Utilization review nurse near me

Behavioral Utilization Management Concurrent Review Care Advocate - Remote
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Day to day management and administration of behavioral health benefits for facility-based care. Utilize clinical assessments to determining appropriate levels of care. Evaluate if additional clinical services are needed. Effectively coordinate...

Nurse Specialist, Clinical Documentation Improvement
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Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Float Registered Nurse
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Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner. Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and...

RN Patient Navigator - Endocrinology & Diabetes
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Coordinates written and verbal communication relating to the medical treatment plan between the patient, family, physician, physician staff, and other team members. Communicates and coordinates the treatment plan to internal and external departments...

MedTech Clinical Educator - Registered Nurse
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For training and educating Registered Nurses on a vascular compression system. Your primary focus will be in-servicing and education only; no sales responsibilities, and no bedside care. A desire to expand your talents in clinical education. Per-diem...

Nurse Practitioner / Not Specified / Louisiana / Permanent / Nurse Practitioner or Physician Assistant - Leesville LA
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Nurse Practitioner (NP) or Physician Assistant (PA) ??? Veteran Disability Assessments We are seeking a dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our team in performing medical assessments for U.S. Veterans as part of the...

Clinical Documentation Specialist
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Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Documentation...

Support Specialist- Utilization Review/Part Time/Remote
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The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information...

Senior Staff Power Development Engineer
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Senior Staff Power Development Engineer (Generation and Emerging Technology): Entergy is looking for an experienced and innovative Engineer with power generation development and/or generation technology assessment background to be a part of the Power...

Physician Assistant / Cardiology / Louisiana / Locum Tenens / Nurse Practitioner / Physician Assistant - Cardiology Clinic
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We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every...

Border Patrol Agent - Experienced (GS11)
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Border Patrol Agent (BPA) - Experienced (GL-9 GS-11) NEW RECRUITMENT AND RETENTION INCENTIVES! Check out these higher-salaried federal law enforcement opportunities with the U.S. Customs and Border Protection. Your...

Senior Core Stage Integrated Product Team (IPT) Element Leader
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Manages multi-disciplinary Element(s) within the larger Integrated Product Team (IPT)Develops and maintains program baselines (technical, cost, schedule, requirements, configuration, etc.)Utilizes EVM to manage program performance, review and approve...

LPN Med Care Manager
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Include but are not limited to administration of medications, documentation of medication administration, conducting SH - Us, and providing resident care while demonstrating the Mission for Sunrise Senior Living, to champion the quality of life for...

Clinical Documentation Integrity Specialist II - Hybrid
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Description The Clinical Documentation Integrity Program Specialist II facilitates accurate, complete and consistent clinical documentation within the inpatient health record to support reporting of high-quality healthcare...

Care Review Clinician (BH Licensed)
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Job Description For this position we are seeking a Licensed Masters Level social worker, counselor, therapist a current active license for state of KY. The Care Review Clinician Inpatient Review BH will provide prior...

Clinical Documentation Specialist II- RN- Remote
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When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...

Clinical Document Improvement Specialist
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Position Title Clinical Document Improvement Specialist Remote Position Summary / Career Interest: The Clinical Documentation Integrity Specialist - Inpatient (CDS) will review inpatient...

Aveanna Healthcare Private Duty Nurse LPN-weekends
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Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN- weekends We are one of the largest private duty nursing...

Registered Nurse (RN)
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Overview: Join Our Team as a Registered Nurse Do you...

Scientist 2
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Responsible for providing or overseeing the analysis, administration and oversight of varied chemistry/biochemistry policies, programs and practices; provides feedback and guidance to regarding the analysis of materials, products and/or devices...

Nurse Practitioner / Pediatrics / Louisiana / Locum Tenens / School Based Health Center Nurse Practitioner -
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Position Description: The SBHC Nurse Practitioner is responsible for providing primary healthcare, as outlined by Jefferson Parish Schools and the Office of Public Health. Reports to: Coordinator of School...

Coding Compliance Auditor, Outpatient
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Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional...

Specialist, Quality Assurance
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Your potential has a place here with TTEC's award-winning employment experience. As a Quality Assurance Specialist working Onsite in Charlotte, NC, you'll be a part of bringing humanity to business. experienceTTEC Our employees have spoken. Our...

Registered Nurse- Remote Patient Monitoring- Home Telehealth Care Coordinator
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Summary Edward Hines Jr. VA Hospital seeks an RN for the Remote Patient Monitoring (RPM) Home Telehealth (HT) Care Coordinator role. Help us transform healthcare for veterans through health informatics, disease management, and telehealth...

Registered Nurse (RN) | Virtual OB
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Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for...

Utilization Management Coordinator - Remote / Telecommute
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Job Description: The Utilization Management Coordinator provides administrative and coordination support related to member and provider services. This role focuses on authorization processing, claims-related...

Utilization Sales Manager
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Clinical Regional Manager - TX North Houston, DFW, Austin, San Antonio Salary:$160,000.00 Annually Location: Remote / Field - Ideally candidates will live in a major metro area within the central region.

System VP Utilization Management
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Where You'll Work At the heart of CommonSpirit Health's ministry are the national office departments that provide the foundational support, resources, and expertise that empower local communities to focus on what they do...

AVP, Practice Development Manager Specialty – Area (Oklahoma & Surrounding Area)
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Job Description: Role Summary/Purpose: The Area Practice Development Manager is responsible for building strong relationships with healthcare providers through virtual outreach (with the...

Clinical Operations Coordinator
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Site: Brigham and Women's Physicians Organization, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a...