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Utilization or Review jobs in United States

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Document Review Attorney (Onsite Only)

CAROLINA LEGAL ASSOCIATES  –  Charleston, SC
Ready to Rock Your Document Review Skills? Hey legal eagles! Are you a newly licensed attorney looking for an exciting, long-term project that lets you flex your document review muscles? A fantastic firm in the Charleston, SC area is on the hunt for ... - Mar 04

Contract Review Manager

KJLC  –  Clairton, PA, 15025
Location: Jefferson Hills, PA Department: Legal Reports To: General Counsel (GC) Title: Contract Review Manager (CRM) Overview of Responsibilities: The Contract Review Manager (CRM) will oversee the Contract Review process by working with the ... - Feb 06

Utilization Review Specialist

West River Health Services  –  Hettinger, ND, 58639
... retrospective review of specified charts as required. Obtains extensions in length of stays from insurance companies if needed. Obtains preauthorization and/or precertification of services. Reviews hospital records daily to determine if utilization ... - Feb 04

Utilization Review RN

Providence Health and Services  –  Seattle, WA, 98104
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 the UM ... - Mar 04

Case Management Utilization RN, Day

Kaiser Permanente  –  Downey, CA, 90242
... Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, ... - Mar 04

Mechanical Review Board Design Engineer

Judge Group, Inc.  –  Orlando, FL, 32885
... As the Mechanical Review Board Engineer, you will analyze and resolve non-conforming hardware issues, drive root cause investigations, and collaborate with cross-functional teams to ensure timely corrective actions. You will also provide ongoing ... - Mar 03

Travel Utilization Review RN - per week

GHR Healthcare - PH Division  –  Ewing, NJ, 08628
GHR Healthcare - PH Division is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Trenton, New Jersey. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 03/30/2026 Duration: ... - Mar 02

Mechanical Review Board Design Engineer

Judge Group, Inc.  –  Grand Prairie, TX, 75051
Location: Grand Prairie, TX Salary: $50.00 USD Hourly - $59.00 USD Hourly Description: Job Title: Mechanical Review Board Design Engineer Duration: 1+ Year Locations: Grand Prairie, TX Schedule: Hybrid (2 days onsite) Job Description: You will be ... - Mar 03

Case Manager Utilization RN-Per Diem

Kaiser Permanente  –  Los Angeles, CA, 90079
... Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, ... - Mar 04

Behavioral Health Utilization Management Medical Case Manager

CalOptima  –  Orange, CA, 92868
... Director's review, gathers pertinent medical information prior to submission to the Medical Director, follows up with the requester by communicating the Medical Director's decision and documents follow up in the utilization management system. ... - Mar 03
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