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 ...

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 ...

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...

-to-consumer (DTC) communications and to lead complex promotional reviews and strategy from the outset. The Director leads the...

Case Review Analyst Req number: R8858 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 yea...

. 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...

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...

Job Description Reviews building plans to comply with International Code Council (ICC) codes, as well as local... presented in this description. Reviews projects and construction plans to ensure compliance with International Building Codes...

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...

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...

. 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...

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 (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...

. 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...

: 0.8 On-call: No Weekends: Yes General Summary: The Utilization Review Nurse performs clinical reviews using accepted... of appropriate clinical documentation efforts. Reviews medical record for issues related to quality, risk management and appropriate...

environment. Principal Duties and Responsibilities Pre-reviews and analyzes all research project submissions received via the... department money transfers. Pre-reviews submissions qualifying for expedited review by the IRB Chairperson to include the...

tracking factors such as Credit Review’s review universe, planned versus completed reviews, testing deviation trends...

, and advising on risk mitigation. Oversee the execution of the Risk Plan including Continuous, Targeted, and Horizontal reviews... changes to executive management and business lines to correct deficiencies identified during credit reviews to strengthen the...