Remote Utilization Review RN - Dallas - HireOps Staffing, LLC

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. · ...

· About Company: · We're officially a Great Place To Work We've always believed that supporting our team is just as important as supporting our patients. Now, we're proud to share that we've earned Great Place To Work Certification - based entirely on feedback from our own emplo ...

The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs.This position involves coordinating, assessing, and authorizing treatment plans, collaborating with medical staf ...

This position is fully remote, however, you must reside in the State of Texas · The position is a contract for about 6 months. · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the tre ...

Conduct medical certification review for medical necessity for acute care facility and services. · ...

We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career · Conduct medical certification review for medical necessity for acute care facility and services.Use nationally recognized, evidence-based ...

Medical Director (Physician Reviewer) – Remote / Work from Home · Medical Review Institute of America (MRIoA) is experiencing continued growth and is seeking a full-time, remote Medical Director (Physician Reviewer) to join our team. · For over 40 years, MRIoA has been a market l ...

Flexible Independent Contractor Opportunity · ABOUT MRIoA · Founded in 1983, · Medical Review Institute of America (MRIoA) · is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solut ...

The USPI Utilization Review/Appeals RN facilitates effective resource coordination for patients. · Manages medical necessity process for accurate payment · Covers utilization management services and denial prevention · ...

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 ...

Description · The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determinatio ...

The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources. · ...

Flexible Independent Contractor Opportunity · ABOUT MRIoA · Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions ...

Flexible Independent Contractor Opportunity We are currently seeking Board-Certified physicians in Cardiology to conduct independent Utilization Reviews This is a flexible fully remote opportunity requiring just 1–2 hours per week —with no minimum commitment · ...

Flexible Independent Contractor Opportunity · Current Unrestricted medical license in FLORIDA, MINNESOTA, PENNSYLVANIA, INDIANA, OREGON or TEXAS, or a current "Letter of Qualification" from the IMLCC. · ABOUT MRIoA · Founded in 1983, Medical Review Institute of America (MRIoA) i ...

We are seeking Board-Certified physicians in Medical Genetics to conduct independent Utilization Reviews. · Conduct independent Utilization Reviews. · ...

We are currently seeking Board-Certified physicians in Genetics to conduct independent Utilization Reviews. · Conduct independent Utilization Reviews. · ...

We are currently seeking BoardCertified physicians in OB/GYN TITLE to conduct independent Utilization Reviews. · ...

Oncology Utilization Review Board Certified physicians in Oncology are sought for independent reviews requiring minimal time commitment. · ...

We are currently seeking Board-Certified physician in Medical Genetics to conduct independent Utilization Reviews This is a flexible fully remote opportunity requiring just 1–2 hours per week—with no minimum commitmentConduct independent Utilization Reviews of patient records. · ...

We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week —with no minimum commitment. · Must have a Medical Degree MD or DO · Must have a current S ...