criteria, and annotation best practices. General Job Profile - Reviews the work of others. - Develops innovative approaches...

and enhance employee engagement in all roles. Works under general supervision. Reviews and approves evaluation documentation..., OASIS and Patient Plan of Care. Assures consistency with the comprehensive assessment and the patient plan of care. Reviews...

Description Providence Queen of the Valley Medical Center is committed to delivering top-notch healthcare, earning recognition from the Association of California Healthcare Districts (ACHD) Award in recognition of our outstanding contribu...

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...

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Ramon, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP...

Teams (IPT) and participating in design reviews Represents the engineering community in the build through post-production...

product/process improvements Supports Integrated Product Teams (IPT) and participates in design reviews Represents the...

appraisals, prepares appraisal reviews and internal scorecards, and helps ensure appraisal activities are executed in alignment... with appraisal engagements and reviews. Conduct market research and provide analytical support to strengthen appraisal review...

appraisals, prepares appraisal reviews and internal scorecards, and helps ensure appraisal activities are executed in alignment... with appraisal engagements and reviews. Conduct market research and provide analytical support to strengthen appraisal review...

appraisals, prepares appraisal reviews and internal scorecards, and helps ensure appraisal activities are executed in alignment... with appraisal engagements and reviews. Conduct market research and provide analytical support to strengthen appraisal review...

appraisals, prepares appraisal reviews and internal scorecards, and helps ensure appraisal activities are executed in alignment... with appraisal engagements and reviews. Conduct market research and provide analytical support to strengthen appraisal review...

appraisals, prepares appraisal reviews and internal scorecards, and helps ensure appraisal activities are executed in alignment... with appraisal engagements and reviews. Conduct market research and provide analytical support to strengthen appraisal review...

our global risk reviews. Who you are 4+ years experience in Customer Due Diligence/Enhanced Due Diligence/KYC...

and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals...

, such as InterQual or MCG criteria, to complete initial (if not complete) and continued stay reviews in determining appropriate levels... knowledge of Medicare requirements for patient status (Two-Midnight Rule, Inpatient Only List) Performs chart reviews...

Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review... reviews Intermediate level experience with InterQual and/or MCG criteria within the last two years Proficiency in medical...

About this Job: General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure... is required. Primary Duties and Responsibilities Conducts admission concurrent and retrospective case reviews to meet hospital...

Description: Summary: The Facility Compliance Review team reviews post service prepayment facility claims for contract... and aberrant billing. Your Work In this role, you will: Perform retrospective utilization reviews and first level...

management experience in acute admission and concurrent reviews Intermediate level experience with InterQual and/or MCG...

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the..., and will have rotational Saturdays and holidays. Performs concurrent reviews of member for appropriate care and setting to determine overall...