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Utilization Review Remote Jobs
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
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
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
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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
Georgia Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician - Behavioral Health.
Nevada Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician - Behavioral Health.
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
California Licensed Utilization Review Nurse
A company is looking for a Utilization Review Nurse to support client healthcare needs remotely in California.
Utilization Review Specialist
A company is looking for a Utilization Review Specialist - Company (Remote)....Review Familiarity with ASAM criteria, substance abuse treatment, and HIPAA guidelines Experience in Utilization Review within the behavioral Company field EMR experience with the ability to enter notes in the system
New York Utilization Review Nurse
A company is looking for a Utilization Review Registered Nurse (remote)....review/prior authorization experience focused on workers' compensation Experience interpreting medical treatment guidelines Knowledge of prior authorization processes and regulatory compliance for workers' compensation cases Proficiency in electronic
