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Utilization review nurse near me

Remote Utilization Management RN Medicare/MA
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place Metairie, LA
Dec 1

A leading healthcare provider in Minnesota is seeking a Registered Nurse (RN) to join their team. The role involves collaborating with healthcare givers in reviewing medical care and services. Candidates should possess an active RN license and at...
Utilization Review Nurse - Remote - Contract
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place Metairie, LA
Dec 1

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...
Utilization Management RN - Remote
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place Metairie, LA
Dec 1

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 with the care, pharmacy benefits, data...
Clinical Registered Nurse - Utilization Management - Remote
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place Metairie, LA
Dec 1

Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial...
FT Billing & Collection Specialist - Work From Home
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place Westwego, LA
Dec 1

[Accounts Receivable / Remote] - Anywhere in U.S. / Up to $32.59 per hour + bonuses / Medical, dental & vision / 401k match / PTO - As a Billing & Collection Specialist at Avesis, you will: Generate accurate and timely invoices for clients...
Clinical Reviewer, Grievance & Appeals (Remote)
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place Metairie, LA
Nov 29

Clinical Operations Perform clinical and administrative reviews within the Grievance and Appeals department, ensuring accurate administration of benefits, execution of clinical policy, timely access to appropriate levels of care and...
Remote RN OASIS Documentation Specialist
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place Metairie, LA
Dec 1

A leading healthcare provider is seeking a Clinical Documentation Specialist to ensure compliance with CMS regulations by reviewing OASIS documents. The ideal candidate will have a California RN license, 2 years of clinical experience, and...
Clinical Claims Review RN - Remote
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place Metairie, LA
Dec 1

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.
Remote RN: After-Hours Telehealth Care
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place Metairie, LA
Dec 2

A healthcare organization in Massachusetts is seeking a Per Diem Registered Nurse for their After Hours Call Program. This remote role requires a commitment of at least one weekend per month and includes providing virtual visits and clinical...
Weekend RN - Remote Triage (Sat/Sun)
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place Metairie, LA
Dec 2

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...
PRN - Remote ENT Utilization Review Work
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place Metairie, LA
Nov 28

Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (1099) Opportunity FOR PHYSICIANS ONLY Current Unrestricted MINNESOTA,...
Clinical Claims Review RN - Remote
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place Metairie, LA
Dec 1

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 UM Clinical Appeals Nurse Remote
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place Metairie, LA
Dec 2

Clinical Appeals Nurse The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina...
Remote RN Utilization Manager Reviewer (MA Only)
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place Metairie, LA
Dec 1

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...
Medicare Utilization Management RN Consultant
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place New Orleans, LA
Dec 2

A leading health solutions company in New Orleans is seeking a Medicare Precertification Utilization Management Nurse Consultant. The ideal candidate will have over 3 years of nursing experience and must be willing to work flexible shifts after...
RN - Clinical Services Liaison - Outpatient & Home Infusion
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place New Orleans, LA
Dec 1

Clinical Coordinator 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 broken and...
FT Customer Service Representative - Work From Home
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place Westwego, LA
Dec 1

[Administrative Assistant / Remote] - Anywhere in U.S. / Up to $29.98 per hour + bonuses / Medical, dental & vision / 401k match / PTO - As a Customer Service Rep at Symetra, you will: Respond to customer inquiries and concerns in a timely and...
Remote QA Nurse - Chart Review & Compliance (Home Infusion)
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place Metairie, LA
Dec 2

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...
Clinical Denials/Appeals RN - Remote
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place Metairie, LA
Dec 2

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...
Nurse Reviewer II: Community Eligibility (Remote/Travel)
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place Metairie, LA
Dec 2

A prominent medical institution is seeking a Nurse Rev II to conduct clinical assessments and evaluations for individuals in nursing facilities. This hybrid role includes statewide travel and offers flexible scheduling with no weekends or...
Clearview Pre-Admit Testing RN
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place Metairie, LA
Dec 1

locations Metairie - New Orleans Region - Louisiana time type Full time posted on Posted Today job requisition id REQ_00235792 We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to...
Remote RN Utilization Review Case Manager I
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place Metairie, LA
Dec 3

A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing...
RN UM Clinical Appeals Nurse Remote
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place Metairie, LA
Dec 1

Job Summary The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
RN Triage Nurse - Remote at Get It - Healthcare Charlotte, NC
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place Metairie, LA
Dec 2

RN Triage Nurse - Remote job at Get It - Healthcare. Location: Charlotte, NC Job Description: Are you an experienced RN with pediatric and adult care expertise? Do you thrive in fast-paced environments and enjoy...
Part time Registered Nurse for Metairie and Kenner area
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place Metairie, LA
Dec 1

Part Time Home Care Nurse Growing Home Care agency is looking for a part time Home Care Nurse who would be responsible for traveling to the homes of clients to administer bi-monthly nursing assessments. They use their nursing...
Registered Nurse (Specialty Phone Triage) - Remote Opportunity
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place Metairie, LA
Dec 1

Registered Nurse (Specialty Phone Triage) - Remote Opportunity 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...
RN Concurrent Review - Kelsey Seybold Clinic - Remote
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place Metairie, LA
Nov 30

Overview Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nations leading health care organizations and build your career at one of our 40+ locations throughout Houston.
RN- Clinic
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place New Orleans, LA
Dec 1

Clinic RN Your job is more than a job. Monday-Friday 8AM-5PM General Duties Participates in the care of patients under the supervision of the manager/director and in collaboration with other members of the healthcare...
Clinical Registered Nurse - Utilization Management - Remote
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place Metairie, LA
Dec 3

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...
RN UM Clinical Appeals Nurse Remote
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place Metairie, LA
Dec 1

Clinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements,...