- Elevance Health (Colorado Springs, CO)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full ... VEGAS + CO, COLORADO SPRINGS + TN, KNOXVILLE **Description** ** Nurse Reviewer I** **Location:** Within 50 miles...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- HCA Healthcare (Corpus Christi, TX)
- …Corpus Christi Medical Center Bay Area! **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities ... **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the… more
- Elevance Health (San Juan, PR)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Nurse Reviewer I (NCLEX)** + Job Family: MED > Licensed Nurse + ... providing information technology and business operations services for health plans._ ** Nurse Reviewer I** **Location:** This position will work on-site… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical ... position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding, and pricing...integral part of the Complex Claims team, the Claims Nurse Reviewer will serve as a liaison… more
- HCA Healthcare (Corpus Christi, TX)
- …path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in...Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Rotating Shift **Description:** HMS collaborative reviewer The Clinical Nurse Reviewer 's chief responsibility is to ... HMS database of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with the physician champion and appropriate hospital… more
- Liberty Healthcare Corporation (Fayetteville, TN)
- …Corporation is hiring Licensed Practical Nurses for anticipated new PASSR I Clinical Reviewer positions. As a Clinical Reviewer with Liberty Healthcare, you will ... work will involve using the Preadmission Screening and Resident Review (PASRR) Level I tool to evaluate people for...+ Licensed professionally in Tennessee as a Licensed Practical Nurse (LPN) + Experience providing practical nursing services to… more
- Liberty Healthcare Corporation (Nashville, TN)
- …Healthcare Corporation is hiring Registered Nurses for new PASSR Clinical Reviewer positions. Flexible part-time and traditional full-time schedules are available. ... As a Reviewer with Liberty Healthcare, you will help ensure that...work specifically involves using the Preadmission Screening and Resident Review (PASRR) tool to evaluate people for serious mental… more
- Public Consulting Group (Albany, NY)
- **Overview** ** Nurse Reviewer - Quality Assurance in Albany, NY** Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting ... the Bureau of Quality and Surveillance Director, the Registered Nurse will complete tasks including, but not limited to:...will complete tasks including, but not limited to: + Review of potential Immediate Jeopardy/ Substandard Quality of care… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4393761) Apply Plan Reviewer Salary $50,185.72 - $102,274.64 Annually ... + Questions Description JOIN OUR TEAM AS A PLAN REVIEWER ! *SALARY IS BASED ON POSSESSION OF CERTIFICATION AREA(S).... attends meetings, as required, and conducts preliminary plan review meetings with architects, engineers, developers and owners to… more
- Kepro (IL)
- … to join our growing team. Job Summary: Our Behavioral Health Clinical Reviewer will coordinate program services and review activities associated with the ... Improvement Organization (QIO) contract. The Child/Adolescent Behavioral Health Clinical Reviewer performs eligibility determination, residential treatment facility prior authorization,… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Fire Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4447968) Apply Fire Plan Reviewer Salary $24.13 - $49.17 Hourly ... + Benefits + Questions Description JOIN OUR TEAM AS A FIRE PLAN REVIEWER ! Reviews residential and/or commercial building plans for compliance with the Florida Fire… more
- Centers Plan for Healthy Living (Margate, FL)
- …For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063,...to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- Kepro (Richmond, VA)
- …health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC, and/or LBA ... to join our growing team. Job Summary: Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical… more
- Kepro (Tallahassee, FL)
- …is fueled by passion and driven by purpose. Position Summary The Clinical Reviewer is integral to our team, conducting Preadmission Screening and Resident Review ... assessments, and active collaboration with the treatment team. As a Clinical Reviewer , your expert analysis will confirm diagnoses and enable you to formulate… more
- Centers Plan for Healthy Living (Queens, NY)
- Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, April 1, 2024 Centers Plan for Healthy Living's goal is to create the ultimate healthcare ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who… more
- Liberty Healthcare Corporation (Nashville, TN)
- …organizational growth, Liberty Healthcare seeks qualified candidates for a potential new Quality Reviewer position. This is a key role with a statewide program which ... (ECF) CHOICES training and technical assistance + Pre-Admission Screening and Resident Review (PASRR) processes + Medical or Level of Care (LOC) eligibility… more
- City of New York (New York, NY)
- …for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical reviews and analyses claims to calculate injury related ... and current registration to practice as a Registered Professional Nurse . This license must be maintained for the duration...three years of full-time satisfactory experience as a Registered Nurse , two of which must have been in a… more
- Magellan Health Services (Boise, ID)
- …management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer Grade 25 Work Experience - Required Clinical Work Experience - ... Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care ... for improvement through departmental committee assignments. Qualifications: + Registered Nurse or Licensed Practical Nurse . + Current and… more
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