| Distance: | Job alert | Jobs 331 - 340 of 449130 |
Registered Nurse - Utilization Review
Zenex Partners
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Los Angeles, CA, 90048
... improvement * BLS Preferred: * BSN * Prior work in an ambulatory healthcare setting * ACLS Primary Duties and Responsibilities • Review occurrence reports and the related pertinent medical records to determine opportunities for quality improvement. ... - Jun 16
Travel Nurse - RN - UR - Utilization Review - / Week
BluePipes
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Harrington, DE, 19952
TRS Healthcare is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Rosedale, MD. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $1992 / Week TRS Healthcare is seeking a Registered Nurse ... - Jun 23
RN - Registered Nurse - Utilization Review
CoreMedical Group
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Carmichael, CA, 95609
Job Details Client in CA seeking Registered Nurse: Utilization Review for the following shift(s): Days We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract/travel role. Contract/travel ... - Jun 18
Utilization Review Nurse, Complex Care
Brighton Health Plan Solutions, LLC
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Chapel Hill, NC
... • Proficient in Utilization Review process including benefit interpretation, contract language, medical and policy review. • Working knowledge of URAC and NCQA. • 3+ years’ experience in a UM team within managed care setting. • 5+ years experience ... - Jun 28
Utilization Review Nurse
w3r Consulting
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Springfield, IL, 62777
... This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to Initiate and/or respond to correspondence from providers or members concerning medical ... - Jun 28
Medical Review Coordinator
Prime Healthcare
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Bristol, PA, 19007
... gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, ... - Jun 24
Utilization Review Nurse
Sidecar Health
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Atlanta, GA
... *Must reside in Florida, Georgia, Kentucky, or Ohio for consideration* About the Role As a Utilization Review Nurse, you'll be at the forefront of evaluating the medical necessity and quality of healthcare services for our members, guaranteeing ... - Jun 29
Utilization Management Review Nurse
AmeriHealth Caritas
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Baton Rouge, LA, 70873
... + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, and regulatory compliance. + Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review ... - Jun 27
Utilization Review RN
Community Health Systems
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Vestavia Hills, AL, 35298
... **Essential Functions** + Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. + Collaborates with interdisciplinary teams (IDT) to ensure effective ... - Jun 18
Utilization Review Coordinator
Neuropsychiatric Hospitals LLC
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Indianapolis, IN, 46254
... <Hospital Name> is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams. Benefits of ... - Jun 26