Medical Necessity Reviewer jobs in Madison, WI

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Physician Reviewer - Multi - Specialty
EviCore Healthcare - United States
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a...
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Utilization Management Nurse Reviewer

Dean Health Plan, Inc. - Middleton, WI
Reviews and interprets requests for medical necessity and appropriateness of care. Coordinates and/or manages medical management review cases identified for...

Care Management Utilization Nurse (RN)

Group Health Cooperative of South Central Wisconsi... 3 reviews - Madison, WI
Medical Director and/or appointed Physician medical reviewers. Refer complex utilization management decisions to Care Management Department Manager, or Medical...

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