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Quality Review Analyst – Care Management
Company: Wellmark
Description: through the quality review processes. Provide support on oversight reviews and any additional follow-up activities related to the reviews. 11. Collaborate in...


Registered Nurse - Utilization Review
Company: Providence Health & Services
Description: related field Experience in utilization review, case management, and/or supervision of other professionals in a health care setting or in a medical insurance...


Registered Nurse (Utilization Review) VN-0610-I-III
Company: Department of Veterans Affairs
Description: Registered Utilization Review) Nurse include but are... of medical necessity, insurance review criteria, and SC issues and d ocuments the results of the review in...


Registered Nurse (Utilization Review) VN-0610-I-III
Company: Department of Veterans Affairs
Description: Registered Utilization Review) Nurse include but are... of medical necessity, insurance review criteria, and SC issues and d ocuments the results of the review in...


RN, Clinical Review Fee Case Manager
Company: Department Of Veterans Affairs
Description: has current RN vacancies in Clinical Review Fee Case... related field and approximately 2-3 years experience or a Master's degree in nursing or related field with...


Utilization Review Specialist
Company: Baptist Health
Description: RN Graduate of an accredited school of Nursing with current Arkansas RN license. BSN or related field... in quality/utilization review management. Working...


Utilization Review Specialist
Company: Baptist Health
Description: RN Graduate of an accredited school of Nursing with current Arkansas RN license. BSN or related field... in quality/utilization review management. Working...


RN MEDICAL MANAGEMENT NURSE Workers Compensation
Company: Zenith Insurance Company
Description: field case managers, vendors, UR/peer review, and... and utilization review practices. 3 years experience with a preference for previous insurance nurse case...


RN MEDICAL MANAGEMENT NURSE Workers Compensation
Company: Zenith Insurance Company
Description: field case managers, vendors, UR/peer review, and... and utilization review practices. 3 years experience with a preference for previous insurance nurse case...


Medical Review Nurse - AdvanceMed
Company: NCI Information Systems, Inc.
Description: will conduct clinical reviews of medical records to... experience in the Medical Review field. At least 5 years utilization/quality assurance review and ICD-9...




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