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Licensed Utilization Review Nurse II (Call Center Nurse) - V...
Anthem, Inc. - 1,781 reviews - Virginia Beach, VA
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...
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Nurse Reviewer - AIM Westchester (122841)
Anthem, Inc. - 1,781 reviews - Westchester, IL
Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:. Experienced Nurses join AIM as Nurse Reviewers....
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Nurse Reviewer - AIM Deerfield (122840)
Anthem, Inc. - 1,781 reviews - Deerfield, IL
Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:. Experienced Nurses join AIM as Nurse Reviewers....
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Utilization Review Nurse

Mendeley - Washington, DC
Utilization Review Nurse, assesses patient insurance/status to. Serves as communication liaison between registered nurse case....

Clinical Reviewer - LPN, RN, RT

CareCentrix - Hartford, CT
The core function is to review utilization information concerning patient care for CareCentrix, and to match those needs to available care options, within the

Utilization Review RN

Centegra Health System - 47 reviews - Woodstock, IL 60098
Refers cases not meeting criteria to the In House Physician Reviewer or Contracted Reviewer for collaborative determination of appropriate status....

Quality Reviewer

UnityPoint Health - 41 reviews - Cedar Rapids, IA  +3 locations
My UnityPoint Nurse Call Center. The position will also have responsibility for providing My UnityPoint Nurse....

Manager, Secondary Review - New Mexico

UnitedHealth Group - 4,321 reviews - Albuquerque, NM
RN, Nurse, Registered Nurse, license Social Worker, Counselor or Marriage & Family Therapist, licensed Physical, Occupational Rehab Therapist, Manager,...

Medical Investigator I/II - RN

Univera Healthcare - 8 reviews - Buffalo, NY
Serves as an internal auditor/peer reviewer for new clinical staff, as needed. Registered Nurse with current NYS license and a minimum of four years’ clinical...

Licensed Utilization Review Nurse I or II

Anthem, Inc. - 1,781 reviews - Wallingford, CT
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...

Nurse Reviewer

HMSA - 17 reviews - Kapolei, HI
Registered Nurse with a current Hawaii license, or equivalent education to meet requirements for a current Hawaii nursing license and two years recent clinical...

Hedis Reviewer - Downtown NYC

Momentum Resource Solutions - Manhattan, NY
$35 an hour
Licensed Practical Nurse. The Reviewer will review medical charts electronically via onsite visits, EMR or scanned documents....
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Clinical Care Reviewer Utilization Management

AmeriHealth Caritas - 178 reviews - Charleston, SC  +2 locations
Current, unrestricted SC Registered Nurse license. Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical...
Clinical Reviewer - RN Required
Black Stone - 10 reviews - Maumee, OH
Registered Nurse with an Ohio license. Exciting Opportunity for a Clinical Reviewer (RN) in Home Care ~. Has at least one year of experience as a home care...
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FSR Nurse Specialist, RN
L.A. Care Health Plan - 28 reviews - Los Angeles, CA 90017
FSR Nurse Specialist, RN. CPHQ and DHCS RN Reviewer or Trainer certification; BSN, Department of Health Care Services - Certified Site Reviewer (DHCS-CSR)...
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