Utilization review nurse near me

RN - Utilization Reviewer - Coordinated Care - PT - Remote
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Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your...

Concurrent Denial Nurse BU - Utilization Management
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At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We...

RN Case Manager - Utilization Review
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Immediate need for a talented RN Case Manager - Utilization Review - Onsite-Santa Clara, CA. This is a 03+ months contract opportunity with long-term potential and is located in...

Hybrid Intake Registered Nurse (RN) - Bronx/Westchester
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Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...

Patient Care Manager and RN Hybrid
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Explore opportunities with UP Health System Home Care & Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping...

Utilization Management RN EX
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Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

UM Prior Authorization Review Nurse - RN
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General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

Patient Liaison Advisor - Oncology Nurse Navigator - Hybrid
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Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of...

RN - Clinical Services Liaison - Outpatient & Home Infusion
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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...

Registered Nurse Care Coordinator (RNCC) - Urology Clinic (Hybrid)
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These roles involve patient care, including assessment, diagnosis, treatment, and follow-up. May work across various healthcare settings, such as hospitals, clinics, long-term care facilities, and community health organizations. Responsibilities...

Patient Service Representative, Full-Time/ Hybrid
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Find your calling at Mercy! The Patient Service Representative (PSR) is the first point of contact for patients and visitors. The PSR ensures that the patient experience is positive and seamless by managing front desk...

Authorization Specialist
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Kind Behavioral Health is a leading provider of Applied Behavior Analysis services in North Carolina and Georgia, dedicated to improving the lives of children with autism spectrum disorder ("ASD"). We provide life-changing treatment to children...

Assessment Coordinator
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Assessment Coordinator FLSA Classification Exempt Salary Grade/Level/Family/Range Salary Range: $50,000- 60,000 Grade: To be determined. Reports...

Quality Management Clinical Nurse - Facility Site Review
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General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

Clinical Quality Analyst
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The Clinical Quality Analyst identifies opportunities to improve patient related processes and outcomes. Responsible for coordination and implementation of performance improvement, quality initiatives and ensuring regulatory compliance. Engages in...

School Nurse - Baton Rouge
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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 every patient helped is...

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Hospice Expert)
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Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

HEDIS Data Reviewer
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HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of Impresiv Health. Working under the direction of the Manager of Medical Record Review Operations, you...

Care Coordinator - Onsite, Evergreen Park, IL - (Hybrid - RN/PT/OT/ST)
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Opportunities at Care Transitions, part of the Optum family of businesses. We combine the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched,...

Clinical Nurse Liaison- PT Days
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Job Description: Position Summary: The Community Clinical Liaison performs a key role in the generation of referrals to HSL Home and Community Based Services with primary focus on Home Health and Hospice referral...

Authorization specialist i
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Randstad is seeking a healthcare professional with experience in the below. Education/Experience: Requires a High School diploma or GED Entry-level position typically requiring little or no previous experience. Understanding of medical terminology...

Admission Discharge RN-Virtual Nursing
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Shift: Night Working Hours: 6:30p-7a Summary: The Admission/Discharge Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of...

Nurse Care Coordinator
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Company Overview: Upward Health is an innovative, multidisciplinary medical group dedicated to providing comprehensive in-home care around the clock. Our dedicated clinical team addresses physical, behavioral, and social health...

Hybrid Registered Nurse (RN) Clinical Care Manager - Massachussetts
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Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and...

RN Coordinator Professional Practice
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DEPARTMENT: 18400 - Medical Staff LOCATION: 350 7th Street North, Naples, FL, 34102 WORK TYPE: Full Time WORK SCHEDULE: 8 Hour Day ABOUT NCH NCH is an...

Accounts Payable Processor [FT - Work From Home]
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[AP Clerk / Remote] - Anywhere in U.S. / Up to $33.17-hr DOE / Amazing Benefits - As an Accounts Payable Processor, you will: Process a high volume of invoices accurately and in a timely manner; Ensure all invoices are coded correctly and have...

Scheduling Coordinator
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The Scheduling Coordinator is responsible for coordinating and scheduling patient appointments through proactive outbound communication while delivering exemplary customer service aligned with Patient First Philosophy. This role ensures accurate...

RN Employee Health Nurse - Part-time (Hourly) - SVH Erie
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Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Coordinates and provides comprehensive Employee Health Services for Allegheny Health Network that are...

Specialist, Pharmacy Operations (Medicaid/ PBM experience)
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Job Description JOB DESCRIPTION Job SummaryProvides support for pharmacy delegated service activities. Responsible for implementation of new products/services and existing business management. Contributes to overarching...

Email Customer Support Agent - FT - Work From Home
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[Customer Service / Remote] - Anywhere in U.S. / Email Only - No Phones! / Competitive Comp - As a Email Customer Support Agent - FT - Work From Home at Sleep Center, you will: Provide exceptional customer service to clients via email; Respond...