Clinical Review Nurse I - Medicare Part A National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and...
A Day treatment facility located in Flushing, NY is looking for an RN Clinical Review Nurse. Position Type: Contract/Hybrid (In office/remote work) Schedule: Mon-Fri 8:30am-5:30pm (1 Hour Lunch)...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
Utilization Review Nurse Job No: 496490 Department: Medical Care Review Local Title: Utilization Review Nurse Budget Title: Th Utilization Review and Quality Assurance Senior...
Clinical Reviewer (RN) As a Clinical Reviewer you will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. You will utilize your knowledge and expertise of the review program...
TinkBird Healthcare Staffing is a comprehensive healthcare recruiting and job placement firm for travel nursing and allied health positions. We offer up to 13-week contracts, temporary-to-hire and permanent placements. We are delighted to inform...
ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve...
Duties: Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress reports, Discharge reports including complex...
Position Details: Our client, a world-leading Pharmaceutical Company in New York, NY is currently looking for an Registered Nurse (New...
Department/Unit: HBD - Peds Counseling & Behavioral Health Work Shift: Day (United States of America)...