- USAA (Phoenix, AZ)
- …working with Medicare Supplement claims and/or Medicare-related claims. Expert Advice: Ability to review complicated medical records and medical claims, ... experience working as a Registered Nurse (RN), Nurse Practitioner (NP), or Medical Doctor (MD)...litigation involving special investigation cases. Exceptional ability to summarize, review , and analyze medical records … more
- Merck & Co. (TX)
- …may include :- Health care providers such as physicians, physician assistants, nurse practitioners, nurses, pharmacists as well as quality directors and office ... at product workshops and conferences, as well as consistent and ongoing review of Company promotional materials.Providing Company management with updates on customer… more
- Novo Nordisk Inc. (Chicago, IL)
- …Externally, the DCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses...exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records . Qualifications Bachelor's… more
- Novo Nordisk Inc. (Seattle, WA)
- …standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records . Qualifications Bachelor's or equivalent degree, ... Inform health system decision makers, influencers and stakeholders hospital faculty, medical students, residents, interns as well as attending physicians, nurse… more
- Merck & Co. (Sacramento, CA)
- …drug distribution (Oncology group purchasing organizations, wholesalers, and specialty pharmacies). Review and evaluate patterns for products purchased and prescribed ... the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.… more
- CVS Health (Columbus, OH)
- …skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases . Applies the appropriate clinical criteria/guideline to ... **Required Qualifications:** -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management experience. -Must have active… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …recent LPN experience providing direct patient care with one year of authorization, medical review experience and case management is required **Skills and ... within 24 months in position. + A comparable professional medical review or case management certification is...hire for all positions. As part of this process records may be verified and information checked with agencies… more
- HCA Healthcare (Alexandria, LA)
- …next step in your career path, we encourage you to apply for our Registered Nurse Medical ICU opening. We review all applications. Qualified candidates will ... **Description** **Rapides Regional Medical Center** **Registered Nurse Medical...needs, problems are identified and documented in the clinical record and communicated to the physician, case manager, and… more
- HCA Healthcare (Asheville, NC)
- …next step in your career path, we encourage you to apply for our Registered Nurse Medical Surgical opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse Medical Surgical you want in your...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- HCA Healthcare (Reston, VA)
- …next step in your career path, we encourage you to apply for our Registered Nurse Medical Unit opening. We review all applications. Qualified candidates will ... Do you have the career opportunities as a Registered Nurse Medical Unit you want in your...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- HCA Healthcare (Fort Walton Beach, FL)
- …next step in your career path, we encourage you to apply for our Registered Nurse Medical Surgical opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse Medical Surgical you want in your...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- Molina Healthcare (Columbus, GA)
- …state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure ... DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate… more
- HCA Healthcare (Chattanooga, TN)
- …is your next step in your career path, we encourage you to apply for our Medical ICU Nurse opening. We review all applications. Qualified candidates will be ... Bonus** Do you have the career opportunities as a Medical ICU Nurse you want in your...wounds, and monitors vital signs. + You will monitor, record and communicate patient condition as appropriate utilizing computerized… more
- Elevance Health (Indianapolis, IN)
- …**Schedule:** Monday through Friday 8:00 am - 5:00 pm. The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... ** Medical Management Nurse ** **Location:** This is...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- Elevance Health (Cincinnati, OH)
- …Health major office (PulsePoint) location listed above. The ** Medical Management Nurse ** is responsible for review of the most complex or challenging ... ** Medical Management Nurse ** **Office Location** :...and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of… more
- HCA Healthcare (Ocala, FL)
- …personal growth, we encourage you to apply for our Registered Nurse Medical Cardiology PRN opening. We review all applications. Qualified candidates will be ... you have the PRN career opportunities as a(an) Registered Nurse Medical Cardiology PRN you want with...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- R1 RCM (Detroit, MI)
- …and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft appeals of denied and ... will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and underpaid claims. + Apply… more
- HCA Healthcare (Inverness, FL)
- …compelling, we encourage you to apply for our Registered Nurse Medical Surgical opening. We promptly review all applications. Highly qualified candidates ... individual is recognized. Submit your application for our Registered Nurse Medical Surgical opening with HCA Florida...medications and treatment instructions + You will maintain and review patients' records including posting tests and… more
- HCA Healthcare (Wichita, KS)
- …personal growth, we encourage you to apply for our Nurse Extern Medical ICU opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Nurse Extern Medical ICU you want with...once competency is achieved. + You will obtain and record initial and ongoing patient information throughout the cycle… more
- HCA Healthcare (San Antonio, TX)
- …personal growth, we encourage you to apply for our Registered Nurse Medical Surgical Tele opening. We promptly review all applications. Highly qualified ... Do you have the career opportunities as a(an) Registered Nurse Medical Surgical Tele you want with...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
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