Plan Reviewer

Definition: Responsible for the initial receipt and subsequent review of submissions made to the Architectural Control Committee (ACC) for approval as mandated by the Las Colinas Declaration (“Declaration”).Essential Job Functions:Understands and has working knowledge of the Declaration (including supplementary declarations), Article IV (ACC), Article V...

Position Overview: This role is essential for the initial assessment and thorough evaluation of submissions presented to the Architectural Control Committee (ACC) for approval, in accordance with the regulations set forth by the Las Colinas Declaration.Key Responsibilities:Possesses a comprehensive understanding of the Declaration, including supplementary...

Position Overview: The individual in this role is accountable for the preliminary receipt and thorough examination of submissions directed to the Architectural Control Committee (ACC) for endorsement as stipulated by the Las Colinas Declaration.Key Responsibilities:Possesses a comprehensive understanding of the Declaration, including supplementary documents,...

Title: RN Utilization Review Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They...

Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions....

Position Overview:Uniti Med is currently in search of a dedicated travel nurse specializing in Utilization Review.Key Responsibilities:- Conduct thorough reviews of patient care and treatment plans.- Collaborate with healthcare teams to ensure optimal patient outcomes.- Evaluate the necessity and efficiency of medical services provided.Job...

Job SummaryWe are seeking a highly skilled Senior Risk Oversight Specialist to join our Finance Chief Risk Office (Finance CRO) organization. The successful candidate will be responsible for second-line oversight of regulatory capital management, including measurement of spot regulatory capital and Risk-Weighted Assets (RWA).Key ResponsibilitiesPerform...

Position Overview:TRS Healthcare is currently seeking a travel nurse RN specializing in Utilization Review. This role is essential in ensuring the efficient use of healthcare resources while maintaining high standards of patient care.Key Responsibilities:- Conduct thorough reviews of patient care plans and treatment protocols.- Collaborate with healthcare...

Job OverviewAbout UsGuideWell is a prominent healthcare third-party administrator with over three decades of expertise in developing tailored benefit solutions and managing personalized health plans.Position Highlights:This role requires full-time office presence.Standard training hours are Monday to Friday, 8:00 AM to 4:30 PM.Your Role:As a Claims Examiner,...

Uniti Med is currently seeking a dedicated travel nurse RN specializing in Utilization Review for an exciting opportunity.Position OverviewThe selected candidate will engage in a critical role that involves evaluating patient care and ensuring the appropriate use of healthcare resources.Key ResponsibilitiesSpecialty: Utilization ReviewDiscipline:...

TRS Healthcare is currently seeking a travel nurse RN specializing in Utilization Review.Position OverviewThis role involves assessing and evaluating patient care plans to ensure they meet established guidelines and standards. The travel nurse will work collaboratively with healthcare teams to optimize patient outcomes.Key ResponsibilitiesSpecialty:...

Job DescriptionJob DescriptionResolute Investment Managers, Inc.Marketing Review Analyst, ComplianceResolute Investment Managers, Inc. ("Resolute") is a diversified, multi-affiliate asset management platform that partners with affiliated and independent investment managers. The clients of Resolute and our affiliates include corporate defined benefit plans,...

TRS Healthcare is seeking a skilled travel nurse to fill a Utilization Review position in a dynamic healthcare setting.Job SummaryWe are looking for a dedicated and compassionate Registered Nurse to join our team as a travel nurse. As a Utilization Review RN, you will play a critical role in ensuring the highest quality patient care and outcomes.Key...

Job DescriptionJob DescriptionQuality Assurance Associate – Review & Disposition About Us:Carie Boyd Pharmaceuticals is a national 503B FDA outsourcing registered facility, enabling us to meet the needs of our patients and prescribers through a variety of office use products including but not limited to injectables, pellets, and topicals. Being a member...

TRS Healthcare is seeking a skilled travel nurse RN to fill a Utilization Review position in a dynamic healthcare setting.Job SummaryWe are looking for a highly motivated and experienced Registered Nurse to join our team as a Travel Nurse RN - Utilization Review Specialist. As a key member of our healthcare team, you will be responsible for reviewing patient...

Support Center - IrvingWe are seeking an experienced and analytical eCommerce Planning Analyst to join our team. The ideal candidate will be responsible for forecasting for our E-commerce portfolio, collaborating across departments to align strategies with financial goals and market trends. Additionally, the eCommerce Planning Analyst will oversee site-wide...

Job SummaryWe are seeking a highly skilled Financial Planning and Analysis Specialist to join our team at Vizient. As a key member of our finance department, you will play a critical role in supporting our business units with financial planning, budgeting, and forecasting.Key ResponsibilitiesFinancial Planning and Analysis: Participate in expense and revenue...

Job DescriptionJob DescriptionThe Demand & Supply Planning Manager will be responsible for the direction and management of demand planning, forecasting, purchasing, and material planning groups. This role will be handle strategic planning, purchasing, material expediting, inventory management, and excess and obsolete material resolution which will drive...

Job DescriptionJob DescriptionOVERVIEWNautilus Hyosung America, Inc. (HYOSUNG) is a world leader in ATM self-service technologies. We have built a reputation for innovation by continually researching, developing and delivering quality ATM products – flexible products that adapt to our changing world and our customers’ changing needs JOB SUMMARY:The...

Job OverviewAs a key member of the RRK Company team, the Financial Planning and Analysis Associate will report directly to the Director of Financial and Planning Analysis. This role is pivotal in assisting with the formulation of the operational and financial strategy necessary to fulfill the organization's long-term objectives.Your responsibilities will...