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...
16 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...
3 days ago, source: Careerjet
Registered Nurse / Med/Surg (Tier 3) / VA Reviewer
Greenlife Healthcare Staffing - New York CityJob Description: JOB TITLE (#25240): Registered Nurse / Med/Surg (Tier 3) / VA Reviewer - Remote Minimum of 5 years.... Position Overview: Greenlife Healthcare Staffing seeks an experienced Med/Surg RN for a remote VA Reviewer role...
32 days ago, source: Careerjet
Clinical Nurse Reviewer
Trinity Health - Saint Josephone in there says HMS and needs to state MSQC. Posting Job Description Posting Job Description The Clinical Nurse Reviewer... of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with the physician champion and
2 days ago, source: Careerjet
Nurse Reviewer I (US)
Elevance Health - ChicagoAnticipated End Date: 2025-08-12 Position Title: Nurse Reviewer I (US) Job Description: Nurse Reviewer... an accommodation is granted as required by law. The Nurse Reviewer I will be responsible for conducting preauthorization, out...
4 days ago, source: Careerjet
New Admissions Nurse Reviewer
City of New York - New York City. The New Admissions Focused (NAF) Nurse Reviewer will be responsible for: 1. Scheduling and conducting NAF medical audits... has been the subject of a child abuse and maltreatment report. STAFF NURSE - 50910 Qualifications 1.
4 days ago, source: Careerjet
Clinical Reviewer, Nurse - 9am -6pm PST
Evolent Health - USAare core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing: The Nurse Reviewer... (Required): Registered Nurse or Licensed Practical/Vocational Nurse with a current, unrestricted license.
9 days ago, source: Careerjet
Clinical Care Reviewer – Utilization Management, Registered Nurse, Licensed Clinical Social Worker or Behavioral Health
AmeriHealth Caritas - Philadelphiawith Clinical Insight. Whether you’re an experienced utilization review nurse, a sharp case manager, or a behavioral health... clinician ready to make an impact behind the scenes, this is your moment.
45 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...
7 days ago, source: Careerjet
Nurse Reviewer II-Case Mgt (Home Based with Client Visits)
University of Massachusetts Medical School - Shrewsbury, or designee, the Nurse Reviewer II is responsible for providing administrative case management as part of the Community Case... and supports (LTSS) for program Members. As a member of a multidisciplinary team, the Nurse Reviewer II is responsible..
60 days ago, source: Careerjet