of care and services are medically appropriate Performs prior authorization reviews related to mental health...

only on official, secure websites. MENU Sign out Senior Advisor, Decision Reviews Department of Veterans Affairs Veterans...