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Utilization review nurse near me

Part-Time Utilization Review Nurse (Remote Nevada RN)
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place Metairie, LA
Dec 20

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 21

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 21

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 Counselor (Remote- Must reside in IL)
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place Metairie, LA
Dec 20

Utilization Review Counselor (Remote- Must Reside in IL) Join Our Mission to Transform Lives! At Rosecrance, we've been leading the way in behavioral health services for over a century. Our team empowers individuals and families to...
Local Contract Nurse RN - Utilization Review - $40-45 per hour
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place Metairie, LA
Dec 17

Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 19

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 Utilization Management remote - MediGold Health Plan
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place Metairie, LA
Dec 16

RN Utilization Management MCHP RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 19

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 Utilization Management RN 75% Travel (MA)
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place Metairie, LA
Dec 20

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...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 21

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 Documentation Specialist-Remote
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place Metairie, LA
Dec 15

Clinical Documentation Specialist Position Purpose: Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 21

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 19

RN Medical Review Nurse Remote at Molina Healthcare in Boise, Idaho, United States Job Description Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment...
Analytical Decision Reviewer
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place New Orleans, LA
Dec 16

Job Description Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. \n Outlier is committed to improving the...
Per Diem Utilization Management Registered Nurse - Remote
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place Metairie, LA
Dec 19

Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
RN Clinical Documentation Specialist- REMOTE
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place Metairie, LA
Dec 21

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...
Remote RN: Medical Appeals Review Specialist
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place Metairie, LA
Dec 20

A healthcare management company is seeking a Medical Review Nurse to support appeals and grievances within their organization. This role involves facilitating medical reviews of claims, validating coding accuracy, and ensuring compliance with...
RN Medical Review Nurse Remote
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place Metairie, LA
Dec 20

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 Utilization Review Full- time Remote Days
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place Metairie, LA
Dec 20

Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong...
Remote RN Case Review Specialist
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place Metairie, LA
Dec 19

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...
Remote Program Coordinator for Clinical Trials & Research
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place Metairie, LA
Dec 15

A community college in Richmond, Virginia is seeking a Program Coordinator to manage activities for the clinical trials award program. The successful candidate will assist in recruitment, manage applications, and coordinate program events.
Clinical Review Coordinator / Specialty / Remote
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place Metairie, LA
Dec 20

Specialty Clinical Review Coordinator The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensures that all assigned specialty patients are provided with timely...
Clinical Appeals RN - Remote
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place Metairie, LA
Dec 19

Clinical Appeals Rn 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...
Clinical Documentation Integrity Specialist- RN- Remote
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place Metairie, LA
Dec 12

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) 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...
Remote Medicare Cost Audit Supervisor
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place Metairie, LA
Dec 21

A healthcare provider is looking for a Government Audit Supervisor. This remote position involves supervising the Medicare cost report process and ensuring compliance with CMS requirements. Candidates should have at least 5 years of auditing...
Clinical Auditor: Appeals and Grievances
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place New Orleans, LA
Dec 15

Clinical Auditor The Clinical Auditor performs audit functions for Healthfirst clinical teams (e.g. Care Management, Reassessment/Clinical Eligibility, Utilization Management, etc.) and delegated vendors and partners within internal...
Director of Nursing - Emergency Department
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place New Orleans, LA
Dec 15

Lead the Future of Emergency Care in Baton Rouge at Our Lady of the Lake! Step into a role where your leadership shapes the heart of care in every moment that matters. Our Emergency Department is undergoing exciting...
Registered Nurse (RN) - Life Care Planner / Vocational Rehabilitation
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place New Orleans, LA
Dec 20

Registered Nurse (RN) – Life Care Planner / Vocational Rehabilitation $75,000–$135,000+ | Full-Time | Hybrid (New Orleans area) Non-Clinical | Medical–Legal | Research & Writing...
staff - Registered Nurse (RN) - ED - Emergency Department - $73K-104K per year
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place Westwego, LA
Dec 16

ChenMed is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Westwego, Louisiana. Job Description & RequirementsSpecialty: ED - Emergency...
staff - Director Registered Nurse - Correctional - $100K-110K per year
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place New Orleans, LA
Dec 18

Jobot is seeking a Registered Nurse (RN) Correctional Director for a nursing job in New Orleans, Louisiana. Job Description & RequirementsSpecialty:...