Utilization Review RN - Oregon

ICM is hiring a Utilization Review Nurse to support our Utilization Review team by evaluating medical necessity requests and reviewing ongoing hospital stays. · Review precertification requests and determine medical necessity using evidence-based guidelines and plan-specific crit ...

Description · Associate Utilization Review Specialist - Remote · Providence Health Plan is calling an Associate Utilization Review Specialist who will: · Be responsible for all core functions in the Prior Authorization (PA) Department · Coordinate and execute the review and resea ...

Are you passionate about improving access to behavioral health services in the community? Do you enjoy using your clinical expertise to evaluate needs, support care decisions, and help individuals receive the right services at the right time? · In this role, you will review clini ...

Conducts process analysis, investigates new production methods, equipment layout, material handling, and effective utilization of manpower, equipment and materials. Continuously evaluates the quality systems to ensure the level of quality meets the needs of our company and our cu ...

Are you passionate about improving access to behavioral health services in the community? Do you enjoy using your clinical expertise to evaluate needs, support care decisions, and help individuals receive the right services at the right time? · In this role, you will review clini ...

Lead the Operating Unit team in the safe, reliable and environmentally sound operation of the Refinery and ensure the reliability of the area to meet the targeted oil flow plan. · Respond to plant related emergencies and be available after hours during critical business situation ...

Etnyre International is a growing, family-owned manufacturer of road construction and maintenance equipment. · Develops and maintains a program of continuous analysis of all manufacturing processes in order to improve profitability and product quality through better utilization o ...

Lead the Operating Unit team in the safe, reliable and environmentally sound operation of the Refinery and ensure the reliability of the area to meet the targeted oil flow plan. · ...

The Registered Nurse – Utilization Management I is responsible for supporting one or more specific utilization management (UM) program functions within the Clinical Operations department.Estimated Hiring Range: · $100, · $122,650.00 · ...

Join our team as a Business Relationship Manager based out of our Oregon Office, where you will play a key role in building and maintaining strong business relationships while ensuring the quality and security of loans. This position offers the opportunity to prospect for new cli ...

Seeking a talented Sr Engineer, Fixed Equipment to join our team at PBF Energy. · ...

Dane Street wants you to join our dynamic team of expert reviewers In this role you will have the opportunity to utilize your medical expertise. · ...

We're looking for an Junior AML/KYC Analyst to support identity verification customer onboarding checks and anti–money laundering screening. · Review customer identity documents ID bank statements utility bills. · Conduct AML screening against sanctions lists watchlists. · Analyz ...

· Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · This telework opportunity allows you to customize your schedule as a 1099 independe ...

Dane Street wants you to join our dynamic team of expert reviewers In this role you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases telework opportunity allows you customize your schedule as a 1099 independent contractor W ...

· Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · This telework opportunity allows you to customize your schedule as a 1099 independe ...

· Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · This telework opportunity allows you to customize your schedule as a 1099 independe ...

Dane Street wants you to join our dynamic team of expert reviewers In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · We are on the lookout for talented professionals in Family Medicine. · ...

This role will come with per diem and a work vehicle/fuel card - candidates outside of Oregon and willing to travel are highly encouraged to apply. · ...

We are seeking a highly skilled Sr. · Product Engineer to lead the design, · development, · and optimization of lowboy trailer products from concept through production.Lead/of lowboy trailer products /from concept to production · ...