Review Manager

Cyber Review Manager Job SummaryEpiq's Cyber Incident Response group is responsible for managing and overseeing review of data exfiltrated in cyber incidents to identify, extract, and report on the individuals whose personal identifying information (PII) and protected health information (PHI) were compromised. The Review Manager must have a general...

About the RoleEpiq's Cyber Incident Response group is seeking a highly skilled Review Manager to oversee the review of data exfiltrated in cyber incidents. The ideal candidate will have a strong understanding of data entry, document review, and project management, as well as excellent communication and problem-solving skills.Key ResponsibilitiesServe as...

Job Title: Senior Clinical Reviewer for External Quality ReviewComagine Health is seeking a highly skilled Senior Clinical Reviewer to join our team for External Quality Review (EQR) Services. As a Senior Clinical Reviewer, you will play a critical role in supporting state external quality review contracts by leading and coordinating prior authorization and...

Comagine Health is seeking a Senior Clinical Reviewer for External Quality Review (EQR) Services to support state external quality review contracts.This role involves leading and coordinating prior authorization and other audit activities, coordinating with internal teams on project timelines and deliverables, analyzing health plan data, and conducting audit...

Job DescriptionLighthouse Document Technologies Inc is seeking a highly skilled Review Manager to join our team. As a Review Manager, you will be responsible for managing document review projects, ensuring timely and accurate delivery of results, and providing exceptional client service.Key Responsibilities:Manage document review projects from start to...

Job SummaryWe are seeking a highly experienced Review Manager to join our team at Lighthouse Document Technologies Inc. As a Review Manager, you will be responsible for overseeing the execution of review plans, recommending best practices, and communicating with stakeholders.Key ResponsibilitiesDevelop and implement review plans that meet Lighthouse...

Job Title: Appeals Review NurseAbout the Role:The Appeals Review Nurse is a critical member of our team, responsible for performing clinical reviews on appeals cases requiring a Medical Necessity Determination. This role involves assessing and reviewing medical necessity for appeal requests using utilization review criteria, technologies, and tools. The...

Kaiser Permanente is seeking a skilled Registered Nurse to fill a challenging role as a Case Manager in Utilization Review. This position requires a strong background in nursing, with a focus on managing patient care and ensuring optimal health outcomes.Key Responsibilities:Assess patient needs and develop personalized care plans to achieve optimal health...

About the RoleWe are seeking a skilled Utilization Review Nurse to join our team at Swedish Health Services. As a key member of our nursing staff, you will play a critical role in ensuring the highest quality patient care and outcomes.Key ResponsibilitiesAssess and evaluate patient care needs, developing and implementing individualized plans to ensure...

About the RoleThe Appeals Review Nurse is a critical member of our team, responsible for performing clinical review on all appeals cases requiring a Medical Necessity Determination. This role involves assessing and reviewing medical necessity for appeal requests using utilization review criteria, technologies, and tools. The successful candidate will work...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is ideal for a detail-oriented professional with a strong background in pharmacy and a passion for improving patient outcomes.Key Responsibilities:Conduct comprehensive reviews of medication...

Drug Utilization Review SpecialistAt destinationone Consulting, we're committed to connecting talented professionals with exciting opportunities in the healthcare industry. As a Drug Utilization Review Specialist, you'll play a vital role in ensuring safe and effective medication therapy for patients.Key Responsibilities:Conduct thorough drug utilization...

Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in promoting safe and effective medication therapy.Key Responsibilities:Conduct comprehensive drug utilization reviews to identify potential...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy.Key Responsibilities:Conduct...

About the RoleWe are seeking a skilled Utilization Review Nurse to join our team at Providence Swedish. As a key member of our healthcare team, you will play a vital role in ensuring the efficient and effective delivery of patient care.Key ResponsibilitiesAssess and evaluate patient care needs, identifying opportunities for improvement and implementing...

Job Summarydestinationone Consulting is seeking a skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a vital role in promoting safe and effective medication therapy.Key Responsibilities:Conduct comprehensive drug utilization reviews to identify potential medication-related problems...

Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and Food. We are proactively building a comprehensive database of opportunities in these fields. By applying, you ensure our recruiters can efficiently...

Job SummaryAcentra Health is seeking a skilled Clinical Evaluator to join our team. As a Clinical Evaluator, you will conduct face-to-face assessments to facilitate appropriate placement and next level of care in Seattle, Washington. Your role involves providing essential evaluations to enhance patient well-being and improve their quality of life.Key...

Job Title: Clinical EvaluatorAcentra Health is seeking a skilled Clinical Evaluator to join our team. As a Clinical Evaluator, you will conduct face-to-face assessments to facilitate appropriate placement and next level of care in Seattle, Washington.Job Summary:As a trusted expert, you will evaluate, determine, and recommend the next level of care to...

Job Title: Records ManagerWe are seeking a highly skilled Records Manager to join our team in Seattle, Washington. This is a contract position with a duration of 1-2 months, with the possibility of extension.Responsibilities:Organize and maintain physical and digital files accurately and efficiently.Review documents in detail to ensure accuracy and...