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: 09/28/202...

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...

American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/05/2026 Durat...

required for highly-complex and/or escalated reviews, and providing expert guidance to team members and partnering with the health care... and/or escalated reviews, and providing expert guidance to team members and partnering with the health care team, members...

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...

**Warehouse/Shipping/Production Opportunities!** You will assist in the distribution and shipping operations of home goods products. Fast Scheduling - When you apply with Marathon, you could be working in a few days (depending on curren...

**Warehouse/Shipping/Production Opportunities!** You will assist in the distribution and shipping operations of home goods products. Fast Scheduling - When you apply with Marathon, you could be working in a few days (depending on curren...

**Warehouse/Shipping/Production Opportunities!** You will assist in the distribution and shipping operations of home goods products. Fast Scheduling - When you apply with Marathon, you could be working in a few days (depending on curren...

100% Remote Contract Attorney Needed for Growing Labor and Employment Law Firm! This Jobot Consulting Job is hosted by: Bryce Koelsch Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $40 ...

required for highly-complex and/or escalated reviews, and providing expert guidance to team members and partnering with the health care... and/or escalated reviews, and providing expert guidance to team members and partnering with the health care team, members...

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

), county policies, and applicable state and federal regulations. Reviews, classifies, records, and reconciles financial...

Client Services team and reviews all new and revised deposit accounts for accuracy and compliance with established procedures...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the... time zone, and rotating weekends and holidays. Performs concurrent reviews of member for appropriate care and setting...

level of care and services are medically appropriate Performs prior authorization reviews related to mental health...

appropriate action to improve outcomes and cost-effective care. Reviews and updates department/program specific standards...

the benefits/need for utilization review and documentation.Performs regular, follow-up and focused chart audits/reviews...

internal routine and non-routine data reports for clients Reviews and audits the most complex and novel laboratory data...

into UR software system. Reviews and updates denial status from pending and open denials (concurrent reconsideration and peer...

Advantage Claims Review Specialist reviews and processes Medicare Advantage medical claims requiring manual intervention when...