- Actalent (Orlando, FL)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules ... - 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote...our remote team. In this role, you will perform concurrent reviews to evaluate medical necessity, determine appropriate levels… more
- Molina Healthcare (Orlando, FL)
- …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more