Utilization review nurse near me

Behavioral Health Utilization Review Clinician
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Utilization Review Coordinator (Hybrid Role)
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The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment...

PRN Clinical Documentation Specialist, First Reviewer
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It's more than a career, it's a calling. IL-REMOTE Worker Type: PRN Pay Range: $35.81 - $53.72 Pay Rate Type: Hourly SSM Health...

Behavioral Health Utilization Management Clinical Consultant (Tuesday - Saturday)
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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach...

Clinical Documentation Integrity (CDI) Specialist - 2nd Level Reviewer
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Job Family: CDI Specialist Travel Required: None Clearance Required: None What You Will Do: Second level reviewer responsibilities include comprehensive, clinical chart reviews...

Quality Assurance Reviewer
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Children and Family Services - Remote within ND - Quality Assurance Reviewer This position can be located anywhere in the state of North Dakota. Help the state's child welfare system achieve its...

Case Review Specialist - Atlanta
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About OncoHealth OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled...

REMOTE Quality Review Medical Assistant
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Ready to Bring Your Medical Skills Home? Join Our Remote Team Supporting Our Military Communities! The statements listed below are not intended to be all inclusive of the duties and responsibilities of the position. Based...

Clinical Documentation Specialist, Second Reviewer
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It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary: Performs as a vital member of the interdisciplinary care team member, an auditor,...

Clinical Documentation Improvement Specialist
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Description Position at Nuvance Health Summary: Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Obtains and promotes appropriate clinical...

Clinical Doc Spec- PRN
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How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and...

Clinical Documentation Specialist (Remote)
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At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that...

Rare Disease Account Executive - Illinois
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Compensation: $120,000 - $140,000 per year. You are eligible for an uncapped Sales Incentive Plan with the target of $75,000 annually; terms and conditions apply. Rare Disease Account Executive - IL territory: Must reside...

SIU Investigator - Remote
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UPMC Health Plan has an exciting opportunity for a SIU Investigator! This is a remote, full-time role working daylight hours Monday through Friday. Experience as a Dental Hygienist to perform dental audits and investigations highly...

Intake Specialist
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AdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively...

Quality Assurance Specialist Home Health
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Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The RN Quality Assurance Specialist will oversee the clinical...

Clinical Documentation Specialist - Remote
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Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

Intake Specialist
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Float Health is hiring in Cleveland, OH! About Float Float is the full-stack platform for Specialty Pharma home infusion. We're on a mission to make healthcare safer, easier, and more efficient by...

Associate Researcher
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Title : Associate Researcher Location:: Los Angeles ,CA (Hybrid) Contract 12+ months Contract Responsibilities: Assist in set up of test and survey designs for...

Asset Protection Specialist
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Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their...

Research Assistant
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SUMMARY: Under the direct supervision of the Principal Investigator and the Senior Research Project Director, the Research Assistant (RA) will conduct specific assigned research and programmatic activities associated with various clinical...

Compliance Program Administrator - International Compliance
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At St. Jude Children's Research Hospital, every role contributes to our mission of advancing cures and saving children. The Compliance Program Administrator for International Compliance plays a vital part in safeguarding the integrity of our...

Health Sciences Librarian
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Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position Title: Health Sciences...

Clinical Documentation Improvement Consultant - Telecommute
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation...

Clinical Documentation Specialist
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Clinical Documentation Specialist Remote | Full-Time | 40 hours per week. Typically Monday through Friday. | United States Position Overview The Clinical Documentation Specialist improves the overall...

Clinical Data Analyst
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Job Description Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst - Same Day Surgery/Observation CoderThis is a remote, work from home...

Research Assistant - Remote
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Job Description InfoResumeEdge is the world's first platform offering completely free access to both job seekers and recruiters. By setting up your profile, you unlock global exposure, dramatically increasing your chances of being...

Clinical Investigator Behavioral Health
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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a...

Clinical Associate - Remote*
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Clinical Associate – Remote* Full Time Stratham, NH 03885 ( NH 03885&zoom=14&size=512x512&maptype=roadmap&sensor=false) Posted 3 weeks ago Core Physicians...

District Asset Protection Manager
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With a career at The Home Depot, you can be yourself and also be part of something bigger. Position Purpose: The District Asset Protection Manager (DAPM) is responsible for teaching, coaching, and training associates to...