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Utilization review nurse near me

Clinical Claims Review RN - Remote
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place Metairie, LA
Dec 10

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 9

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities, ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
Remote Clinical Review Nurse - Concurrent Care
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place Metairie, LA
Dec 9

A national health organization is seeking a clinical professional to perform concurrent reviews and evaluate member health. This remote position requires a Nevada LPN or RN license and offers a pay range of $26.50 - $47.59 per hour, along with...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 10

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)
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place Metairie, LA
Nov 26

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...
RN Clinical Documentation Specialist- REMOTE
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place Metairie, LA
Dec 10

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 7

Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 7

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 8

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 11

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
Clinical Appeals RN - Remote
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place Metairie, LA
Dec 10

Caring. Connecting. Growing Together. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people...
Remote Utilization Management RN 75% Travel (MA)
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place Metairie, LA
Dec 9

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...
Clinical Claims Review RN - Remote
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place Metairie, LA
Dec 8

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Workers' Compensation Case Manager - RN - Fully Remote in the US
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place Metairie, LA
Nov 26

Job Details Job Location Orange, CA - Orange, CA Remote Type Fully Remote Position Type Full Time Salary Range $45.00 - $45.00 Hourly Travel Percentage None...
Clinical Appeals RN (M&R) - Remote (M-F 8-5)
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place Metairie, LA
Dec 7

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 8

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 10

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
Utilization Review Nurse - Remote - Contract
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place Metairie, LA
Dec 8

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...
Clinical Triage Nurse, Work From Home
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place Metairie, LA
Dec 4

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at...
Remote Registered Nurse Care Coach
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place Metairie, LA
Dec 9

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...
Quality Program Nurse, RN (Remote)
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place Metairie, LA
Dec 6

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...
Remote RN Utilization Manager Reviewer (MA Only)
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place Metairie, LA
Dec 9

A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates...
RN Care Navigator Discharge & Utilization
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place Harahan, LA
Dec 10

A healthcare organization in New Orleans is looking for a Registered Nurse to handle multi-disciplinary communications and facilitate patient care during hospitalization. Responsibilities include reviewing hospitalizations, recommending levels of...
Remote IBR Clinical Appeals Reviewer (RN)
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place Metairie, LA
Dec 10

A prominent educational institution is seeking a full-time Itemized Bill Review Clinical Appeals Reviewer. This remote position will involve analyzing and responding to client claim inquiries, handling medical records, and using auditing...
Utilization Review Specialist (in-office only)
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place Metairie, LA
Dec 10

Join our dynamic team at Quadrant Health Group! Quadrant Billing Solutions, a proud member of the Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital role...
Remote Utilization Review Nurse Workers' Comp
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place Metairie, LA
Dec 9

A fast-growing insurance company is seeking a Clinical Review Nurse to assess medical necessity for Workers' Compensation claims. This role offers a remote or office location option and requires an active RN license along with 5+ years of related...
Remote QA Nurse - Chart Review & Compliance (Home Infusion)
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place Metairie, LA
Dec 10

A nationwide home infusion company is seeking a Quality Assurance Chart Review Nurse. This role involves reviewing clinical records for compliance and accuracy. Candidates should have a nursing degree, an active license, and experience in home...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 11

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...
Remote RN Case Review Specialist (QA & Scheduling)
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place Metairie, LA
Dec 10

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 11

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...