Showing 1-20 of 488
Showing 1-20 of 488
Rn Medical Reviewer jobs

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St. Luke's Health SystemNampa, ID

Required Criteria Graduation from a School of Nursing 2 years’ RN experience Current RN licensure from the State of Practice....

MRIoASalt Lake City, UT

Medical Review Institute of America (MRIoA) provides prior authorization review services to insurance companies across the United States....

Lee's Summit Medical CenterLees Summit, MO

Missouri RN license or Multistate RN License from a participating compact state. Providing assistance to the Medical staff and....

IME ResourcesSanta Monica, CA

Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....

IME ResourcesNorwood, MA

Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....

JFK Medical Center - Palm BeachAtlantis, FL

RN Manager Care Reviewer Part Time Weekends. JFK Medical Center. JFK Medical Center has. Also a teaching facility for medical residents....

Menorah Medical CenterOverland Park, KS

RN Clinical Reviewer queries the Medical Staff and other caregivers using. Menorah Medical Center, a. Medical Center – Overland Park, KS....

Confidential - Managed Care PlanNew Hyde Park, NY

NYS RN License and Current Registration. The UAS Reviewer, RN is response for auditing assessment documents as outlined by MLTC contract standards to ensure a...

Maxim Healthcare ServicesIndianapolis, IN

Ensure medical appropriate, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services and diagnostic procedures....

River City Medical GroupSacramento, CA

Director of UM or Medical Director/Chief medical Officer. Reports questionable admissions, level of care, length of stays to the Medical Director/Chief Medical...

ValforcePinellas Park, FL

Army Reserve Medical Command*. Case Managers shall be familiar with and understand regulations pertinent to managing Soldiers who have medical issues and...

Providence Health & ServicesKodiak, AK

About Kodiak Island Medical Center. Providence is calling a Case Manager/ RN Navigator to Providence Kodiak Island Medical Center in Kodiak, AK....

AllMed Healthcare Management, IncPortland, OR

MEDICAL REVIEW CLINICIAN. Must have applicable RN certification/license. The Medical Review Clinician is responsible for assisting with the completion of...

Novitas Solutions, Inc.Mechanicsburg, PA

RN. O Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care...

Florida HospitalOrlando, FL

Medical record investigative review knowledge. Report avoidable delays based on medical records review. State of Florida current and valid RN nursing license....

First Coast Service Options, Inc.Jacksonville, FL

RN. O Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care...

Wise Health SystemDecatur, TX

Provide monthly reports to Medical Director; Metabolic and Bariatric Surgery Clinical Reviewer (MBSCR). LVN, RN, RRT, or other allied health license 3) 1 year...

Integrated Home Care Services, Inc.Miramar, FL

UM Nurse Reviewer. Updated Physician order and/or complete medical records. Working knowledge of computerized medical management systems and/or web based...

BJC HealthCareSt. Louis, MO

RN Benefits Statement. Comprehensive medical, dental, life insurance, and disability plan options. Works collaboratively with the CDI team to facilitate...

Renown Regional Medical CenterReno, NV

Case Management (CCM), Professional Utilization Reviewer (CPUR), or Managed Care (NMCC)) preferred. Case management begins with the assessment of pre-morbid...


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