Utilization Review Nurse Specialist

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Buffalo Psychiatric Center. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job Title: Utilization Review NurseAt VetJobs, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that medical treatment is reasonable, necessary, and causally related to the compensable injury.Key Responsibilities:Interpret complex medical information to determine...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform clinical reviews to determine the medical necessity of requested servicesObtain and review clinical...

About UsThe Travelers Companies, Inc. is a leading property casualty insurer with a rich history of over 160 years.Our CommitmentWe are dedicated to taking care of our customers, communities, and employees. Our promise is to provide exceptional service and support.Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team. As a Utilization...

Job Title: Utilization Review CoordinatorBuffalo Psychiatric Center is seeking a skilled Utilization Review Coordinator to analyze and evaluate the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Responsibilities:Review clinical records for completeness and accuracy to ensure...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Buffalo Psychiatric Center. As a key member of our healthcare team, you will be responsible for analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job OpportunityThis position is responsible for conducting in-house utilization review with a focus on determining medical necessity for prospective, concurrent, retrospective, and appeal treatment requests for workers' compensation claims.Key ResponsibilitiesInterpret routine, complex, or unique medical information to evaluate medical treatment and...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive the necessary healthcare services while maintaining the highest level of quality and efficiency.Key ResponsibilitiesConduct thorough medical necessity...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Travelers Insurance. As a Medical Case Manager, you will play a critical role in ensuring that our customers receive the necessary medical treatment for their workers' compensation claims.Key ResponsibilitiesConduct in-house utilization review to determine medical necessity for...

Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at Independent Health. As a Utilization Review Specialist, you will play a critical role in ensuring the medical necessity of requested services, adhering to regulatory and compliance requirements, and providing exceptional customer service to internal and external...

Job SummaryWe are seeking a skilled Clinical Review Nurse to join our team at Independent Health Association. As a Clinical Review Nurse, you will play a critical role in ensuring the medical necessity of requested services, utilizing your clinical expertise and knowledge of IHA policy and criteria.Key ResponsibilitiesPerform clinical reviews to determine...

About the RoleWe are seeking a skilled Utilization Review Nurse to join our team at Independent Health Association. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform clinical reviews to determine the medical necessity of requested servicesObtain and...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Independent Health Association. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform clinical reviews to determine the medical necessity of requested servicesObtain and...

Job Title: Insurance Policy Review SpecialistArbor Realty Trust, Inc. is seeking a highly skilled Insurance Policy Review Specialist to join our team. As a key member of our insurance operations team, you will be responsible for ensuring that all required insurance coverage is in place at appropriate limits to demonstrate compliance with investor...

We are seeking a highly skilled Plant Utilities Specialist to join our team at the New York State Government. As a key member of our operations team, you will be responsible for the maintenance, repair, and operation of mechanical and electrical equipment that provides heat, hot water, ventilation, air conditioning, and electrical distribution.Key...

Job SummaryWe are seeking a highly detail-oriented Document Custodian Reviewer to join our team at HonorVet Technologies. As a Document Custodian Reviewer, you will play a critical role in ensuring the accuracy and integrity of documents from Institutional clients.Key ResponsibilitiesConduct thorough reviews of documents to identify exceptions and ensure...

Job Description:Overview:As a Document Custodian Reviewer, you will play a crucial role in ensuring the accuracy and integrity of documents from Institutional clients. Your primary responsibility will be to complete a thorough review of documents, identifying any exceptions and reporting them to management.Key Responsibilities:Conduct a detailed review of...

Document Reviewer OpportunityLighthouse Technology Services is partnering with our client to fill their Document Reviewer position.This is a 4-month contract opportunity and will be onsite in Buffalo, New York.This role will be a W-2 employee of L Business Services, Staffing.Key Responsibilities:Review and analyze documentsEnsure accuracy and quality of...

Job SummaryWe are seeking a highly detail-oriented Document Custodian Reviewer to join our team at Mindlance. As a Document Custodian Reviewer, you will be responsible for completing entry-level reviews of documents from Institutional clients and reporting on identified exceptions.Key ResponsibilitiesComplete basic data matching of documents based on agency...