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Utilization review nurse near me

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 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...
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...
Remote Telehealth RN Evening & Weekend PT Role
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place Metairie, LA
Dec 7

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...
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...
Admission and Discharge RN-Remote
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place Metairie, LA
Dec 5

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...
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 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 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...
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...
Clinical Denials/Appeals RN - Remote
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place Metairie, LA
Dec 8

Clinical Appeals Nurse The Remote Clinical Denials/Appeals Nurse will be directly responsible for securing pre-service approvals, and reviewing pre/post service denials, medical necessity review and completing appeals and/or coordinating...
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...
Clinical Claims Review RN - Remote
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place Metairie, LA
Dec 8

Clinical Claims Review At UnitedHealthcare, we are 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.
Workers' Compensation Case Manager - RN - Fully Remote in the US
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place Metairie, LA
Nov 26

Job Details Job Location Orange, CA - Orange, CA Remote Type Fully Remote Position Type Full Time Salary Range $45.00 - $45.00 Hourly Travel Percentage None...
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...
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
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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...
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...
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...
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...
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...
Appeals Nurse Consultant (Remote)
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place Metairie, LA
Dec 7

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 millions...
RN Medical Review Nurse Remote
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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...
Remote RN Case Review Specialist
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place Metairie, LA
Dec 5

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...
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...
Clinical Appeals RN - Commercial LOB - Remote in US
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place Metairie, LA
Dec 5

UnitedHealthcare Health Care Reviewer 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...
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 7

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...
Intake Specialist
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place Harahan, LA
Dec 2

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...