Experience with UR admission criteria, appeals and denials, concurrent review, continued stay reviews, medical necessity...

Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Bakersfield, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 11/16/2026 Duration: 13 weeks ...

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Syracuse, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks ...

of care, and duration of treatment required for moderately complex reviews, and collaborating with the health care team...-level procedures (e.g., workflows). Performs utilization reviews by: following standard policies and procedures when...

. Collaborate on training for Operations staff on findings of reviews and audits. Perform other duties as assigned...

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...

: The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day..., on any of the 7 days per week, utilizing Indicia for Case Management, and performs clinical reviews through document review...

reviews 24 hours per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information... admissions, all observation cases and concurrent reviews. They will be assigned to specific payer(s)/and or units/and or patient...

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...

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...

**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...

Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day, on any of the 7... days per week, utilizing Indicia for Case Management, and performs clinical reviews through document review, discussion...

Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours per day, 7 days... per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information shared with payers and authorization...

and compliance. Responsibilities: Reviews admissions and service requests within assigned unit for prospective, concurrent... and accounts for increased experience, skills and cost of living. Market reviews: All UCHealth positions are reviewed annually...

. Job Summary: The Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours... per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information shared with payers...

Position Purpose: Performs clinical documentation reviews and assesses care related to mental health and substance... services to ensure level of care and services are medically appropriate Performs prior authorization reviews related to mental...

compliance with institutional, federal, and state regulations governing human subjects’ research. Conducts comprehensive reviews... ethical research practices. Job Details Responsibilities: Conducts thorough reviews of IRB submissions (expedited...

. Responsibilities Complete admission, precertification, concurrent, continued-stay, step-down, and retrospective reviews in accordance..., appeal, or leadership intervention Prepare concise case summaries and supporting documentation for peer reviews, appeals...

. Responsibilities: Provides, initial, concurrent and retrospective reviews if assigned patients for severity of illness and intensity...