Nurse Reviewer Jobs
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Search Results - Nurse Reviewer Jobs
Birmingham
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Nurse Reviewer (RN) who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need...
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tiptopjob.com -
Adecco-Newark
information into the transplant electronic medical record.
• Obtains medical records as required
• Notifies patient navigator and nurse reviewer regarding necessary follow-ups.
• Performs initial intakes for inpatient transfers and promptly notifies patient...
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adecco.com -
Montgomery
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Nurse Reviewer (RN) who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need...
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tiptopjob.com -
Dane Street, LLC-United States
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
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workable.com -
Mobile
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Nurse Reviewer (RN) who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need...
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tiptopjob.com -
Westborough
Overview:
GENERAL SUMMARY:
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for completing in-person assessments and reviewing medical records to determine clinical eligibility...
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icims.com -
United States
Acentra Health is looking for a Clinical, Supervisor to join our growing team.
Job Summary:
• Supervises Review Operations day-to-day activities of the nurse reviewers or prior authorization requests in the assigned areas to successfully meet contract...
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acentra.com -
United States
and manage workload and assignments
• Must have and maintain a valid driver' license for the associate's state of residence as onsite audits are part of the role as a nurse reviewer
Educational/Experience Qualifications:
• Graduate from an accredited...
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icims.com -
United States
Monitor daily work queues and adjust staffing schedules to align with departmental demands.
• Evaluate productivity and performance metrics of nurse reviewers to maintain high standards of efficiency and quality.
• Identify onboarding and ongoing learning...
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acentra.com -
Westborough
Conduct performance evaluations of team members.
• Participate in the hiring and termination of team members.
• Work closely with Director and other management staff to ensure clinical integrity is maintained in the clinical eligibility and nurse...
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icims.com -
United States
processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns
• Functions as providers’ liaison and contact/resource person for provider customer...
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acentra.com -
Westborough
Overview:
POSITION SUMMARY:
ForHealth Consulting at UMass Chan Medical School is seeking a detail-oriented Nurse Reviewer II with experience caring for individuals with complex medical needs to join our Community Case Management Program...
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icims.com -
Lewiston
clinical review operations. In this position, you will provide day-to-day oversight and guidance to nurse reviewers, ensuring prior authorization and clinical review activities are completed efficiently, accurately, and in alignment with contract...
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acentra.com -
1 similar job: Bangor
United States
to nurse reviewers regarding all review process questions and/or concerns
• Functions as providers’ liaison and contact/resource person for provider customer service issues and problem resolution
• Performs all applicable review types as workload indicates...
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acentra.com -
United States
of improvement and plan implementation of improvement areas
• Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process...
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acentra.com -
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