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Director of DRG Review
MJ Morgan Group - 10 reviews - New York, NY
Evaluate nurse review staff worksheets and refer performance questions to Program Managers. Supervise and manage reviewers and their activities both on and off...
Easily apply
Medical Director - Remote
Fidelis Care - 160 reviews - Rego Park, NY 11374
Evaluates authorization requests in a timely manner and provides support for nurse reviewers and manages the denial process....
Easily apply
Psychiatric Nurse Practitioner
Cedar Point Recovery - Sacramento, CA
Psychiatric Nurse Practitioner*. Completion of a Master's, Post-Master's or Doctorate from a Nurse Practitioner program accredited by the Commission on the...
Easily apply

Clinical Research Liaison - Investigator Initiated Trials, O...

Eli Lilly - 754 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...

Quality Improvement Reviewer (RN) - FT, Days

CHI Mercy Health - Roseburg, OR
The QI Reviewer will integrate their findings to recommend clinical changes in processes. Under the direction of the Quality Director, the Quality Improvement...

RN Concurrent Reviewer - Dept Of Qual Mgmt

Lakeland Regional Health - 70 reviews - Lakeland, FL
RN Concurrent Reviewer. Registered Nurse or other Clinical Licensure. Active - Benefit Eligible and Accrues Time Off....

APP Medical Reviewer-AZ

Banner Health - 828 reviews - United States
Nurse Practitioners require a current RN license in state of practice and must be certified to practice by the State Board of Nursing within a particular...

Radiation Oncologists - Case Reviewers

Careers 2005 - Chicago, IL
$205,000 - $218,000 a year
Opportunity to conduct peer to peer reviews to determine best possible patient care at the lowest cost. After initial onsite training, this position can be

Project Manager

Strayer University - 330 reviews - Herndon, VA 20171
Registered Nurse (RN) with an active and unencumbered RN license in a U.S. Serve as the final critical reviewer of course guides, supplemental materials, and...

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services (CNHS) - Orange, CA 92868
$48 an hour
Registered Nurse (RN). CONTRACT Concurrent Review Nurse (RN)*. Current unrestricted state license as Registered Nurse (R.N.)....
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Nurse Quality Reviewer RN

Clinical Management Consultants - Monterey, CA
$109,250 - $132,350 a year
Nurse Quality Reviewer RN Job in Monterey CA. The Nurse Quality Reviewer RN will be instrumental in all Performance improvement activities....

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

UM Nurse Manager

Consolidated Health Plans. - Springfield, MA
UM Nurse Manager. 5 or more years of UM Experience in Managed Care as UM nurse, case manager, concurrent review nurse or utilization review nurse;...
Easily apply
RN Manager - Utilization Review - Healthcare
Edge Group - Houston, TX 77025
Registered Nurse (RN). Establish communication with Medical Director and physician reviewers for concerns applicable to medical necessity arise or request does...
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Appeal Nurse Reviewer
Advanced Care Placement Services - Chicago, IL
One of the key players in Chicago's Managed Care world is looking for their next Appeal Nurse Reviewer. The Appeal Nurse Reviewer will investigate and resolve...

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