of MCG and Utilization Review requirements for concurrent and initial reviews Utilization review, Case management... equipment for chart reviews Performs inpatient and observation utilization reviews Reviews medical necessity using clinical...

Care Career is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/06/2026 Duration: 1 weeks 36 hou...

Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team f...

Experience. Experience with doing 30+ reviews a day. Previous experience with screening criteria including Cerner, InterQual...

clinical information. Responsibilities Include: Reviews the medical record by applying utilization review criteria..., to assess clinical, financial, and resource consumption. Enters clinical reviews into the software program. Maintains close...

: Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption.... Enters clinical reviews into the software program. Maintains close communication with external reviewers/internal financial...

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...

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...

appraisal reviews to support loan production objectives. The role ensures the delivery of timely, compliant, and high-quality... Operations Perform complex residential appraisal reviews for compliance, quality, credibility, and adherence to industry...

nurses. Faxes clinical reviews and updates to insurance companies when needed. Maintains, updates, and files insurance lists...

appraisal reviews to support loan production objectives. The role ensures the delivery of timely, compliant, and high-quality... Operations Perform complex residential appraisal reviews for compliance, quality, credibility, and adherence to industry...

. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Conducts quality reviews of contractor documentation for repair estimates to ensure.... Creates, reviews, and sends fair and accurate estimates through various platforms. Records data around initial estimates...

patient status and continued stay reviews, possibly from an offsite location Provides inpatient and observation... (if indicated) clinical reviews for commercial carriers to the Financial Clearance Center (FCC) within one business day of admission...

of status of change or status discrepancies identified. Reviews the records on admission for status orders present addressing... stay or status when required. Reviews denial letters/faxes received in Care Coordination Department and direct to Conifer...

medical records reviews with accurate diagnosis code abstraction in accordance with Official Coding Guidelines and Conventions... must become CRC certified within 6 months of hire. Experience with medical documentation audits and medical chart reviews...

appraisal reviews to support loan production objectives. The role ensures the delivery of timely, compliant, and high-quality... Operations Perform complex residential appraisal reviews for compliance, quality, credibility, and adherence to industry...

appraisal reviews to support loan production objectives. The role ensures the delivery of timely, compliant, and high-quality... Operations Perform complex residential appraisal reviews for compliance, quality, credibility, and adherence to industry...

that they align with established guidelines and standards. -Participates in department quality improvement initiatives. -Reviews... experience with chart reviews in electronic medical records, clinical data, supporting or leading work around quality...

Responsibilities: Perform concurrent reviews of members for appropriate care and setting to determine overall health...