Alignment Health is seeking a remote inpatient review nurse (must have California license) to join the utilization... Location City: Remote-US Location State: California Community / Marketing Title: Inpatient Review Nurse (RN/LVN...
Remote Inpatient Review RN / LVN Nurse, Must have California Licensure (Long-Term Temp w/ Med Benefits) Location... Inpatient Review RN / LVN Nurse, Must have California Licensure (Long-Term Temp w/ Med Benefits) Company Profile: Alignment...
continue to sustain and build upon our culture of excellence. Job Type: Part-time Job Level: Individual Contributor Travel...: Yes, 10 % of the Time Success Profile Weâre looking for Nurse Leaders who possess the following traits...
Utilization Review RN is responsible for assessing the necessity, appropriateness, and efficiency of healthcare services provided... Health benefit design. The Utilization Review RN will work closely with healthcare providers, patients, and the insurance...
may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time... and be part of a community dedicated to making a difference. Our Total Rewards package includes, but is not limited to: Paid...
Job Title: Utilization Management Nurse (MLTC Focus) Location: Remote, New York (Active NY nursing license... required) Pay: $40-$42/hr + benefit Plan offered. Job Description: We are seeking a Utilization Management Nurse specializing in...
Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical... and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the...
Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review. In this role...: Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health...
Job Description: The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring... to determine the necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse Reviewers collaborate...
Anticipated End Date: 2025-01-03 Position Title: Utilization Management Nurse Job Description: The Utilization... for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute...
Utilization Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role...: Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health...
on Utilization Management including concurrent reviews and prior authorizations Utilization Management concurrent review and prior... for Utilization Management (Concurrent Review and Prior Authorizations) Qualifications: Your Knowledge and Experience Requires...
. While other companies are seeing a downturn, we are adding to our staff in strategic areas such as our Medicare Part A Medical Review team... functions of Utilization Review, Case Management, and/or Medical Review staff and specialty programs. Ensures appropriate levels...
as a Registered Nurse (RN) required Preference given to BSN or higher prepared nurses with recent medical review claims experience in...Overview: Medicare Medical Review RN (Medical Reviewer III) - REMOTE The Medicare Medical Review RN (Medical...
a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care..., are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently...
programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued... and the additional medical, community, or financial resources available. Provide utilization management (UM) services...
programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued... and the additional medical, community, or financial resources available. Provide utilization management (UM) services...
programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued... and the additional medical, community, or financial resources available. Provide utilization management (UM) services...
Job Description: Responsibilities Utilization Review / Risk Management Lighthouse Behavioral Health Hospital..., and offers inpatient acute care, CD Rehab and intensive outpatient programs. Benefits for UR-Registered Nurse (RN) include...