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Prior Authorization Registered Nurse
Business Opportunities · Virtualvocations · Dorchester, MAA company is looking for a Pre-Authorization Registered Nurse Intern to review prior authorization requests for appropriate care and setting. Key Responsibilities Review prior authorization requests and approve services or escalate as necess...TopUSAJobs.com ·16 hours ago on TopUSAJobsTools -
Graduate Nursing Faculty - RN License Required
Business Opportunities · Virtualvocations · Santa Barbara, CAA company is looking for an Online Adjunct Faculty member for their Graduate Nursing program focused on Nurse Executive Leaders. Key Responsibilities Provide high levels of student outreach and support for academic success Engage with stud...TopUSAJobs.com ·4 hours ago on TopUSAJobsTools -
Clinical Product Specialist - RN
Business Opportunities · Virtualvocations · Portland, ORA company is looking for a Clinical Ideation Product Specialist to develop and enhance clinical solutions in healthcare payment integrity. Key Responsibilities Develop new clinical and coding products in collaboration with Medical Directors ...TopUSAJobs.com ·23 hours ago on TopUSAJobsTools -
Pain Management Clinical Reviewer RN
Business Opportunities · Virtualvocations · Oxnard, CAA company is looking for a Clinical Reviewer, Nurse, specializing in Pain Management. Key Responsibilities: Evaluate cases that do not pass the authorization approval process and collaborate with call center staff Review charts and clinica...TopUSAJobs.com ·3 hours ago on TopUSAJobsTools -
Autism Services Navigator - RN LCSW
Business Opportunities · Virtualvocations · Arvada, COA company is looking for an Autism Services Navigator to screen beneficiaries for eligibility and coordinate care services. Key Responsibilities Screen beneficiaries to determine eligibility for the Autism Care Demonstration program Develo...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
California RN Pharmacy Utilization Manager
Business Opportunities · Virtualvocations · Lexington, KYA company is looking for a Pharmacy Utilization Management RN for a remote position in California. Key Responsibilities Review and evaluate specialty injectable information and documentation Assess compliance with clinical policies, regula...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
Clinical Denials and Appeals RN
Business Opportunities · Virtualvocations · Santa Barbara, CAA company is looking for a Clinical Denials and Appeals RN - Remote. Key Responsibilities Conduct medical necessity reviews and ensure documentation integrity Construct warranted appeals and coordinate pre-service authorization approvals ...TopUSAJobs.com ·3 days ago on TopUSAJobsTools -
Clinical Denials and Appeals RN
Business Opportunities · Virtualvocations · Springfield, MAA company is looking for a Clinical Denials and Appeals RN - Remote. Key Responsibilities Conduct medical necessity reviews and ensure documentation integrity Construct warranted appeals and coordinate pre-service authorization approvals ...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
RN Clinical Care Specialist
Business Opportunities · Virtualvocations · Beaumont, TXA company is looking for a Clinical Care Specialist to manage chronic care for patients in long-term care facilities. Key Responsibilities Coordinate and implement Chronic Care Management (CCM) services for chronically ill patients Create ...TopUSAJobs.com ·3 days ago on TopUSAJobsTools -
Registered Nurse Records Review
Business Opportunities · Virtualvocations · North Hollywood, CAA company is looking for a Records Review/Prepayment Nurse to perform complex medical record reviews and compliance assessments. Key Responsibilities Obtain, review, and analyze medical records for compliance with policies Document review ...TopUSAJobs.com ·3 days ago on TopUSAJobsTools -
Clinical Denials and Appeals RN
Business Opportunities · Virtualvocations · North Hollywood, CAA company is looking for a Clinical Denials and Appeals RN - Remote. Key Responsibilities Conduct medical necessity reviews and ensure documentation integrity Construct warranted appeals and coordinate pre-service authorization approvals ...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
Registered Nurse Records Review
Business Opportunities · Virtualvocations · Chattanooga, TNA company is looking for a Records Review/Prepayment Nurse to perform complex medical record reviews and compliance assessments. Key Responsibilities Obtain, review, and analyze medical records for compliance with policies Document review ...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
California RN Clinical Review Nurse
Business Opportunities · Virtualvocations · Concord, CAA company is looking for a Clinical Review Nurse - Retrospective Review. Key Responsibilities Perform clinical retrospective reviews of services to assess appropriateness and compliance Review medical records for necessity and quality of c...TopUSAJobs.com ·3 days ago on TopUSAJobsTools -
Registered Nurse - MN Licensed
Business Opportunities · Virtualvocations · Odessa, TXA company is looking for an RN Refill Centralized Nursing Services. Key Responsibilities Assess and collect comprehensive data pertinent to the patient's health Analyze assessment data to determine nursing diagnoses and formulate care plan...TopUSAJobs.com ·5 days ago on TopUSAJobsTools -
Registered Nurse - MN Licensed
Business Opportunities · Virtualvocations · Davie, FLA company is looking for an RN Refill Centralized Nursing Services. Key Responsibilities Assess and collect comprehensive data pertinent to the patient's health Analyze assessment data to determine nursing diagnoses and formulate care plan...TopUSAJobs.com ·5 days ago on TopUSAJobsTools