Utilization Review Physician Jobs

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Utilization Management & Appeals Inpatient Coordinator  

Catholic Health - Melville, NY, United States

Prepares necessary documentation for utilization management and appeals processes, performs data management and coordinates communication...

from: linkedin.com

Director Of Case Management  

TalentWell - Austin, TX, United States

TalentWell is seeking a well-versed and strategic leader who is passionate about promoting the growth of those around them and values...

from: linkedin.com

Reviewer II, Medical  

Hornet Staffing - Columbia, South Carolina

Onsite Duties: Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using Utilization Review Physician Work careers...

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from: resume-library.com - 21 days ago

Charge Nurse Flexible Hours $3000 SIGN ON BONUS  

Hope House Treatment Centers - Crownsville, MD, US (+1 location)

Serves as primary utilization review nurse to include the following activities: obtains insurance and third party payer authorizations for all patients/clients maintains all patient records regarding third Utilization Review Physician careers...

from: ziprecruiter.com (+2 sources) - Yesterday

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Pharmacist  

Pharmaceutical Company - , CA, United States

Committee, drug formulary, prior authorization, drug utilization review and physician reporting programs. • Serves as an educational resource to internal and external constituents regarding the client's drug physician utilization review...

from: linkedin.com - 4 days ago

Physician Review/Utilization Review Physician  

Vivo HealthStaff - San Diego, California

The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in... utilization review physician advisor...

from: doccafe.com - 2 days ago

Utilization Review Nurse (Remote)  

Oscar Health - Los Angeles, CA, US

escalation for cases requiring physician review Follow documentation guidelines for clear decision-making within our utilization review tracking platform Investigate and respond re: member and provider appeals utilization review chiropractor...

from: ziprecruiter.com - 4 days ago

RN Home Health  

Ancora Home Health & Hospice LLC - Anchorage, AK, US

Social Worker when patients require their specialized skills. 13. Participates in utilization review of medical records as assigned, and QAPI committee as assigned. 14. Gives total patient care as needed physician advisor utilization review...

from: ziprecruiter.com (+1 source) - 5 days ago

Cath Lab Technologist  

Sigma Inc - San Angelo, Texas

in interview Job requirements: The Cardiovascular Invasive Specialist is a health care professional that, through the utilization of specialized equipment and under the direction of a qualified physician telecommute utilization review physician ortho...

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from: resume-library.com - Yesterday

RN Care Manager  

New Age - Fort Worth, TX, US

individual patient. Responsible for evaluating utilization of patient services and patient progress. Review evaluation with the care team, patient, family members, physician, and case manager as needed utilization review physician orthopedic surgeon...

from: ziprecruiter.com - 6 days ago

Utilization Review/Appeals Nurse  

Aspirion - Lakeland, FL, US

adhered to. Requirements What will you provide? LPN or RN, with experience in an acute hospital utilization review and/or case management is required. Case Management/Utilization Review certification utilization review physician los...

from: ziprecruiter.com (+1 source) - 7 days ago

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Cath Lab Technologist  

Sigma Inc - Indianapolis, Indiana (+6 locations)

Specialist is a health care professional that, through the utilization of specialized equipment and under the direction of a qualified physician, performs procedures on patients. Resulting in an accurate utilization review physician telecommute prn...

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from: resume-library.com - 27 days ago


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Utilization Review Physician