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Nov 25 Utilization Review Nurse (BHJOB1435 15143) Astyra Independence, OH

- Experience conducting medical case review to establish medical necessity using ... - Abstracts review related data/information accurately and timely on appropriate review to... more

Nov 25 Utilization Review Nurse (BHJOB1435 15005) Astyra Tampa, FL

- Experience conducting medical case review to establish medical necessity using ... - Abstracts review related data/information accurately and timely on appropriate review to... more

Nov 24 Surgical Clinical RN Reviewer Quality Assurance Days Advocate Health Care Network Normal, IL

Attend to detail The Surgical Clinical Nurse Reviewer (SCNR) supports the American ... for effective communication with staff, medical staff, department of surgery,... more

Nov 24 HEDIS Medical Records Review Rocky Mountain H M O Grand Junction, CO

EDIS Medical Records Review Work with RMHP's Medical Record Review team to collect medical ... nurse, lvn, medical assistant, new grad rn, nurse practitioner, nurse rn, nursing,... more

Nov 24 Program Manager, Medical Review Medical Teaching and Research Institution Glen Burnie, MD

Review Nurses specializing in outpatient medical review. Responsible for maintaining ... delivery systems. This includes standards of medical practice; insurance benefit... more

Nov 24 Utilization Review Nurse Job Yoh Santa Clara, CA

Utilization Review Nurse needed for a contract to hire opportunity with Yoh's client ... and manages utilization through appropriate review of authorization requests - Analyze... more

Nov 22 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 22 Utilization Review Nurse - Managed Care Experience Myriddian Baltimore, MD

Job Description: The Utilization Review Nurse will support the clinical review ... management software utilized for utilization review, medical appeals, and case... more

Nov 22 Inpatient Utilization Review Nurse Job Yoh Alameda, CA

Inpatient Utilization Review Nurse needed for a contract opportunity with Yoh's client ... of inpatient admission to ensure it meets medical necessity guidelines - Provide... 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 19 HEDIS Medical Record Reviewer Healthcare Scouts Waltham, MA

Skills Ideal candidates for the HEDIS Medical Record Reviewer will bring a minimum ... and communication skills * HEDIS Medical Record Review Experience * Bachelors... 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 13 Medical Reviewer RN Blue Cross Blue Shield of New Mexico Albuquerque, NM

for ensuring accurate and timely medical review of professional provider claims ... JOB REQUIREMENTS: *Registered Nurse with current, active, unrestricted Registered Nurse (R... more

Nov 12 Medical Reviewer II Blue Cross Blue Shield of Texas Richardson, TX

for performing accurate and timely medical review of Regular Business, State of ... REQUIREMENTS: * Registered Nurse (RN) with current, active, unrestricted... more

Nov 10 Medical Advisor Claims Reviewer Open Analytics Upper Marlboro, MD

and other medical experts to develop medical policies and procedures. Requirements ... a minimum of 5 years experience in medical review of physician, inpatientoutpatient... more

Nov 06 Medical Reviewer (HCP) Thousand Oaks, CA

of Safety Medical Operations Cases, Confirm medical terminology coding, and Review ... educational and experience qualifications: Medical Review Staff Qualifications: o... 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 21 Physician - Medical Review - Full Time Concentra Addison, TX

-Assists the Concentra Physician Review Medical Director with recruiting, ... and provides recommendations for utilization review, chart reviews, medical necessity,... 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

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