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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.
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...
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...
SNF Utilization Management RN - Compact Rqd
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place Metairie, LA
Dec 9

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...
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 Clinical Documentation Specialist- Remote
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place Metairie, LA
Dec 9

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...
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...
Clinical Documentation Specialist (Remote)
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place Metairie, LA
Dec 9

Clinical Documentation Integrity Specialist Position Purpose: Work Remote Position Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator...
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...
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...
Weekend RN - Remote Triage (Sat/Sun)
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place Metairie, LA
Dec 10

A healthcare system in Monroe, NC, is seeking a part-time Registered Nurse to provide high-quality care through evidence-based practices. The role involves nursing process assessments, collaboration with care teams, and remote work...
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 Clinical Documentation Specialist- Remote
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place Metairie, LA
Dec 10

Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely, with flexibility in scheduling Engage in...
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
Apply
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...
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...
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 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.
RN Medical Review Nurse Remote
Apply
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...
RN Medical Review Nurse Remote
Apply
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...
Clinical Reviewer - SCA (Remote)
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place Metairie, LA
Dec 8

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...
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...
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...
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...
Registered Nurse (Specialty Phone Triage) - Remote Opportunity
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place Metairie, LA
Dec 10

Austin Regional Clinic Nursing Position Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are...
Hospital Audit and Appeals Nurse (Hybrid)
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place New Orleans, LA
Dec 5

Your job is more than a job Reporting to the Audit and Appeals Supervisor, the Audit and Appeals Nurse plays an important role in a high-profile group tasked with audits and appeals for all government and commercial payers due to Audit...
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...
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...