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Um or Reviewer jobs in United States

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Clinical Care Reviewer - UM

Poz  –  Harrisburg, PA
35$/hr
... Clinical Care Reviewer UM Job Summary The primary purpose of the job is to:Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing ... - May 13

LVN Process Reviewer

Madera Community Hospital  –  Madera, CA, 93637
... Position Summary: Under the guidance form the Chief Nursing Officer (CNO), the Process Reviewer maintains the delivery of quality care by assuring the environment is up to standard as well as the Nursing care plan and policies and procedures are ... - Jun 01

Residential Plan Reviewer

Union County Ohio  –  Marysville, OH, 43040
$25.89 - $38.83 hour
DESCRIPTION Under general supervision of the Chief Building Official, the Residential Plans Examiner examines residential building plans for conformance to requirements of applicable building codes; consults with supporting departments; performs... - May 16

RN Clinical Data Coordinator & CERTIFIED OASIS Reviewer-Per Diem

VNA Health Group  –  Neptune, NJ, 07753
... As a Clinical Data Coordinator & OASIS Reviewer, you’ll play a key role in supporting our commitment to high-quality home health care. This is a primarily remote role that offers the flexibility to work from home while making a measurable impact on ... - May 21

Nurse Utilization Management Reviewer

Commonwealthcare  –  United States
013650 CCA-Auth & Utilization Mgmt Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity ... - May 22

Utilization Review Coordinator (UM)

Silver Oaks Behavioral Hospital  –  New Lenox, IL
$56000.00 - $62000
Job Details Silver Oaks Behavioral Hospital - New Lenox, IL Full Time 4 Year Degree $56000.00 - $62000.00 Description JOIN OUR TEAM AS A UTILIZATION REVIEW COORDINATOR! Your Work Matters How will you make a difference? Are you an empathetic and... - May 05

Behavioral Health Utilization Management Reviewer

AmeriHealth Caritas  –  United States
... It is within the BH UM Reviewer’s discretion to retain requests for additional information and/or request clarification. The BH UM Reviewer will use his/her professional judgment to evaluate the request to ensure that appropriate services are ... - May 28

LVN UM - FT - S

PACS Inc  –  El Cajon, CA, 92021
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude... - May 27

Sr. Injury Adjuster- UM

USAA  –  Colorado Springs, CO, 80901
... Injury Adjuster- UM, you will work within defined guidelines and framework, responsible to adjust attorney-involved, moderately complex bodily injury claims, and UM claims to include confirming coverage, determining liability, investigating, ... - Jun 01

UM Coordinator

Advanced Medical Management  –  Long Beach, CA, 90815
19.5USD - 21.5USD per year
... RESPONSIBILITIES-DUTIES Individuals will be available to assist Licensed Nursing staff with non-clinical tasks associated with the processing of prior authorizations but primarily assist other outpatient UM staff with daily tasks. If a member is not ... - Jun 01
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