Itemization Review Nurse II - Fort Worth

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 ...

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 CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.  Clinical and/or technical expertise is utilized to add ...

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 ...

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 ...

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. · ...

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 ...

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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 ...

Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. · Learn more about the general tasks related to this opportunity below, as well as required skills. · They are a member of the patient's c ...

The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. · ...

+The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. · ++Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. · '+ 'Stays abreast of ...

Cook Children's Health Care System is seeking a Registered Nurse (RN) Med Surg for a nursing job in Fort Worth, Texas. · Job Description & Requirements · Specialty: · Med Surg · Discipline: · RN · Start Date: · ASAP · Duration: · Ongoing · 40 hours per week · Shift: · 8 hours · E ...

Hours of Work : · 8a-5pDays Of Week : · M-FWork Shift : · 8X5 Day (United States of America)Job Description : · Your Job:The Nurse Manager will work independently and interdependently with hospital and corporate systems to accomplish efficient, cost effective, quality patient car ...

Hours of Work : · Days Of Week : · Work Shift : · Job Description : · Your Job: · The Nurse Manager will work independently and interdependently with hospital and corporate systems to accomplish efficient, cost effective, quality patient care. The Manager will be responsible for ...

Hours of Work : · 8am-5pm · Days Of Week : · Mon to Friday · Work Shift : · Job Description : · Your Job: · The Nurse Manager will work independently and interdependently with hospital and corporate systems to accomplish efficient, cost effective, quality patient care. The Manage ...