A company is looking for a UM Review Nurse to assist its Health Services Department. Key Responsibilities
Complete prior authorization and retrospective review of medical services
Refer cases to Medical Directors as necessary
Maintain knowledge of regulations and comply with internal policies
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Key Responsibilities
Review and document prior authorization and appeals requests, along with member case history
Analyze trends and recommend revisions to medical policies and utilization management based on case reviews
Interface with members, providers, and internal departments to ensure effe
$7,000 Sign-on bonus for Full-time RN; Days, Evenings or Nights.
Job Description Position Summary Ready to be the superhero of our nursing team? As our Director of Nursing (DON), you'll be the captain of our care ship, steering us through the exciting waters of resident care! You'll...
Solomon Page is seeking a travel nurse RN Utilization Review for a travel nursing job in Aurora, Colorado. Posted job title: nurse - rn - utilization review | aurora, colorado. Offering a comprehensive benefits package, travel nurses have immediate access to medical coverage and ReviveHealth virtual
Key Responsibilities:
Review prior authorization requests for medical necessity and collaborate with Medical Directors as needed
Utilize evidence-based criteria and governmental policies for medical necessity reviews and manage claims disputes
Coordinate transitions of care and referrals to Care
“May be entitled to translation/bilingual, shift or other wage...
Description Salary Estimate: $74089.60 - $114691.20 / year Learn more about the benefits offered for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to...
$10,000 Sign-on bonus for FT/ $5,000 Sign-on bonus for PTMonday-Friday:...
Position Highlights Flexible scheduling with outpatient GI and GI hospitalist options 1–2 half-days in clinic with 3 days in the endoscopy center 1...
Clinical Psychologist – Veteran Disability Assessments We are seeking a dedicated Clinical Psychologist to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process. In performing...
6 month contract to hire Rate: $55-65/hr Salary: $100-120k/yr The End User Computing (EUC) Engineer is responsible for designing, supporting, maintaining, and optimizing the hospital's end user computing environment to...
$7,000 Sign-on bonus for Full-time RN; Days, Evenings or Nights.
Aramco energizes the world economy. ...
Job Description Position Summary Ready to be the superhero of our nursing unit? As our Registered Nurse II Neighborhood/Unit Manager, you'll be the captain of our care crew, steering the ship of established policies and...
Aramco energizes the world economy. ...