Utilization review nurse near me

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable...

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to...

Seeking motivated individuals to participate in National Focus Groups and Clinical Trial studies. Earn up to $750/week in your spare time. Must register and apply to see if you qualify.

Description RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift. Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records...

Temporary Remote Weekend Position Temporary remote weekend position every Friday, Saturday, and Sunday 3p-11p. $30.01/hr plus $3.00 shift differential for weekend hours. LumiLink Registered Nurse Responsibilities...

Job Posting Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

Clinical Nurse Liaison, RN 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...

Description: Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader...

Job Opportunity At Highmark Inc. Job Summary: This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information...

Who We Are - Motivated by Purpose. Powered by Clinical Expertise. Founded in 1983, were a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

A telehealth practice is seeking a Virtual Registered Nurse for a 6-month contracted position to provide high-quality patient care through EMR communications and triage. Candidates should have a BSN and an active nursing license, along with...

Pharmacist, Utilization Management Molina Healthcare is hiring for a remote pharmacist in our Utilization Management department. This role is 100% remote. The pharmacist, UM will provide support and subject matter expertise for pharmacy...

TP Job Opportunity TP is a global, digital business services company. We deliver the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways.

Remote Data Entry Pay: $40-45/Hour Location: Work From Home (US) Training Is Available Responsibilities And Duties: -Accurately enter and update data in our company database, ensuring timely and error-free processing.

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...

Seeking motivated individuals to participate in National Focus Groups and Clinical Trial studies. Earn up to $750/week in your spare time. Must register and apply to see if you qualify.

Pharmacist, Utilization Management Molina Healthcare is hiring for a remote Pharmacist in our Utilization Management department. This role is 100% remote. The Pharmacist, UM will provide support and subject matter expertise for pharmacy...

Border Patrol Agent (BPA) - Experienced (GL-9 GS-11) NEW RECRUITMENT AND RETENTION INCENTIVES! Check out these higher-salaried federal law enforcement opportunities with the U.S. Customs and Border Protection. Your...

Join to apply for the Clinical Quality Manager (Remote) role at Acentra Health 3 days ago Be among the first 25 applicants Company Overview Acentra Health exists to empower better health outcomes through...

Specialty Biologics Clinical Reviewer 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...

Licensed Psychiatric Nurse Practitioner Wage: Between $147-$203 an hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse...

A health services provider is seeking a full-time remote Registered Nurse (RN) for a contract position in Chicago. The role involves validating medical necessity and appropriateness of treatment plans, focusing on claims review for medical...

Border Patrol Agent (BPA) - Experienced (GL-9 GS-11) NEW RECRUITMENT AND RETENTION INCENTIVES! Check out these higher-salaried federal law enforcement opportunities with the U.S. Customs and Border Protection. Your...

Pharmacist, Utilization Management Molina Healthcare is hiring for a remote pharmacist in our Utilization Management department. This role is 100% remote. The pharmacist, UM will provide support and subject matter expertise for pharmacy...

The Year for Growth, Opportunity, and Flexibility Are you ready for a meaningful career change one that offers both personal growth and the ability to make a real impact? We're seeking motivated individuals who want more than just another...

Overview This is a journey-level skilled maintenance position at the Board. An individual performs one or more skilled construction, maintenance and repair tasks of the Sewerage and Water Board's plant equipment and plant facilities...

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...