Clinical Reviewer - LPN/LVN or RN (Remote U.S.)
Acentra Health, LLC - Indianais looking for a Clinical Reviewer - LPN/LVN (Remote U.S.) to join our growing team. Job Summary: Review medical records against criteria...
7 days ago, source: Careerjet
Utilization Management Review Nurse
Amerihealth Caritas - Washington DC$5,000.00 SIGN ON BONUS Role Overview: Under the direction of a supervisor, the Clinical Care Reviewer... Reviewer assesses the appropriateness of services, identifies care coordination opportunities, and ensures compliance...
11 days ago, source: Careerjet
Long Term Services & Support Reviewer Utilization Management
Amerihealth Caritas - USAand Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and service needs reviews. Using evidence...-based LTSS needs assessment knowledge and health care/social services licensure experience, the Reviewer reviews the ...
2 days ago, source: Careerjet
Behavioral Health Utilization Management Reviewer
Amerihealth Caritas - USARole Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer... to perform a thorough medical necessity review.
11 days ago, source: Careerjet