and/or Utilization Review experience highly preferred Compact License is preferred. Participation in the American Association...Anticipated End Date: 2024-12-16 Position Title: Nurse Medical Mgmt II Job Description: Location: Alternate...
by the Ohio State Nursing Board. · 3 years as a Registered Nurse with a combination of clinical and utilization/case..., including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Manages utilization...
Anticipated End Date: 2024-12-12 Position Title: Nurse Medical Management I Job Description: Be Part... of an Extraordinary Team Nurse Medical Management I Location: Remote- Candidates must reside within 50 miles or 1-hour commute...
Anticipated End Date: 2024-11-18 Position Title: RN Nurse Medical Mgmt II (UM) Job Description: LOCATION... between 6 am and 6 pm, CST. Weekend and holiday coverage is rotated among the team. The Nurse Medical Management II...
with leadership in the interdisciplinary plan of care functions. Participates in all required functions of utilization review, peer.... Review of patient records relative to ordering of medications, lab work, and treatment protocol. Prescribe appropriate...
Anticipated End Date: 2024-12-12 Position Title: Nurse Medical Management I (US) Job Description: Be Part... of an Extraordinary Team Nurse Medical Management I Location: Remote- Candidates must reside within 50 miles or 1-hour commute...
Anticipated End Date: 2024-12-09 Position Title: Nurse Medical Management I (US) Job Description: Be Part... of an Extraordinary Team Nurse Medical Management I Location: Remote- Candidates must reside within 50 miles or 1-hour commute...
guidelines and provide support and review of medical claims and utilization practices. In addition to being able to serve... any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews...
you to apply for our Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted... management and review functions, peer review relating to utilization review, and follows best practices including CMS, JC...
you to apply for our Nurse Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted... management and review functions, peer review relating to utilization review, and follows best practices including CMS, JC...
Anticipated End Date: 2024-11-07 Position Title: Nurse Medical Management ll Job Description: Location: Elevance... each way of a relevant Elevance Health location. The Nurse Medical Management ll is responsible to collaborate...
(Utilization Management, Appeals and Grievances, and/or Concurrent Review). Over 2 years of experience in a health plan...Job Description: Responsibilities SUMMARY: The Delegation Oversight Nurse performs activities to assure compliance...
(Utilization Management, Appeals and Grievances, and/or Concurrent Review). Over 2 years of experience in a health plan...Job Description: Responsibilities SUMMARY: The Delegation Oversight Nurse performs activities to assure compliance...
in utilization review/appeals background Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical.... Must have the ability to meet deadlines in time-sensitive environment Must have 1-3 years of experience in utilization review...
acute care utilization review/appeals background Greenlife Healthcare Staffing is currently seeking a Registered Nurse... Clinical Reviewer: Must have an active RN State license Must have 1-3 years of experience in acute care utilization review...
, and other data, as assigned. Maintains good communication with the Utilization Review, Business Office, and other staff as indicated..., effective behavioral health care system. The Intake Registered Nurse is responsible for assisting in the process of receiving...
, and other data, as assigned. Maintains good communication with the Utilization Review, Business Office, and other staff as indicated..., effective behavioral health care system. The Intake Registered Nurse is responsible for assisting in the process of receiving...
guidelines and provide support and review of medical claims and utilization practices. In addition to being able to serve... any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews...
assignments in other locations and/or services based on the needs of the organization. c. Participating in utilization review...The Certified Registered Nurse Practitioner (CRNP) is responsible for overseeing the psychiatric needs of children...
assignments in other locations and/or services based on the needs of the organization. c. Participating in utilization review...The Certified Registered Nurse Practitioner (CRNP) is responsible for overseeing the psychiatric needs of children...