Description Care Manager MSW at Providence Healdsburg Hospital in Healdsburg, CA. This position is Per Diem and will work 8-hour, Day shifts. Providence Healdsburg Hospital is committed to delivering top-notch healthcare, earning recogn...

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: 10/26/2026 Durat...

Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York. Job Description & Requirements Specialty: Utilization Review Discipline: Therapy Start Date: 10/26/2026 Duration: 13 weeks 40 hours ...

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...

are completed thoroughly and on a timely basis. Interface with managed care organizations, external reviews, and other payers.... Communicate with physicians to schedule peer to peer reviews. Accurately report denials. Qualifications and requirements...

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...

testing services. Reviews and interprets drug test results, including determining legitimate medical explanations...

How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays... organizations, external reviews, and other payers. Communicate with physicians to schedule peer to peer reviews. Accurately report...

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...

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 ...

Typical Day in the Role: Routinely reviews prior authorization requests to determine medical necessity of service.../LPN - Licensed Practical Nurse - State Licensure required Performs medical necessity and clinical reviews of authorization...

: Routinely reviews prior authorization requests to determine medical necessity of service and appropriate level of care... in Nursing and 2-4 years of experience Performs medical necessity and clinical reviews of authorization requests to determine...

of legal or accreditation actions. Essential Functions: Receives, researches, reviews and analyzes professional...

1st shift (6:30am-2:30pm)$18.50Objective: The Material Review Auditor reviews suspected non-conforming parts to assure...

. The main duties include chart retrieval, using proprietary tools and software to conduct thorough medical record reviews...

| Possible shifts in both PST and CST 7am 4pm/8am 5pm/9am 6pm/10Am 7pm PR: $38-43.00/HR Responsibilities Routinely reviews prior...- Registered Nurse/LPN - Licensed Practical Nurse - State Licensure required Performs medical necessity and clinical reviews...

will support Medicaid and Marketplace prior authorization reviews across multiple states. The role involves reviewing authorization... Responsibilities: Review prior authorization requests for Medicaid and Marketplace members. Complete approximately 14 16 reviews...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the.... Key Details: Must reside in EST or CST. Med Surg experience highly preferred. Performs concurrent reviews of member...

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

. You will develop software that automates and enhances security processes including security design reviews, threat modeling... analysis (SCA), penetration testing, AI red teaming, security design reviews, and threat modeling. Develop AI-powered agents...