Remote Utilization Review Jobs

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  • Utilization Review RN

    A company is looking for a Utilization Review Nurse to join their Clinical Review team....review experience in a managed care setting 2+ years of clinical experience, including at least 1 year in an acute care setting

    RN Licensure Utilization Review Clinical Judgment Evidence-based Guidelines
  • Director of Utilization Review

    A company is looking for a Director of Enterprise Utilization Review....Key Responsibilities Oversee utilization review functions, ensuring compliance and process improvements across the Company Act as administrative chair for the Utilization Review committee, implementing policies and coordinating initiatives Provide

    Utilization Review Process Improvement Case Management ICD-10 Codes
  • California Licensed Utilization Review Nurse

    A company is looking for a Concurrent Utilization Review Nurse, RN (Work from home)....review or case management Experience in a managed care setting with medical necessity reviews is preferred Preferred certifications include Certified Professional in Utilization Review (CPUR) or Certified Case Manager (CCM) Strong knowledge of clinical

    Concurrent Review Case Assessment InterQual MCG
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  • California Licensed Utilization Review Author

    A company is looking for a Utilization Review Author (Weekend)....Key Responsibilities Perform initial admission and continued stay reviews utilizing InterQual or Milliman Abstract data from medical records to ensure accurate clinical data Adhere to quality, timeliness, and productivity outputs for nursing utilization

    Registered Nurse Utilization Review InterQual Milliman
  • Georgia Licensed Utilization Review Clinician

    A company is looking for a Utilization Review Clinician - Behavioral Health.

    Clinical Review Concurrent Review Discharge Planning Data Analysis
  • Nevada Licensed Utilization Review Clinician

    A company is looking for a Utilization Review Clinician - Behavioral Health.

    Clinical Review Mental Health Substance Abuse Prior Authorization
  • California Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Author to assist hospital clients with case reviews....review Required Qualifications Active Registered Nurse (RN) license in the state of residence Eligibility to obtain a California RN license Experience in a clinical inpatient environment Hospital-based utilization or case management experience

    InterQual Milliman Clinical Documentation Data Abstraction
  • California Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Nurse to support client healthcare needs remotely in California.

    Concurrent Review Clinical Experience Case Management Utilization Management
  • Mass Utilization Review Specialist

    A company is looking for a Mass Utilization Review professional.

    Resource Coordination Medical Necessity Utilization Management Case Management
  • Utilization Review Registered Nurse

    A company is looking for a Utilization Review Nurse to join their Clinical Review team....review experience in a managed care setting 2+ years of clinical experience, including at least 1 year in an acute care setting

    RN Licensure Utilization Review Clinical Judgment Clinical Guidelines