• Medical Review Analyst I

    Elevance Health (Norfolk, VA)
    ** Medical Review Analyst I** Location: This position will work a hybrid model (remote and office). Ideal candidates will live in Norfolk, Virginia. The ** ... more
    Elevance Health (04/22/25)
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  • Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN41383B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... more
    University of Utah (03/11/25)
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  • Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN39526B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... more
    University of Utah (02/11/25)
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  • Medical Review Analyst

    BlueCross BlueShield of North Carolina (NC)
    medical management related claims, using varied and broad clinical expertise. The Medical Review Analyst acts as a member advocate to promote and coordinate ... more
    BlueCross BlueShield of North Carolina (04/22/25)
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  • Medical Review Coordinator I

    Prime Healthcare (Chicago, IL)
    Medical Graduate, NP or Nursing (MSN) Graduate required. 2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. 3. ... more
    Prime Healthcare (03/26/25)
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  • Medical Review Auditor Analyst…

    Conduent (Charlotte, NC)
    …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst (Remote - Charlotte Area)** **Are you a strong, ... more
    Conduent (04/16/25)
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  • Senior Manager, US Medical Promotional…

    Bristol Myers Squibb (Madison, NJ)
    …advisors/stakeholders on issues or concerns + Ability to demonstrate leadership within the medical review team to help drive best practices aligned with ... more
    Bristol Myers Squibb (04/22/25)
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  • Utilization Review Medical Director

    Intermountain Health (Las Vegas, NV)
    …levels 1-3 are a must in order to be considered for the position.** Performs medical review activities pertaining to utilization review , claims review , ... more
    Intermountain Health (03/04/25)
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  • Medical Benefit Review Services…

    Conduent (Baton Rouge, LA)
    …part of a culture where individuality is noticed and valued every day. The Medical Benefit Review Services Associate position presents an exciting opportunity to ... more
    Conduent (03/04/25)
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  • Medical Review Coordinator I…

    Prime Healthcare (Joliet, IL)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203251/ medical - review -coordinator-i ... more
    Prime Healthcare (04/04/25)
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  • Licensed Practical Nurse (LPN) - Utilization…

    The Arora Group (Bethesda, MD)
    …providers in gathering clinical information and may also provide education on the medical review process. + The Contractor performing as the License Practical ... more
    The Arora Group (02/20/25)
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  • Utilization Review Services RN

    HCA Healthcare (Nashville, TN)
    …geographical market and productivity. **What you will do in this role:** + Conduct medical record review , validate admission status order, conduct a medical ... more
    HCA Healthcare (04/20/25)
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  • Utilization Review Specialist

    Nuvance Health (Danbury, CT)
    …inpatient by the attending, and case does not meet criteria per first level medical necessity review , discuss case with the attending MD to gather additional ... more
    Nuvance Health (04/23/25)
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  • Fetal Infant Mortality Review Abstractor…

    Truman Medical Centers (Kansas City, MO)
    …to data analysis, reporting, and community-based action planning. **What You'll Do** + Review medical records and conduct interviews with families to create case ... more
    Truman Medical Centers (04/15/25)
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  • Clinical Documentation Review Specialist

    Robert Half Office Team (Rancho Cordova, CA)
    …is essential. * Ability to perform Medical Records Analysis and Medical Records Review effectively. * Familiarity with Clinical Data Interchange Standards ... more
    Robert Half Office Team (04/11/25)
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  • Utilization Review Nurse (RN) Manager

    Ascension Health (Baltimore, MD)
    … processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. + Collaborate with ... more
    Ascension Health (03/26/25)
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  • Peer Review Coordinator - Multi Site

    CommonSpirit Health Mountain Region (Lakewood, CO)
    …Coordinator position is to ensure quality patient care by effectively managing the Medical Staff's Peer Review Program, which encompasses the ongoing and focused ... more
    CommonSpirit Health Mountain Region (04/11/25)
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  • Case Manager Utilization Review - Hospital…

    Beth Israel Lahey Health (Burlington, MA)
    medical and hospital staffs. -Case Manager experience as well as Utilization Review experience ( review medical necessity and discharge planning) **As a ... more
    Beth Israel Lahey Health (04/16/25)
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  • BCBA Utilization Review

    Intermountain Health (Murray, UT)
    …compliance. Candidate will apply expertise in Applied Behavior Analysis (ABA) to review medical records and treatment plans for individuals with autism ... more
    Intermountain Health (02/06/25)
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  • Peer Review RN Program Manager

    Virginia Mason Franciscan Health (Silverdale, WA)
    …responsible for coordinating and overseeing multiple Virginia Mason Franciscan Health (VMFH) medical staff peer review programs and for supporting the activities ... more
    Virginia Mason Franciscan Health (04/21/25)
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