Utilization review nurse near me

SNF Utilization Management RN - Compact Rqd
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Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or...

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...

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...

RN Admissions Behavioral Health - Bonus
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RN Admissions opportunity at River Place Behavioral Health, LaPlace, LA Full-tme Night and Day Shifts Available$10k Bonus on FT Days$15k Bonus FT Nights12 hr shifts Rates up to $42...

Requirement for a UM Review Assistant in California (Remote)
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Job description: Job Title: UM Review Assistant Duration: 6+ Months on w2 with no benefits Job Location: Remote (California) Job Summary: The Review Assistant role is pivotal...

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...

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...

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...

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...

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...

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...

Case Management Coordinator (Maricopa County, Arizona)
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We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

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 - 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...

Operations Associate
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Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

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 on...

Resettlement Program Officer
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About CWS Imagine waking up every morning with the chance to change someone's life. Imagine knowing your efforts will benefit both your career and our neighbors around the world. At CWS, our team knows they are making a...

Associate Member Health Assessor - Remote in Wisconsin
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Molina Healthcare is hiring an Associate Member Health Assessor in Wisconsin. This role is remote to candidates living in Wisconsin. As an AMHA, you will provide entry level support for member health assessor activities. Assisting members at...

Support Associate III
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Support Associate III Category: Administration Main location: United States, New Orleans Position ID:J0126-0507 Employment Type: Full Time Position Description:...

Clinical Documentation Integrity Educator
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Clinical Documentation Integrity Educator Work with program leadership to plan, develop, and implement clinical documentation education programs for Clinical Documentation Integrity (CDI) specialists and providers. Educate members of...

Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Up To $750/Week)
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Data Entry Clerk - Remote Work From Home Focus Group Panelist - Full Time / Part Time Description: Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Phone...

Compliance Validation Specialist - Part Time & Remote
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Job Title TestPros is seeking a qualified consultant to ensure its websites and mobile applications comply with Web Content Accessibility Guidelines (WCAG) 2.1 Level AA standards as mandated by the U.S. Department of Justice's (DOJ)...

Research Assistant (Remote)
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Job Description We are seeking a detail-oriented and proactive Research Assistant to support our projects in a fully remote work environment. The ideal candidate will be skilled in data...

DIR - ASSESSMENT/REFERRAL BH
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Director of Admissions River Oaks Hospital (a UHS affiliated hospital), located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents, and children. Since 1970, River Oaks has established a...

Transcriptionist (Remote)
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Transcriptionist (Remote) Literably scores oral reading assessments for elementary schools. Listen to audio recordings of students reading and transcribe reading errors. Benefits include: Make over $10 per...

Journal Specialist
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Who We Are We are on a mission to make all science open, enabling the research community to develop the solutions we all need to live healthy lives on a healthy planet. Frontiers is one of the world's largest and most impactful...

Technical Support Specialist
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Technical Support Specialist Work Place Flexibility: Hybrid Legal Entity: Entergy Services, Inc.-ESI (OLD) This position can be filled as a Technical Support Specialist I, II, III, or Senior depending on the candidate's...

Data Consultant
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Data Consultant Particle41 is seeking a talented and versatile Data Consultant to join our innovative team. As a Data Consultant, you will play a key role in designing, building, and maintaining robust data pipelines and...

Test Lead
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Test Lead Arete Technologies, Inc. offers a set of innovative consulting and outsourcing services, bridging the gap between requirements and outputs of various dexterous and facile companies worldwide. The thrust of providing global...

Story Desk Manager
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Story Desk Manager WWL, the TEGNA-owned station in New Orleans, is transforming the way we gather and present news, and we're looking for a Story Desk Manager to embrace a leadership role in this transition to the newsroom of the...