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...
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...
is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental Health Resource Center (MHRC.... Investigates complaints, grievances, and medication variances. Reports findings to Utilization Management Manager and completes...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly..., observation, and inpatient). Qualifications Minimum Education and Experience Requirements: Registered nurse (RN) with current...
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...
Job Description: Responsibilities Utilization Case Reviewer Poplar Springs Hospital is a 183 bed acute care... at: We have a new opening for a Utilization Case Reviewer. The Utilization Case Reviewer will review documentation, responsible...
Job Description: Responsibilities Utilization Case Reviewer Poplar Springs Hospital is a 183 bed acute care... at: We have a new opening for a Utilization Case Reviewer. The Utilization Case Reviewer will review documentation, responsible...
between members of the treatment team Maintains compliance with regulation changes affecting utilization management Use appropriate...) Assesses, reviews, and assigns cases for utilization review (UR) Assists with the negotiations of access to care in specified...
of an outstanding candidate, with insurance utilization management experience, to work as a Nurse Advocate on a group of products... is required. 5+ years of related experience with 3+ years as a nurse reviewer at a payor required. Demonstrated ability to interact...
Anticipated End Date: 2024-11-22 Position Title: Utilization Management Rep I (US) Job Description: Title...: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates...
Anticipated End Date: 2024-11-15 Position Title: Utilization Management Representative II Job Description: Title...: Utilization Management Representative II Location: This position will work a hybrid model (remote and office). Ideal candidates...
Anticipated End Date: 2024-11-01 Position Title: Utilization Management Representative I Job Description: Title...: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates...
Anticipated End Date: 2024-11-08 Position Title: Utilization Management Representative II... Job Description: Location: Candidate must reside in the state of Kansas. The Utilization Management Representative II is responsible...
Utilization Management Rep I Location: Norfolk, VA/ Nashville, TN Duration: 3 months Description: Responsible... requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the...
Anticipated End Date: 2024-10-11 Position Title: Utilization Management Representative I Job Description: Title...: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates...
balance, continuous learning, and career development. Summary We are seeking a talented individual for a Nurse Reviewer... review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback...
balance, continuous learning, and career development. Summary We are seeking a talented individual for a Nurse Reviewer... review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback...
Maternal Nurse Reviewer / Contract - Metropolitan Area (#25009) Minimum of 4 years clinical practice experience in... a facility or community-based setting Greenlife Healthcare Staffing is currently seeking a Maternal Nurse Reviewer to fill...
Registered Nurse Maternal Reviewer / Per Diem - Metropolitan Area (#25035) Minimum of 2 years of clinical practice... a Registered Nurse Maternal Reviewer to fill an opening with a Non-profit organization located in New York Requirements of the...
Job Description: JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area Minimum of 4 years... a Maternal Nurse Reviewer to fill an opening with a Non-profit organization located in New York Requirements of the Maternal...