practices. Key Responsibilities Conduct 30+ reviews daily utilizing screening criteria such as Cerner, InterQual, and MCG...

Synergy Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Utilization Review for a travel nursing job in Middletown, Rhode Island. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date...

Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Astoria, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 11/23/2026 Duration: 8 weeks ...

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...

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...

of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent... continued stay review. Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory...

primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.... Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory requirements...

primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.... Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory requirements...

primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.... Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory requirements...

primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.... Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory requirements...

appraisal reviews for USPAP, FIRREA and master credit policy compliance Confirms property level details with data sources...

appraisal reviews for USPAP, FIRREA and master credit policy compliance Confirms property level details with data sources...

systematic and comparative effectiveness reviews, health technology assessments, rapid and scoping reviews, evidence maps..., other types of evidence reviews, and research portfolio analysis for federal and other clients. In this role, you will lead the...

primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.... Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory requirements...

appraisal reviews for USPAP, FIRREA and master credit policy compliance Confirms property level details with data sources...

of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent... continued stay review. Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory...

appraisal reviews for USPAP, FIRREA and master credit policy compliance Confirms property level details with data sources...

request for reviews from and notifies determinations to BAD, ITS, NASCO, FEP, BMS, and legal. QUALIFICATIONS Education... management certification is preferred ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Reviews medical claims and requests...

of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent... continued stay review. Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory...

of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent... continued stay review. Reviews for appropriate treatment setting to ensure compliance with applicable criteria, and regulatory...