AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/14/202...

Navitas Healthcare 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 Duration: 14 weeks 40 hours per week Shi...

POSITION DUTIES – Reviews patient records, hospitalization status, and treatment plans to ensure appropriate, high-quality..., and healthcare benefit education. Manages documentation, appeals, notifications, quality reviews, billing-related communication...

Registered Nurse (RN), Quality Review Caser Manager Job Type: Full-Time | Days Schedule: Monday-Friday 8am-4:30pm; 1 weekend per month; Rotating holidays Your experience matters Southern Tennessee Regional Health System - Lawrencebu...

management, and assistance with the meetings of the Board. Reviews submitted applications, makes the final compliance... with the system set up and revisions of application forms and templates. Conducts reviews of complex scientific research...

, including HB 803 and SB 1234. Reviews and audits all permit documentation, including private provider submissions.... Supports oversight of private provider registration and statewide registry requirements. Reviews incoming permits...

Oversees service delivery authorizations and provides quality assurances of service delivery records Reviews all service...

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...

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...

Product Teams (IPT) and participate in design reviews. Represent the engineering community in the build through postproduction...

Job Summary: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME... established criteria and guidelines for coordination of services. Eligibility and benefit reviews will be performed as necessary...

Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical records... listed below. Behavioral health experience strongly preferred. Prepares case reviews for Medical Directors by researching...

level reviews, and report the outcomes to the VP of Care Management and Team. Provides education to nursing staff.../denials and retrospective reviews. Qualifications: Education: Bachelor's in Behavioral Health, Social Work, Counseling...

, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans and scan...

through regular reviews and audits and collaboration with the clinical team, facilitates responsible decisions that promote... and thereafter continuing stay reviews for all hospitalized patients Facilitates utilization review concurrent with decisions...

Job Summary: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME... established criteria and guidelines for coordination of services. Eligibility and benefit reviews will be performed as necessary...

utilization reviews of patient records. Evaluate medical necessity and appropriateness of admissions, continued stays, procedures...

, and Internet search What You Will Do at Cambia: Prioritize work and coordinate activities to ensure timely record reviews...

Sign on bonus $10,000 possible eligible Job Summary: Responsible for carrying out medical necessity reviews... and benefit reviews will be performed as necessary. Identification of patients for case management, quality improvement reviews...