- Novo Nordisk Inc. (Minneapolis, MN)
- …hospital faculty, medical students, residents, interns as well as attending physicians, nurse practitioners and pharmacy personnel about the use of Novo Nordisk's ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records.QualificationsBachelor's or equivalent degree, and/or Pharm D… more
- Novo Nordisk Inc. (St. Paul, MN)
- …hospital faculty, medical students, residents, interns as well as attending physicians, nurse practitioners and pharmacy personnel about the use of Novo Nordisk's ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records.; May be required to work company holidays and ... Bachelor's degree required* (science related discipline preferred): *Alternatively, a Registered Nurse with a minimum of 3 years of on-site monitoring experience… more
- Novo Nordisk Inc. (OH)
- …the DCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical customers ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Travelers Insurance Company (Buffalo, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided ... Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for prospective, concurrent,… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate,...+ The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical admission as… more
- State of Georgia (Thomas County, GA)
- Registered Nurse (Regional Quality Review (RQR)) - Region 4 Georgia - Thomas - Thomasville ... main office for DBHDD is located in downtown Atlanta. Job Description Job Title: Registered Nurse ( Regional Quality Review (RQR) ) - Region 4 (Thomasville, GA… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested medical ... with clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review -** **Utilization Management-Sign on Bonus $2,500** **Location:… more
- Centene Corporation (Austin, TX)
- …competitive benefits including a fresh perspective on workplace flexibility. **Registered Nurse Strongly Preferred** **Must reside and be licensed in the state ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Rising Medical Solutions (Chicago, IL)
- …was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
- Ascension Health (Manhattan, KS)
- …+ **Location:** Manhattan, KS **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within assigned… more
- Actalent (Chicago, IL)
- … are in compliance with standards of patient care set forth by the insurance company. Experience with medical record review required. Hard Skills + Strong ... Job Title: HEDIS Review SpecialistJob Description - Will be calling out...part of the HEDIS team during the Jan-May season. Review medical records from all 5 states. Abstracting 6… more
- TEKsystems (Austin, TX)
- …by facilitating medical records (MR) collection and client outreach, by offering expert review and interpretation on a case by case basis, and by maintaining ... as a source of knowledge for medical records (MR) review and interpretation, including in-depth review of...necessity and summarizing in a succinct manner for health insurance companies + An in-depth knowledge and understanding of… more
- System One (Baltimore, MD)
- …contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting thorough HEDIS overreads in line ... if errors are found. Correct errors identified through over-read process, including a re- review of charts that may contain similar errors. + Identify and report… more
- Centene Corporation (Sacramento, CA)
- …Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off ... plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also… more
- Bassett Healthcare (Cooperstown, NY)
- …discuss specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Emergency Department is accountable for the ... needs. The RN contributes to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate for a new nurse… more
- Travelers Insurance Company (Tampa, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided ... environment. **What Will You Do?** + Perform a detailed review of previously submitted complex surgical services bills along...a plus. **What is a Must Have?** + Registered Nurse or Licensed Practical Nurse with Surgical… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator ( Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator ( Nurse V) Salary $108,540.00 - $151,968.00 Annually Location Denver...provides support for performance evaluations. This role also includes review and implementation of preventive health care services, program,… more
