-
Utilization Review Appeals RN
Business Opportunities · Virtualvocations · Bell Gardens, CAA company is looking for a Utilization Review Appeals RN Key Responsibilities: Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and established criteria Exercise prudent clinical d...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
Utilization Management RN Oklahoma
Business Opportunities · Virtualvocations · Coral Gables, FLA company is looking for a RN, Utilization Management Nurse (Physical Health) in Remote Oklahoma. Key Responsibilities: Coordinate and communicate with Internal Medical Directors, Providers, Enrollees, or other parties to facilitate optimal ...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
Appeal Analyst RN
Business Opportunities · Virtualvocations · West Covina, CAAn organization is seeking an Appeal Analyst RN for a remote role. Key Responsibilities: Train new hires in clinical role to complete Utilization Management Appeals Act as an RN II on the team Perform Utilization Management Appeals Re...TopUSAJobs.com ·5 days ago on TopUSAJobsTools -
Manager Case Management - RN
Business Opportunities · Virtualvocations · Yonkers, NYA company is looking for a Manager, Case Management. Key Responsibilities: Provide strategic leadership and mentorship to the Case Management Team Develop and maintain Case Management policies, procedures, and compliance standards Overse...TopUSAJobs.com ·6 days ago on TopUSAJobsTools -
Medical Review Supervisor - Registered Nurse
Business Opportunities · Virtualvocations · Columbus, GAA company is looking for a Medical Review Supervisor. Key Responsibilities: Oversight and assistance to ensure sound clinical judgment is applied to claim payment decisions Establishing goals, objectives, and plans for the team Developin...TopUSAJobs.com ·6 days ago on TopUSAJobsTools -
Supervisor QI Compliance RN
Business Opportunities · Virtualvocations · Lawrenceville, GAA company is looking for a Supervisor, Quality Interventions/QI Compliance- RN Required (Remote). Key Responsibilities: Supervise staff in implementing quality improvement strategies and compliance activities Define and document QI Interve...TopUSAJobs.com ·6 days ago on TopUSAJobsTools -
Utilization Management Special Projects Manager - MA RN
Business Opportunities · Virtualvocations · Ventura, CAA company is looking for a Utilization Management Special Projects Manager. Key Responsibilities: Lead and oversee complex initiatives within the Utilization Management department Collaborate with internal and external stakeholders to reso...TopUSAJobs.com ·1 week ago on TopUSAJobsTools