and screening criteria. Conducts detailed medical records reviews for peer review, as appropriate. Maintains knowledge of evidence.... Performs chart reviews and abstracts data for quality and patient safety initiatives, such as core and quality measures...
USC Arcadia Hospital ⚡ $48.85 - 73.27 per hour ⚡ Thu, 12 Feb 2026 00:42:27 GMT
independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care. Provide evidence-based... record review and accompanying report. Most cases take 1-3 hours to complete; shorter reviews may take less than 1 hour...
as needed. What Would You Do? Performs engineering reviews, prepares comments with a focus of resolving conflicts during design and construction phases... of a project; Reviews all commercial and residential development to ensure adherence to applicable County codes; Prepares...
Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine... are met. Ensure appeals are completed thoroughly and on a timely basis. Interface with managed care organizations, external reviews...
Your future role at a glance Location: Remote Facility: Remote Department/Specialty: Utilization Management Schedule: 8am-5pm Salary Range: $99,863.85 - $135,109.91 Life at Ascension: Where purpose meets opportunity Ascension ...
Ascension ⚡ $99863.85 - 135109.9 per year ⚡ Thu, 30 Apr 2026 07:49:57 GMT
Multi-Specialty Peer Review Committee Coordinator in San Francisco/Bay Area contract Opportunity! This Jobot Consulting Job is hosted by: Robert Reyes Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resu...
Spokane, Washington residents: If a street address is not available, enter N/A when completing a job application. At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter fi...
Job Description: Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve ...
Intermountain Health ⚡⚡ Thu, 30 Apr 2026 03:19:06 GMT
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patient...
Metropolitan Health System ⚡ $92276.31 per year ⚡ Thu, 30 Apr 2026 02:57:36 GMT
Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Pr...
Premera Blue Cross ⚡ $80200 - 125600 per year ⚡ Thu, 30 Apr 2026 02:32:31 GMT
Job Requirements We are hiring an OASIS Review RN to join our Hospice team! Full-Time; 8:30am - 5:00pm The Clinical Review RN is responsible for the review of admission and discharge data as assigned to ensure appropriateness, complet...
Job Description At Boeing, we innovate and collaborate to make the world a better place. We're committed to fostering an environment for every teammate that's welcoming, respectful and inclusive, with great opportunity for professional gr...
Boeing ⚡ $103700 - 140300 per year ⚡ Thu, 30 Apr 2026 01:36:33 GMT
It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary: Evaluates the medical necessity and appropriateness of hospital admissions and surgical procedures. Ensures payors receive clinical information to supp...
Summary RE Global is seeking experienced Duties Key Responsibilities Requirements Required Qualifications Nice To Haves Preferred Qualifications Experience reviewing extension of time requests. Pre-conveyance escalation or ...
RE ⚡ $18 - 23 per hour ⚡ Thu, 30 Apr 2026 00:39:06 GMT
Medical Record Review Request for an Ophthalmologist in TN
Medical Record and Peer Reviews is a plus but not required. · Skills: Strong analytical skills and excellent communication...
Dane Street ⚡ ⚡ Fri, 13 Feb 2026 23:15:27 GMT