HonorVet Technologies is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in New York, New York. Job Description &...
HonorVet Technologies is seeking a local contract nurse Correctional for a local contract nursing job in Lansing, New York. Job Description & RequirementsSpecialty:...
Req #: 2770 Job ID: 14276 Job Location: New York, NY Zip Code: 10041 Category: Managed Care Nursing Agency: Elderplan ...
Clinical Evaluation Manager, Utilization Management (mostly remote) Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care...
FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. ...
**JOB DESCRIPTION****Job Summary**Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding...
Job Title: Utilization Management / Appeals RN Experience: UM, UAS, Appeals, or strong analytical/clinical background to do claims adjudication. ***Must have...
**Become a part of our caring community and help us put health first**The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to...
Job Details: Job Summary: Provides clinically based concurrent review of patient medical records to ensure documentation accurately reflects the level of clinical services, severity of illness and specificity of...
RN- Utilization Review NurseInpatient* Full Time - 100% Remote Opportunity*COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time...