Nurse Reviewer Jobs
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Search Results - Nurse Reviewer Jobs
ACT1 Federal-Eglin Air Force Base
Position Title: Surgical Case Nurse Reviewer
Company: ACT1 Federal
Location: Eglin, AFB, Florida
About ACT1 Federal: Delivering mission-critical solutions and industry-leading talent to advance the missions of the partners, organizations...
workable.com -
Kentucky
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need...
tiptopjob.com -
Dane Street, LLC-United States
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
workable.com -
Info Way Solutions LLC-Fremont
or equivalent required.
Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the State of California required.
3 years of nursing experience, with 1 year as a Clinical Nurse Reviewer, required.
An equivalent combination of education...
resume-library.com -
Nevada
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Prior Authorization Nurse Reviewer who will be responsible for performing prior authorization reviews of admissions, procedures, services...
tiptopjob.com -
Impresiv Health-Orange
and Medicare benefits and regulations
What You Will Bring:
Current and unrestricted LVN license to practice in CA
3+ years of nursing experience, 1 as a Clinical Nurse Reviewer
1+ year of utilization management or prior authorization review experience...
resume-library.com -
Shrewsbury (MA)
Overview:
POSITION SUMMARY:
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for providing administrative case management as part of the Community Case Management Program. This position...
icims.com -
University Medical Center of El Paso-El Paso
Job Description:
The Denials and Appeals Specialist follows up on denied claims from commercial and contracted payers. Performs timely and appropriate validation and follow up for assigned patients. Communicates with third party nurse reviewers...
mindmatch.ai -
Alura Workforce Solutions-Rancho Cucamonga
status to assist other nurse reviewers.
8. Maintains tracking system for regulatory changes to ensure QS management is apprised of significant modifications required.
9. Responsible for maintaining knowledge of various other data sources utilized by QS...
resume-library.com -
Shrewsbury (MA)
Overview:
POSITION SUMMARY:
FOR MA POSITIONS:
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for assessing clinical eligibility, prior authorizations and providing interval case...
icims.com -
iCallidus-Bethesda (MD)
iCallidus is seeking a LPN Utilization Management Nurse Reviewer (Referral Management Review). This individual will participate in direct, referral management review activities within the Integrated Referral Management and Appointing Center (IRMAC...
jobvertise.com -
United States
applications
• Able to efficiently organize and manage workload and assignments
• Must have and maintain a valid driver' license for the associate's state of residence as onsite audits are part of the role as a nurse reviewer
Educational/Experience...
icims.com -
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