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RN-Status Review Specialist
Work from Home · Virtualvocations · Portland, MEA company is looking for an RN-Status Review Specialist. Key Responsibilities: Review electronic medical records and screen clinical information with nationally recognized criteria Communicate recommended status to physicians Identify an...TopUSAJobs.com ·1 hour ago on TopUSAJobsTools -
Supervisor Utilization Management RN
Work from Home · Virtualvocations · Lansing, MIA company is looking for a Supervisor, Utilization Management. Key Responsibilities: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team Monitors and tracks UM resources to ensure adherence to...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
Utilization Management RN
Work from Home · Virtualvocations · Coral Gables, FLA company is looking for a Utilization Management RN. Key Responsibilities: Engage with members to understand their needs and provide clinical review of cases Coordinate care, discharge planning, and develop care plans in partnership with ...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
Medical Review Supervisor - Registered Nurse
Work from Home · Virtualvocations · Sarasota, FLA 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 ·4 days ago on TopUSAJobsTools