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Nov 23 Concurrent Review Nurse - Permanent Yoh Santa Cruz, CA

Concurrent Review Nurse needed for a direct hire opportunity with Yoh s client located in ... appropriate care for all lines of business Review medical records to determine benefit... more

Nov 22 Utilization Review Nurse RN Novant Health Winston-Salem, NC

The Utilization Review RN serves as a leader resource in the Utilization Review process ... medical necessity reviews. All Utilization Review activities are performed in accordance... more

Nov 21 HEDIS Review Nurse Judge Group New York City, NY

Healthcare is currently seeking a HEDIS Review Nurse for an exciting position with a ... responsible for completing auditing and/or medical records review projects. Job... more

Nov 21 Registered Nurse RN, Utilization Review Right Solutions Sitka, AK

requiring medical services. This Registered Nurse RN, Utilization Review position ... duties. The Registered Nurse RN, Utilization Review professional will perform nursing... more

Nov 21 Medical Claim Review Medical Director - Virtual UnitedHealth Group New York City, NY

Employer & Individual Medical Claim Review Medical Director The Medical Director ... provides physician support to Medical Claim Review (MCR) operations, the organizations... more

Nov 20 Travel Registered Nurse RN Utilization Review Onestaff Medical Sitka, AK

for a Travel Registered Nurse RN Utilization Review Join the OneStaff Medical Team of ... professionals as a Travel Registered Nurse RN Utilization Review Job Requirements:... more

Nov 17 Medical Review Manager Reviewworks Northville, MI

Review staff. SUPERVISORY REPORTS: Medical Review Specialists, Utilization Management ... FUNCTIONS: 1. Direct supervision of Medical Review Specialists, Utilization... more

Nov 15 HEDIS Medical Record Reviewer - 8178 Upp Technology Manchester, NH

Medical Record Reviewer. RESPONSIBILITIES: Review and abstract paper and electronic ... EXPERIENCE: Minimum 3 years of HEDIS medical record review experience. Experience... more

Nov 15 HEDIS Medical Record Reviewer - 8179 Upp Technology Springfield, MA

Medical Record Reviewer. RESPONSIBILITIES: Review and abstract paper and electronic ... EXPERIENCE: Minimum 3 years of HEDIS medical record review experience. Experience... more

Nov 14 Medical Review Specialist Case Management Solutions Jackson, MI

Medical Review Specialist Join our fast growing company as a Medical Review Specialist. ... Medical Review Specialist Educational Requirements / Degrees: Associate or Bachelor Degree... more

Nov 14 Medical Reviewer Job Yoh Thousand Oaks, CA

worklist(s). - MR will perform Medical Review of individual case safety reports ... Medical Operations Cases (SMOC), Confirm medical terminology coding, and Review... more

Nov 13 Concurrent Review Nurse - Permanent Job Yoh Stockton, CA

Concurrent Review Nurse needed for a direct hire opportunity with Yoh's client located in ... requests to Medical Director for review; approve or deny services as directed... more

Nov 08 CASE REVIEW COORD, RN, 40 hrs Faulkner Hospital Boston, MA

communities by offering comprehensive medical, surgical and psychiatric care, as ... basis of disability. Responsibilities Case Review Coordinator, 40 hrs Performs the six... more

Nov 07 Clinical Care Reviewer UM- Registered Nurse AmeriHealth Washington, DC

necessary to perform a thorough medical necessity review. It is within the nurse’s/ ... The nurse/ social worker will apply medical health benefit policy and medical management g... more

Nov 06 Clinical Care Reviewer UM, RN AmeriHealth Philadelphia, PA

Management, the Clinical Care Review Nurse is responsible for completing medical ... cases to KFHP Medical Director for medical necessity review when medical information... more

Oct 30 Medical Coder HEDIS Review Favorite Healthcare Staffing Kansas City, MO

Medical Coder Certification Previous medical record review data abstraction or ... References required Medical Records CODE Medical Coders evaluate medical records and... more

Oct 30 Medical Record Review Consultant (RN/LPN) Execu|search Group Iselin, NJ

Medical Record Review Consultant (RN/LPN) Medical Record Review Consultant (RN/LPN) Locati ... The RN or LPN who fills this role as a Medical Record Review Consultant will be... more

Oct 30 Registered Nurse RN HEDIS Review Favorite Healthcare Staffing Kansas City, MO

HEDIS Review Registered Nurse RN Contract Available in Kansas City MO Must have 1 years of ... RN experience Previous medical record review data abstraction or quality experience... more

Oct 28 Utilization Review Specialist - Oasis Review RN - Kindred at Home - East Region - Full Time Kindred at Home Indianapolis, IN

we serve. Join us! Summary: The Utilization Review Specialist conducts utilization review ... HHRG coding. Registered Nurse RN Oasis Review Utilization Review Specialist Home... more

Oct 24 Physician - Medical Review- PRN Concentra Addison, TX

-Assists the Concentra Physician Review Medical Director with recruiting, ... for utilization review, chart reviews, medical necessity, appropriateness of care... more

Oct 06 Registered Nurse (RN) Medical Bill Review - (In Office) Healthcare Scouts Fort Worth, TX

the role for you! This Office Medical Bill Review opportunity is Monday – Friday, in ... management, case manager, utilization review, discharge planning, insurance industry,... more

Aug 24 Utilization Review - Managed Care Nurse - (UL RN) Nursesrx Kealakekua, HI

of the hospital staff, the utilization review nurse is also responsible for: ... nurse, managed care nurse, utilization review RN, nurse, nursing, registered nurse,... more

Jul 07 Medical Bill Review Nurse (RN) Healthcare Scouts Haltom City, TX

position. In this role as a Medical Bill Review Nurse, you will engage in case review ... care plans are established, managed and medical personnel have followed the... more

Jun 28 Patient Access Coordinator Utilization Review Nurse Sugar Land Regional Care Center Md Anderson Sugar Land, TX

supplemental financial assistance; utilizing medical overrides and account reviews as ... review of new patient referrals to determine medical acceptance and communicates with... more

Feb 23 Utilizat Review LPN Novant Health Charlotte, NC

initial, concurrent, and retrospective medical record reviews. Makes utilization ... * Licensure/Certification/Registration: Registered or licensed practical nurse currently l... more

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