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Utilization Review Specialist
Acadia External
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Austin, TX, 78754
... Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process ... in utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current licensure as an LPN or RN within ... - Apr 09
Utilization Review Nurse (RN)
Matrix Providers
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Aurora, CO, 80012
Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ( Experience the Matrix Providers Advantage. We strive to provide a framework of stability and structure for our valued ... - Apr 29
Utilization Review Specialist
Davies
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Orlando, FL, 32819
$75,000 - $80,000 / year
Department Claims Administration & Adjusting Employment Type Permanent - Full Time Location Orlando, FL Workplace type Hybrid Compensation $75,000 - $80,000 / year Reporting To Shelly Rice Key Responsibilities Skills, knowledge & expertise Benefits... - May 05
Utilization Review Tech II
Prime Healthcare
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Garden Grove, CA
... Know Your Rights: Privacy Notice for California Applicants: Responsibilities The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech ... - May 03
RN-CMH HOS Utilization Rev
Citizens Memorial
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Bolivar, MO, 65613
... (RN) to assist in promoting and maintaining high-quality and medically necessary care through the analysis, review, and ... at or email if you have any questions!Location: Citizens Memorial - Utilization RevSchedule: Full Time, Days, 10:00am-6:00pm - May 05
Case Manager - PVH Utilization Management
Prime Healthcare
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National City, CA, 91950
... The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... - Apr 25
Utilization Review Nurse-Remote-Contract
HireOps Staffing LLC
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Dallas, TX, 75215
... pay rate is $40/hour This position is responsible for performing initial, concurrent review activities; discharge care ... utilization management requirements and operational procedures to members, providers and facilities. Registered Nurse (RN ... - Apr 29
Manager Utilization Management
Texas Children's Medical Center
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Bellaire, TX, 77401
... Manager Utilization Management- To develop all of the processes and procedures for Utilization Management intake, concurrent review ... Degree Social Work required One of the following is required: RN - License-Registered Nurses from Texas Board of Nursing or ... - Apr 09
Travel Nurse RN - Case Manager, Utilization Review - per week
Medical Solutions
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Durham, NC
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Durham, North Carolina. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week ... - Apr 27
Utilization Review RN
Unavailable
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Santa Cruz, CA, 95061
... Manager (ACM-RN), or UM Certification preferred Required Minimum Knowledge, Skills, Abilities and Training BLS required within 3 months of hiring if located within hospital Ability to pass annual Inter-rater reliability test for Utilization Review ... - Apr 29