- Healthcare Recruitment Counselors (Temple, TX)
- Nurse Practitioner Temple TX (35 miles S of Waco) $120k to $130k We are looking for a motivated Nurse Practitioner to join our medical group full-time in Temple, ... care and helping others improve their quality of life. We are seeking a like-minded nurse practitioner to join our team! In this role, you will have the opportunity… more
- Healthcare Recruitment Counselors (Laurinburg, NC)
- Physician Assistant OR Nurse Practitioner Laurinburg, NC (40 miles SW of Fayetteville) $120k-$150k We are looking for a Physician Assistant or Nurse Practitioner ... models. Ideally, we are looking for an experienced Physician Assistant or Nurse Practitioner who is compassionate and personable, can communicate effectively with… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Clinical Care Reviewer , Pediatric Shift Care, Registered Nurse ** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34518 Your career ... **Responsibilities:** Under the direction of the unit Supervisor, the Clinical Care Reviewer - Shift Care is responsible for managing requests for pediatric shift… 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Health and Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, ... and the evaluation of coverage under the Plan. The Nurse Case Reviewer reports to the Casualty...services for timely return to work. + Provides utilization review , continued stay reviews, and utilization management based on… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management (UM)… more
- Kepro (ND)
- …Reviewer to join our growing team. Job Summary: Our Nurse Clinical Reviewer will use clinical expertise for the review of medical records against ... Nurse (RN) Clinical ...relationships and team building in order to facilitate the review process. Responsible for attending training and scheduled meetings and… more
- Trinity Health (Livonia, MI)
- …Type:** Part time **Shift:** Rotating Shift **Description:** **JOB SUMMARY** The Clinical Nurse Reviewer 's chief responsibility is to collect and submit reliable ... of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with the...Word, Excel, PowerPoint) and web-based applications. + Clinical chart review and abstraction experience required + Database data entry… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely… more
- Zelis (Morristown, NJ)
- Position Overview: The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical ... billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical… more
