to the patient and hospital. Works on complex reviews. Communicates results of reviews to payers and other third parties.... What you will do: Performs concurrent clinical reviews for utilization review using appropriate screening criteria; completes necessary review...
Edward-Elmhurst Health ⚡⚡ Wed, 29 Apr 2026 05:22:04 GMT
, serves as Design Review Engineer for the Office of Engineering Services responsible for providing quality reviews... or Area Office. This position will conduct field plan reviews regionally but may require statewide travel as needed. STATE...
, concurrent, and retrospective reviews on the Tallahassee Memorial Behavioral Health Center (TMBHC) inpatient population.... Coordinates reviews with the respective insurance companies for which the medical necessity for initial admission certifications...
Tallahassee Memorial Healthcare ⚡⚡ Wed, 29 Apr 2026 03:47:42 GMT
that fosters growth and collaboration. Position Duties & Responsibilities: Reviews pari-mutuel, cardroom, and slot machine... reports. Ensures fees are assigned properly in the licensing database. Reviews the Unassigned Cash report on a monthly basis...
State of Florida ⚡ $46350 - 53560 per year ⚡ Wed, 29 Apr 2026 02:08:42 GMT
Job Summary: Responsible for carrying out precertification and medical necessity reviews on all designated referrals..., utilizing established criteria and guidelines, retrospective ED reviews. In addition, they will perform eligibility and benefit...
Kaiser Permanente ⚡⚡ Tue, 28 Apr 2026 23:28:44 GMT
that fosters growth and collaboration. Position Duties & Responsibilities: Reviews pari-mutuel, cardroom, and slot machine... reports. Ensures fees are assigned properly in the licensing database. Reviews the Unassigned Cash report on a monthly basis...
State of Florida ⚡ $46350 - 53560 per year ⚡ Tue, 28 Apr 2026 22:03:47 GMT
DIR - UTILIZATION REVIEW / MGMT
reviewers and managed care organizations to assure timely and appropriate interactions, monitor outcomes of the reviews...
TMC Bonham Hospital ⚡ ⚡ Wed, 29 Apr 2026 05:43:36 GMT