Utilization Review Jobs in USA

Job Title: Utilization Management Coordinator Client: Health Insurance Company Duration: 12 Months Location: Baltimore MD 21224 General Information Job Description: Purpose: Supports the Utilization Management clinical teams by assisting with nonclinical administrative tasks and resp More...

Overview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans for More...

Reach me on Tel: (240)Email: Position: Clinical Medical Review Nurse Location: Baltimore MD #HYBRID (occasionally be required to visit provider offices) Duration: Long term Job Description: The Clinical Medical Review Nurse handles day to day review of professional and institut More...

Job Description: Job Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 6 months (Possible Extension) Shift Timing: Monday through Friday 8am to 5pm Job Summary: Walk me through the daytoday responsibilities of this role and a description of the proje More...

Job Title: RN Case Manager Facility: MercyOne North Iowa Medical Center Address: 1000 4th St. SW Mason City IA 50401 Contract: 12 weeks Shift: 06:00 14:30 Pay Rate: $65/hr on W2 Department: Utilization Review (a subdepartment of Acute Population Care Management) EMR: Cerner Powe More...

Job Title: RN Case Manager Facility: MercyOne North Iowa Medical Center Address: 1000 4th St. SW Mason City IA 50401 Contract: 12 weeks Shift: 06:00 14:30 Pay Rate: $65/hr on W2 Department: Utilization Review (a subdepartment of Acute Population Care Management) EMR: Cerner Powe More...

Pay rate: $23.00 / hour We have partnered with a manufacturing company in the Auburn WA area to provide them with a QA Doent Reviewer. Please review the below description and let us know if you are interested. Must Have Ss of the QA Doent Reviewer: #1. Application of AS9100 in More...

Pay rate: $23.00 / hour We have partnered with a manufacturing company in the Auburn WA area to provide them with a QA Document Reviewer. Please review the below description and let us know if you are interested. Must Have Skills of the QA Document Reviewer: #1. Application of More...

Position Title: Clinical Review Nurse Prior Authorization Location: Remote Duration: 6 Months Schedule: Monday Friday 8:005:00 EST/CST Pay rate: $36.0040.00/hr. Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workda More...

Title Pharmacist I Duration 12 months possible extension Shift 8 am to 5 pm Location Remote Pay rate: $58.0060.00/hr Description Position Purpose: Provide timely drug therapy for Medicaid health plan members by processing prior authorization and medical necessity requests More...

This is a remote position. Paradigm is currently in search of a Medical Record Review ociate to work for our client in the legal services industry. This person is responsible for reviewing medical records submitted from cl members and doenting the evidence in accordance to the pro More...

The Utilization Review RN is accountable for a designated caseload and plans effectively to manage the length of stay promote efficient utilization of resources and facilitate payer authorization. The UR RN/Case Manager: Facilitates collaborative management of patient care intervene More...

The Utilization Review RN is accountable for a designated caseload and plans effectively to manage the length of stay promote efficient utilization of resources and facilitate payer authorization. The UR RN/Case Manager: Facilitates collaborative management of patient care intervene More...

Are you passionate about turning raw data into meaningful insights Do you thrive in a dynamic environment where you can utilize your analytical skills to drive strategic decisionmaking If so we have an exciting opportunity for you to join our team as a Data Analyst. Our Privacy Revie More...

This is a remote position. Paradigm is currently in search of a Senior Medical Record Review Associate to work for our client in the legal services industry. This person is responsible for reviewing medical records submitted from class members and documenting the evidence in accor More...

R&E Nurse Med Care Services IntermediateMinimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or Possession of a nonrenewable temporary practice permit issued by the Pennsylvania State Board of Nursi More...

Job Description: Job Title: Clinical Review Nurse Prior Authorization Location: Remote Duration: 12 months (Possible Extension) Shift Timing: MondayThursday & Saturday (7AM 6PM) Walk me through the daytoday responsibilities of this the role and a description of the project (Ou More...

Position: Registered Nurse (RN) Case Management Location: Denver CO 80218 Pay scale: $2300/Week Shift: 8:00 AM 4:30 PM Position Description Coordinates management of care and ensures optimum utilization of resources service delivery and compliance with external review agencie More...

Overview TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Job Title: Registered Nurse Case Manager Location: Eureka CA 95501 Duration: 3 Months Job Type: Contract Work Type: Onsite Job Descripti More...

Santa Monica CA Contract Duration: 736 months Rate: Negotiable Responsibilities: Excellent employment opportunity for a Clinical Trial Education and Literature Review Specialist in the Santa Monica CA area. Fully remote role. EST is preferred We are seeking a detailoriented and analy More...