Registered Nurse (RN) | Utilization Review Location: Glendale, CO Agency: Adelphi Healthcare Pay: $46 per hour Contract Duration: 1 Years Start Date: ASAP About the Position TravelNurseSource is working with Adelphi Healthcare to find a...

Case Review Analyst Req number: R7884 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...

Case Review Analyst Req number: R7255 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...

. Documentation and Reporting: Document findings from utilization reviews in the appropriate systems and ensure accurate record...

. Documentation and Reporting: Document findings from utilization reviews in the appropriate systems and ensure accurate record...

JOB DUTIES/RESPONSIBILITIES: Reviews coverage determinations and appeals in a timely, compliant, and accurate manner. Ensures...

exception tracking system Work to continually develop and improve internal procedures Assist with collateral reviews...

Build your Career with an Industry Leader As the global leader of premium labels, MCC helps brands stand out in competitive markets and inspire positive consumer experiences. Backed by over a century of printing experience, MCC is focused...

reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce... * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual...

Consultant for pre-payment activities. Responsibilities include conducting clinical and financial pre-payment compliance reviews... requires the ability to perform comprehensive medical record reviews and analyze complex datasets and systems.This position...

reviews of patient medical records prior to surgical or procedural admissions. This position requires strong clinical...

related to Total Worker Health Experience conducting or supporting systematic reviews, including study screening and data...

Day to Day Responsibilities: The Commercial Appeals and Grievance RN reviews and processes appeals resulting... while processing these member-generated appeals. In this role, the RN will perform accurate and timely first-level reviews according...

advanced arboricultural development review services for the Planning and Building Department. Reviews complex development... for complex issues relating to arboriculture. Reviews complex development applications and public projects (such as capital...

, identifying design inconsistencies and errors, and preparing comprehensive constructability reviews of pre-bid construction...

. Primarily responsible for conducting post-service in-depth clinical reviews (all care settings) in accordance with accepted... expertise to conduct clinical case retrospective reviews to determine deviation from standard of care or gaps in care...

. Primary Responsibilities: Perform administrative reviews of short stay inpatient hospital claims in accordance with Federal...

management organizations as needed or identified through quality assurance reviews to strengthen consistency and service quality...

conducts regulatory and administrative reviews of Exempt, Expedited and Full Board submissions. Provides engagement... members in the review and approval of research subject to ancillary committee reviews. The administrator will also be involved...

Payrate: $42.00- $44.00/hr. Summary: The Commercial Appeals and Grievance RN reviews and processes appeals resulting... while processing these member-generated appeals. In this role, the RN will perform accurate and timely first level reviews according...