Utilization review nurse jobs in Hollywood, FL
Utilization Review Nurse
A company is looking for a Utilization Review Nurse. RN, LPN, or LCSW (Remote) in Chicago, IL.. Key Responsibilities Conduct concurrent and continued stay Utilization Management reviews Lead or..
Utilization Review And Value Based Coordinator
Overview. Responsible for the receiving and preparation of cases for the utilization review process.. Responsibilities. Essential Functions. Identify and prioritize tasks received from nurse Utilization..
Utilization Manager
Healthcare provider is currently hiring a permanent Utilization Manager for a full time position.. Ensure state and company compliance program guidelines are always adhered to. Review company policy and..
Case Manager, Utilization Review-Case Management-FT BHC
Shift 1FTE. 1.000000Summary Performs and monitors integrated, concurrent utilization review and case.. Two YearsCredentials Essential. Basic Life Support. Registered Nurse. Bonus Exclusions may apply in..
Utilization Management Administrative Support - Remote
Our client is looking for a Utilization Management (UM) Administrative Support team member to join their.. Responsibilities Assist with data entry and communications within the Utilization Management (UM..
Utilization Management Nurse Consultant
00 AM. 6 30 PM EST No nights, no weekends, and no holidays.The UM Nurse Consultant job duties include.. Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit..
Nurse Medical Management II - Utilization Management
Utilization Management is responsible to collaborate with healthcare providers and members to promote.. Licensed NursePlease be advised that Elevance Health only accepts resumes for compensation from agencies..
Utilization Behavioral Health Professional
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..
Care Review Clinician I
Works with the Utilization Management team primarily responsible for inpatient medical necessity.. Provides daily review and evaluation of members that require hospitalization and or procedures providing..
Loan Review Senior Consultant
Description. Loan Review Senior ConsultantCrowe is seeking a Loan Review Senior Consultant to perform.. In this role, you will Provide loan review services and other consulting engagements with clients on..
Capital Payment Review Supervisor
To supervise the review of payment requests for accuracy and completeness of required submittals.. Supervise the review of payment requests for accuracy and completeness of required submittals..
Transfer DRG Revenue Review Specialist
JOB SUMMARY The Transfer DRG Revenue Review Specialist performs work to capture lost revenue for.. The company has reviewed this job description to ensure that the essential functions and basic duties..
Itemized Bill Review Facility Reviewer
Position Overview. At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing.. They will work closely with Hospital Bill Review and Concept Development staff to efficiently identify..
Credit Risk Review Advisor - Commercial Lending
As a Credit Risk Review Advisor within PNC's Credit Risk Review organization, this position is primarily.. Additional locations may be considered.The primary objective of Credit Risk Review (CRR) is to conduct..
Claims Clinical Specialist – Medical Review Team
Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio!!
DescriptionMedical Director Opportunity. Medicare Risk Adjustment HCC Review. Puerto Rico (Option to be.. Advises manager of possible trends in inappropriate utilization (under and or over), and other quality..
Appellate Attorney – Litigation Support (91)
Highly regarded full service insurance defense firm with a nationwide presence is currently seeking a litigation support appellate attorney to join their team. This position is on ..
Travel CT Technologist - $2,461 per week
Job Description Nurse First is seeking a travel CT Technologist for a travel job in Aventura, Florida.. 3 weeks 36 hours per week Shift. 12 hours, days Employment Type. Travel Nurse First Job ID. 52907239..