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...

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/05/2026 Duration:...

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Austin, Texas. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/06/2026 Duration: 13 w...

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...

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...

: 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...

) and participating in design reviews Represents the engineering community in the build through post-production environment Develops...

product/process improvements Supports Integrated Product Teams (IPT) and participates in design reviews Represents the...

Teams (IPT) and participating in design reviews Represents the engineering community in the build through post-production...

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...

, during, and after services to ensure level of care and services are medically appropriate Performs prior authorization reviews related...

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

of benefits. They facilitate retrospective reviews and approvals for care whenever necessary, and they implement and coordinate...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the... experience highly preferred. MCG or Interqual Experience helpful. Performs concurrent reviews of member for appropriate care...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the... of 5+ years clinical and UM experience highliy preferred. Performs concurrent reviews of member for appropriate care...

Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services... (BH) and/or autism spectrum disorder needs and clinical standards Performs prior authorization reviews related to BH...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the... required. ICU or ER experience preferred. Performs concurrent reviews of member for appropriate care and setting to determine...

Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services... (BH) and/or autism spectrum disorder needs and clinical standards Performs prior authorization reviews related to BH...