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Assistant Nurse Executive (Revenue Utilization Review)
Veterans Affairs, Veterans Health Administration - 2,745 reviews - Orlando, FL
$84,735 - $148,434 a year
VA Nurse IV Qualifications:. Formulates follow-up plans with the RO Nurse Executive, Nurse Managers, and the CPACs as necessary....
Medical Director Managed Care
Careers Spark, LLC - Bothell, WA 98011
$220,000 - $250,000 a year
Evaluates authorization requests in timely support of nurse reviewers and manages the denial process. Medical Director – Managed Care....
Physician (Hospitalist-Program Manager)
Veterans Affairs, Veterans Health Administration - 2,745 reviews - Salisbury, NC
$170,000 - $292,000 a year
Participate as a peer reviewer process when requested. Provide guidance and support to the nurse practitioners assigned to Medicine Service in their respective...

Assistant Nurse Executive (Revenue Utilization Review)

Veterans Affairs, Veterans Health Administration - 2,745 reviews - Orlando, FL
$84,735 - $148,434 a year
VA Nurse IV Qualifications:. Formulates follow-up plans with the RO Nurse Executive, Nurse Managers, and the CPACs as necessary....

Director of Physician Practice Compliance

Northeast Georgia Health System - 57 reviews - Gainesville, GA
This position leads a team of physician chart reviewers to review claims, assess adequacy and recommend enhancements to policies, procedures, education, and...

Physician Case Reviewers

3coast - Illinois
$190,000 - $197,000 a year
Physician Case Reviewers. Participate in periodic physician reviewer meetings. Perform physician-level case review, following initial nurse review, of high-tech...

Clinical Research Scientist - Investigator Initiated Trials,...

Eli Lilly - 772 reviews - Indianapolis, IN
Participate in the Protocol Review Committee (PRC) as a PRC reviewer. DVM, PharmD, PHD, MSN with advanced clinical specialty (Clinical Nurse Specialist/Nurse...

Medical Officer

Medical Science & Computing, Inc. - Bethesda, MD
A Ph.D., nurse practitioner, or nurse with extensive experience as described above may be considered. Individuals providing this expertise will be named as...
Easily apply

MEDICAL DIRECTOR - (TRICARE) BEHAVIORAL HEALTH INTEGRATION

Humana - 2,654 reviews - San Antonio, TX 78229
Work closely with the QM nurse to assist in developing quality of care issues to present at the QM Committee and subcommittees....

Registered Nurse (RN)- Manager of Case Management

Bayshore Medical Center - Pasadena - 8 reviews - Pasadena, TX
Provides management direction to the Discharge Planners, Utilization Reviewers, and Care Coordinators in Case Management department....

Medical Director Care Management

Florida Blue - 235 reviews - Jacksonville, FL
Physician reviewer or utilization management experience. Job duties include but are not limited to the following:....

Medical Director - Remote

Fidelis Care - 168 reviews - New York, NY
Evaluates authorization requests in a timely manner and provides support for nurse reviewers and manages the denial process....

Chief Medical Consultant - Department of Human Services

MHM Services, Inc. - Harrisburg, PA 17120
Collaborate and coordinate with attending physicians and other physician reviewers within DPW to examine medical records and care plans of residents in long...
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Registered Nurse (RN)- Manager of Case Management
Provides management direction to the Discharge Planners, Utilization Reviewers, and Care Coordinators in Case Management department....
Director of Utilization Management (RN)
Execu | Search - 63 reviews - Brooklyn, NY
$90,000 - $150,000 a year
NYS Registered Nurse (RN) license. Develop and maintain processes for ensuring inter-rater reliability among all reviewers....

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