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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 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 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...
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...
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...
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...
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...
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...
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 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 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.
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 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
Apply
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.
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 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 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...
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...
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...
Remote Clinical Second Level Reviewer
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place Metairie, LA
Dec 10

Clinical/CDI Second Level Reviewer / Pre-Bill Auditor Seeking experienced Clinical Second Level Reviewer / Pre-Bill Auditor to support accurate documentation and coding practices that impact reimbursement, quality metrics, and compliance.
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...
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 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...
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 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...
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...
Remote RN Utilization Manager Reviewer (MA Only)
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place Metairie, LA
Dec 9

A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates...
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...