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Oct 23 Medical Review Coordinator Facility Support Company West Palm Beach, FL

Medical Review Coordinator Facility Support Company, LLC SUMMARY OF POSITION: The Medical ... • Medical review, medical records, claims processing, coding and/or SNF billing experience... more

Oct 23 Concurrent Review Nurse - Permanent Job Yoh Staffing 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... more

Oct 23 Utilization Review Nurse Execu|search Group Jersey City, NJ

Utilization Review Nurse Utilization Review Nurse Location:  Jersey City, NJ Salary:  ... the Opportunity An Utilization Review Nurse is now needed at a healthcare facility in... more

Oct 20 Utilization Review Nurse I - (Cerritos Caremore Health Plan Downey, CA

of care, radiology review, or other such review processes that require an ... May access and consult with peer clinical reviewers, Medical Directors and/or delegated cl... more

Oct 20 Utilization Review Nurse, Long Island Tenet Healthcare Brooklyn, NY

integrated, URAC certified web-based medical management software application that ... tool that support all levels of medical management interventions; utilization... more

Oct 18 Nurse -Clinical Manager of Medical Review United Medical Staffing Franklin, WI

Job Description: Clinical Manager of Medical Review - Full-time - Milwaukee, WI - ... Mgr NGS Medical Mgmt: Manages medical review nursing staff and grievance and... more

Oct 17 Continuing Care / Utiization Review Coordinator RN(289273) Kaiser Permanente Manteca, CA

Essential Functions: • Conducts utilization review for in-house patients and/or members wh ... of review preferred. Primary Location : California-Manteca-Manteca Yosemite Medical... more

Oct 16 Certified Coding Specialist (DRG) Reviewer/Medical Coder Healthcare Scouts New York City, NY

Position Overview We are actively seeking a DRG Reviewer/Medical Coder with a background i ... The DRG Reviewer/Medical Coder will assist this organization in working with clients to ta... more

Oct 13 Medical Reviewer Record Expess Cincinnati, OH

reviewing medical records to create detailed medical chronologies. Experience in ... skills are required.Medical record review and chronology creation training will... more

Oct 13 Sr. Medical Review- Utilization Review Nurse Federal Staffing Resources (fsr) Glen Burnie, MD

Staffing Resources is seeking a Sr. Medical Review- Utilization Review Nurse to provide ... Medical Directors for decision. The Medical Review URN is available as a reference source... more

Oct 13 In-House Medical Reviewer Record Expess Cincinnati, OH

reviewing medical records to create detailed medical chronologies. Experience in ... skills are required. Medical record review and chronology creation training will... more

Oct 10 Clinical Manager of Medical Review Trn Milwaukee, WI

Pharmacy, Radiology/Imaging, Nurse/Nurse Management, Nurse ... Mgr NGS Medical Mgmt: Manages medical review nursing staff and grievance and... more

Oct 08 Clinical Manager of Medical Review - E-health Milwaukee, WI

Mgr NGS Medical Mgmt: Manages medical review nursing staff and grievance and ... • Consult with clinical reviewers and/or medical directors to ensure medically appropria... more

Oct 07 Medical Reviewer RN Blue Cross Blue Shield of Texas Fort Worth, TX

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

Oct 03 Medical Necessity Reviewer(286832) Kaiser Permanente Portland, OR

financial liability for out-of plan medical services. Performs special projects, ... work experience in Medical Necessity Review. • Minimum five (5) years of experience in... more

Oct 02 Medical Bill Review Healthcare Scouts Fort Worth, TX

medical saving solutions in medical bill review to the health, workers’ compensation, ... Registered Nurse, RN, Medical Bill Review, Work Comp, Disability Management, Claims... more

Oct 02 Registered Nurse RN, Utilization Review Right Solutions Harrison, MT

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

Sep 24 Utilization Review-Nurse Korak Global Healthcare Services Glen Burnie, MD

in Utilization Review/ Case Management Nurse- Appeals & Grievances/Outpatient Nurse/ ... Outpatient-The Utilization Review Nurse is responsible for receipt, screening... more

Sep 22 Clinical Care Reviewer UM, RN AmeriHealth Philadelphia, PA

Management, the Clinical Care Review Nurse is responsible for completing medical ... Medical Director for medical necessity review when medical information provided does not... more

Sep 18 Physician- Medical Review - Part-Time (232024-005) Concentra Las Vegas, NV

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

Aug 21 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 12 Retro Review Case Manager- LVN- Utilization Review - Varied Shifts( Per Diem)posted 5/7/14 Tenet Healthcare Fountain Valley, CA

physician. If no determination, the UR nurse will refer the case to the Medical ... daily per P&P #8756-M 8.0 * Prepares review sheets for all patients, Medi-cal,... more

Aug 12 Retro reviewCase Manager- LVN- Utilization Review - Varied Shifts( Full Time)posted 5/7/14 Tenet Healthcare Fountain Valley, CA

The LVN/LPN Case Manager is responsible to conduct medical necessity screening and work co ... Department orientation includes review and instruction regarding Tenet Case... more

Jul 28 Clinical Care Reviewer, RN - Per Diem AmeriHealth Philadelphia, PA

Management, the Clinical Care Review Nurse is responsible for completing medical ... Medical Director for medical necessity review when medical information provided does not... 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

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