Remote Clinical Review Nurse - Dallas, TX

This is a contract assignment that will start right away and end on April 30th 2024 · Review Nurse · SUMMARY DESCRIPTION: · The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) su ...

Utilization Review Nurse for Workers' Comp · Job Purpose: · Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence-based treatment guidelines. · ...

We are seeking two Clinical Review Nurses (Prior Authorization) to analyze prior authorization requests. You will provide recommendations to support quality, compliance, and cost-effective care. · Review and process prior authorization requests. · Ensure compliance with turnaroun ...

Utilization Review Nurse-Remote-Contract · Job Summary: · We are seeking a skilled Utilization Review Nurse to join our team on a contract basis. As a remote worker, you will be responsible for performing initial and concurrent review activities, discharge care coordination, and ...

Nurse Reviewer I is responsible for conducting preauthorization, out-of-network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. · ...

Nurse reviewer I conducts preauthorization and reviews of diagnostic imaging services by utilizing appropriate policies and clinical guidelines. · ...

We're seeking a detail-oriented and experienced Registered Nurse (RN) to join our Medical Review team. · In this role, you will use medically accepted clinical criteria to assess the medical necessity and appropriateness of treatment plans. · ...

Registered Nurse (RN) working in insurance industry using medically accepted criteria to validate medical necessity. · Perform accurate and timely medical review of claims suspended for medical necessity. · Initiate and/or respond to correspondence from providers or members conce ...

Medix Infusion is seeking a detail-oriented and compassionate Clinical Review Nurse to join our team. As an Clinical Review Nurse, you will be responsible for conducting comprehensive clinical assessments of medical records to ensure accuracy, safety, and compliance with therapy ...

Job Type · Full-time · Description · Medix Infusion is seeking a detail-oriented and compassionate Clinical Review Nurse to join our team. As an Clinical Review Nurse, you will be responsible for conducting comprehensive clinical assessments of medical records to ensure accuracy, ...

Job Title: Utilization Review Nurse · Location: Remote in IL, TX, NM, MT or OK · Duration: 6+ months contract · Pay: $41.50/hr on W2 · #of Openings: 8 · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and ap ...

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. · ...

· Medical Review Nurse · What You Must Have: · Licensed Vocational or Registered Nurse required (active state license) · Minimum of two (2) years of experience in Hospice nursing and preferably Quality/QAPI experience and two (2) years med-surg experience prior to hospice · Mini ...

You can Make A Difference in the lives of others · At Heart to Heart Hospice, we provide "Compassionate Care from Our Hearts to Yours." Our employees enhance the lives of patients with life-limiting illnesses and their loved ones,during a time when compassionate care is needed mo ...

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** · JOB DESCRIPTION: · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and ...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. · This is a remote position. · Essential Functions & Responsibilities · Collects supporting data and a ...

Job Details · Description · The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. · This is a remote position. · Essential Functions & Responsibilities · Co ...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. · This is a remote position. · ESSENTIAL FUNCTIONS & RESPONSIBILITIES: · Collects supporting data and ...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. · This is a remote position. · ESSENTIAL FUNCTIONS & RESPONSIBILITIES: · Collects supporting data and ...

Job Details · Description · The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. · This is a remote position. · Essential Functions & Responsibilities · Co ...