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A nonprofit healthcare company is searching for a person to fill their position for a Remote Utilization Review Nurse. Candidates will be responsible for the following: Performing prospective, concurrent and retrospective review Consulting with physician advisors to ensure clinically appropriate
Provider Connectivity Professional 2 - WAH in US Description The Provider Connectivity Professional 2 provides analysis and support to both internal and external customers on complex EDI-related issues (i.e., electronic exchange of data including authorizations/referrals, eligibility and
Project Manager I - Pharmacy Implementations - Remote This job is available in 2 locations See all Category Operations Job Id R00000036014 Responsible for the management of a variety of projects for corporate and/or strategic business unit (SBU). Provides support through the planning and
A healthcare company is filling a position for a Telecommute Kidney Case Manager Registered Nurse. Core Responsibilities Include: Conducting an evaluation of member's needs and benefit plan eligibility Reviewing prior claims to address potential impact on current case management and