Specialty Biologic Clinical Review RN - Kirkland

Lensa helps job seekers find great jobs in the US. We partner with DirectEmployers to promote this job for UnitedHealth Group. · Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. · The Specialty Biologics Clinic ...

Reviews coverage requests using established timelines and all relevant clinical information for appropriate coding, medical necessity, care coordination, place of service, and care rendered. · ...

Reviews coverage requests using established timelines and all relevant clinical information for appropriate coding, medical necessity, care coordination, place of service, and care rendered. · ...

Reviews coverage requests using established timelines and all relevant clinical information for appropriate coding, medical necessity, care coordination, place of service, and care rendered. Summarizes findings and facilitates appropriate authorization or payment. · ...

Reviews coverage requests using established timelines and all relevant clinical information for appropriate coding, medical necessity, care coordination, place of service, and care rendered. · ...

FANTASTIC OPPORTUNITY PRE-SERVICE CLINICAL REVIEW Reviews coverage requests using established timelines and all relevant clinical information for appropriate coding, medical necessity, care coordination, place of service, and care rendered. · ...

+Job summary · The RN Pre-Service Clinical Review performs clinical reviews of coverage requests using established timelines and all relevant clinical information. · +Conducts clinical review of coverage request based on the application of medical necessity criteria. · Documents ...

The Utilization Review RN has a strong clinical background blended with knowledge and skills in utilization management. · Supports the UM program by developing processes for determining appropriate admission status based on regulatory requirements. · Required qualifications: · Ba ...

The role of the Utilization Review Nurse is to provide expert clinical judgment to support patients' needs while ensuring compliance with insurance regulations. · Develop and maintain effective processes for determining appropriate admission status based on regulatory and reimbur ...

The Clinical Behavior Program Manager ensures and maintains regulatory compliance as mandated by licensing and Regional Centers. · The Clinical Behavior Program Manager will develop initial positive behavior support plan (PBSP). Create & implement behavior support protocols speci ...

We believe in a truly healthy society where mental and physical healthcare are unified to make lives better. · Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. · ...

The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. · This individual supports the UM program by developing and maintaining effect ...

+Job summary · Join us in caring for patients in the Emergency Department at Swedish First Hill. · Care for patients with emergency conditions. · +Coordinate patient care through the acute care episode. · ...

Quality Program Manager RN - Oncology @ Swedish First Hill · Full time · Day shift · Fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you the chance to focus on what really m ...

SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools. We are seeking compassionate and highly skilled clinicians to join our expanding n ...

The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. · Bachelor's Degree in Nursing degree (BSN) from an accredited school of nursi ...

We believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health. · Caring for adult and/or child and adolescent populations. · Psychot ...

We are seeking compassionate and highly skilled clinicians to join our expanding network. · SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-power ...

Job Description We offer Psychiatrists: · Competitive compensation package based on productivity with uncapped earning potential · Comp range of $366,000-$470,000 · W2 employed position · Sign-on bonus · Cash based incentive program · Comprehensive benefits package · 401K with 4% ...

The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination.This individual supports the UM program by developing and maintaining effective ...