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Utilization review nurse near me

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 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...
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...
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 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...
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...
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...
Utilization Management Nurse Consultant - Medical Review (Remote)
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place Metairie, LA
Nov 28

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 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 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 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...
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...
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.
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 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...
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 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...
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...
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 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.
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...
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...
Remote Utilization Review Nurse Workers' Comp
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place Metairie, LA
Dec 9

A fast-growing insurance company is seeking a Clinical Review Nurse to assess medical necessity for Workers' Compensation claims. This role offers a remote or office location option and requires an active RN license along with 5+ years of related...
Remote Utilization Management RN 75% Travel (MA)
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place Metairie, LA
Dec 9

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 Utilization Management remote - MediGold Health Plan
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place Metairie, LA
Dec 9

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 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...
Clinical Appeals RN - Commercial LOB - Remote in US
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place Metairie, LA
Dec 8

Join UnitedHealthcare 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 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 Utilization Management remote - MediGold Health Plan
Apply
place Metairie, LA
Dec 8

RN Utilization Management MCHP Position Purpose: 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.