Nurse Reviewer Jobs
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Search Results - Nurse Reviewer Jobs
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...
tiptopjob.com -
2 similar jobs: Mobile, Birmingham
Mindlance-Hooksett
Job Title
Job Description
Required Skills
Education/Experience
Quality Assurance Nurse Reviewer (Overread Team)
The Healthcare Effectiveness Data and information Set (HEDIS) Quality Assurance Nurse Overreader works under the direction...
resume-library.com -
UMass Chan Medical School-Holden (MA)
Position Summary
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for providing administrative case management as part of the Community Case Management Program. This position is responsible...
lwqct.com -
ICONMA, LLC-Indianapolis
clinical review to a Nurse reviewer.
Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
Responds to telephone and written inquiries from clients, providers and in-house...
resume-library.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...
workable.com -
Mindlance-Hooksett
of the HEDIS Quality Assurance Team Lead and other Client personnel to perform quality assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically...
resume-library.com -
Greensboro
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Clinical
Q
uality Nurse Reviewer, Sr. Specialist
who is responsible for performing on:going quality assurance audits of the work performed...
tiptopjob.com -
2 similar jobs: Charlotte, Raleigh
Impresiv Health-Orange
and unrestricted LVN license in the state of CA required.
3+ years of experience in Clinical Nursing required, 1+ years of which must be as a nurse reviewer.
1+ years of Concurrent Review (In-Patient) preferred.
About Impresiv Health:
Impresiv Health...
resume-library.com -
Shrewsbury (MA)
Overview:
POSITION SUMMARY:
Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for providing administrative case management as part of the Community Case Management Program. This position...
icims.com -
Equiliem-Orange
productivity and quality of work standards on an ongoing basis.
Complete other projects and duties as assigned.
Minimum Qualifications
High School diploma or equivalent required.
3 years of nursing experience required, 1 year of which must be as a nurse...
resume-library.com -
iCallidus-Bethesda (MD)
iCallidus is seeking a LPN Utilization Management Nurse Reviewer (Referral Management Review). This individual will participate in direct, referral management review activities within the Integrated Referral Management and Appointing Center (IRMAC...
jobvertise.com -
United States
and plan implementation of improvement areas.
• Maintains current knowledgebase related to review processes and clinical practices related to the review processes, functions as the internal resource to nurse reviewers regarding all review process questions...
acentra.com -
Acentra Health-United States
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 service issues and problem resolution
• Performs all...
workable.com -
Shreveport
balance, continuous learning, and career development.
Summary
We are seeking a talented individual for a Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding appropriately to appeals...
tiptopjob.com -
2 similar jobs: New Orleans, Baton Rouge
United States
applications
• Able to efficiently organize 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...
icims.com -
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