Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports...

Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports...

Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports...

About Us: 4LEAF, Inc. (4LEAF) is a multi-discipline Firm providing services throughout the United States. For over 20 years, 4LEAF has assisted communities in successfully navigating contract services, leading to fiscally responsible solu...

SSM Health is an Equal Opportunity Employer:Community Description:About SSM Health St. Mary's Hospital - Madison: SSM Health-Dean Medical Group, a 500-physician multi-specialty group, is actively recruiting a Cardiothoracic Surgery Physic...

Multi-Specialty Peer Review Committee Coordinator in San Francisco/Bay Area contract Opportunity! This Jobot Consulting Job is hosted by: Robert Reyes Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resu...

testing support documentation such as workpapers, rationale, testing reports, etc. to support the result of reviews including... the write-up of findings/issues for reporting Learn/perform code reviews in support of automated/hybrid controls...

agreements. Reviews loan (or collateral) documents, handles file processing and works with external/internal clients and contacts...

has Strategic Responsibilities: Regulatory Guidance: Interpret and apply advertising and promotion regulations in reviews...

amounts vs. legal amounts on checks to ensure proper reviews on items are done, should there be a need to return items... of all responsibilities, duties, and skills required by all incumbents. Reviews and processes large items ($7,500 and greater...

for patients. POSITION SUMMARY: The Utilization Review (UR) Specialist will independently facilitate clinical reviews..., concurrent, and retrospective reviews of patient care in a timely manner to ensure continuous coverage for patients in inpatient...

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...

systems, ensuring information captured is error-free and accurate Reviews quality reports to identify trends, issues and root...

guidelines and benefit coverage. Conduct prior authorization and HRS Flex reviews, applying nursing judgment to support timely...

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

to queries regarding IRB submissions and IRB software. Independently conducts regulatory and administrative reviews of Exempt... to ancillary committee reviews. The administrator will also be involved in the oversight of the Committee functions, including...

/hr. 17 days of PTO + 8 Paid Company Holidays + 1 Paid Floating Holiday Annual Reviews + Merit Increases + Quarterly...

standards and internal operational policies and procedures. Reviews engagement report(s) for grammatical errors, conciseness...

or Irvine, CA. What To Expect (Essential Job Responsibilities) Conduct comprehensive reviews and analyses of current...

and prioritize pending and active appraisal reviews so as to meet lending deadlines. Manage external vendor panel for assigned region...