Clinical Quality Nurse Reviewer, Sr. Specialist- Remote
Gainwell Technologies - FloridaNurse Reviewer, Sr. Specialist who is responsible for performing on-going quality assurance audits of the work performed... RN license as defined by the Nurse Licensure Compact (NLC), required 5+ years clinical experience in acute setting 3...
19 days ago, source: Careerjet
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
LPN Medical Reviewer I (remote after ~6 months)
BlueCross BlueShield Of South Carolina - Myrtle Beachand in the state of hired, OR, active compact multistate unrestricted LPN license as defined by the Nurse Licensure Compact (NLC... by the Nurse Licensure Compact (NLC).
22 days ago, source: Careerjet
Nurse Reviewer (Registered Nurse) - Remote in US
Gainwell Technologies - Alabamabalance, continuous learning, and career development. Summary We are seeking a talented individual for a Nurse Reviewer... review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback...
20 days ago, source: Careerjet
Second Level Reviewer II
AdventHealth - Orlando-Friday Location: Remote The community youll be caring for: AdventHealth Orlando Located on a lush tropical campus... Manager, and in collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates...
20 days ago, source: Careerjet
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
Magellan Health - Honoluluof care. General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience...This is a remote/work from position in Hawaii, candidates must be licensed and reside in Hawaii. Under general...
20 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