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Utilization Review Registered Nurse
BJC HealthCare (New)New YorkAdditional Information About the RoleJoin a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all uni
Utilization Review Nurse- Remote
Gainwell TechnologiesKansas CityLocation: Any city, AK, US, 99999Work Mode: Virtual (Exception only)It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put y
Physician Reviewer - Psychiatry (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active
Physician Reviewer - Psychiatry (Utilization Review)
Dane StreetNew YorkJob Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an ac
Utilization Review Nurse(Austin/Richardson TX) (Remote)
Madea Home Care ServicesPlanoREMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties RN working in the insurance or managed care industry using medically ac
Utilization Review Nurse RN - Grace Medical Center
LifeBridge HealthBaltimoreUtilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time - Weekends - Day shift - 8:00am-4:30pm RN OTHER 96385 $40.12-$62.19 Experience based Posted:
Utilization Review RN - Remote
Providence Health & ServicesRentonDescriptionUtilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled
Utilization Review RN - Remote
Providence Health & ServicesPortlandUtilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focus
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street, LLCNew YorkDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Physical Medicine and Rehabilitation
Endocrinology Utilization Review - Remote - 1099 (contract)
Medical Review Institute of AmericaOrlandoFlexible Independent Contractor (1099) Opportunity Prefer Medical State Licenses in one of the following: TX, MN, NM, DC, MD, OR, IN, PA, VA.About MRIoA Founded in 1983, Medical Review Institute of Am
Remote - Radiologist Utilization Review - 1099 (contract)
Medical Review Institute of AmericaSalt Lake CityFlexible Independent Contractor (1099) Require a DC or Maryland State Medical LicenseAbout MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Rev
Utilization Review Clinician - Behavioral Health
Centene CorporationCaliforniaYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri
Physician Reviewer - Orthopedic Surgery (Utilization Review) TX
Dane StreetGranite Heights1 month ago Be among the first 25 applicants DescriptionDane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding o
Registered Nurse (RN) – Utilization Review, Per Diem
Dartmouth-HitchcockLebanonOverview Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through as
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesEagle RiverDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane StreetNew YorkDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking a Board-Certified Physical Medicine and Rehabilitati
Care Review Clinician- Inpatient Utilization Review (RN-CA License)
Molina HealthcareLong BeachJOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica
Care Review Clinician - Utilization Review (KY RN license- REMOTE)
Molina HealthcareLouisvilleJOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clin
Medical Director - Case Management and Utilization Review
Memorial Healthcare SystemHollywoodComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
The Valley Health SystemLas VegasResponsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1
Physician Reviewer - Psychiatry (Utilization Review) NY at Dane Street, LLC New York, NY
Dane Street, LLCNew YorkAbout Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flex
Utilization Management Registered Nurse
GuidehealthChicagoGuidehealth is a data‑powered, performance‑driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore t
Utilization Management Nurse
Humana IncMadisonBecome a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against estab
Utilization Management Nurse
Brighton Health Plan Solutions, LLCChapel HillAbout The RoleBHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standard
Account Executive- Commercial Insurance (Remote)
Insurance Office of AmericaRichardsonJob Description Title: Account Executive - Commercial LinesWork Mode: Remote with Occasional Travel/Southeastern US only | Location/Supporting: Longwood, FL | Book Focus: Construction, HospitalityPlea