- Centene Corporation (Sacramento, CA)
- … Nurse - Remote (California Market | Health Net)** Centene is seeking a ** Remote Concurrent Review Nurse ** to support our **Health Net California ... member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- HCA Healthcare (Nashville, TN)
- …Introduction Do you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist? At Work from Home, you come first. HCA ... **Description** **_**This is a remote role, but you must live within 60...a difference. We are looking for a dedicated CDI Concurrent Review and Query Specialist like you… more
- CVS Health (Carson City, NV)
- …in Nursing. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and clinical ... 4 hours a day working with providers to secure additional information for prior authorization review . ** Remote Work Expectations** + This is a 100% remote … more
- CVS Health (Phoenix, AZ)
- …nursing facility. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and ... EST Hours; Shift times may vary based on business needs) Location: 100% Remote (US only) **About Us** American Health Holding, Inc. (AHH), a division of… more
- CVS Health (Phoenix, AZ)
- …+ Minimum of 1 year of experience in Oncology and Transplant either in UM, concurrent review , or prior authorization + 3+ years of experience in Acute clinical ... in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position… more
- CVS Health (Santa Fe, NM)
- …outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and ... members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the forefront of… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance ... authorization per contracts for medically appropriate level of care. Manages concurrent clinical denials through completion of verbal reconsideration process. Works… more
- Centene Corporation (Sacramento, CA)
- …providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate determinations + ... competitive benefits including a fresh perspective on workplace flexibility. Remote Role, California RN Licensing Highly Preferred **Position Purpose:** Performs… more
- CVS Health (Montgomery, AL)
- …of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education** + ... with heart, each and every day. **Position Summary** **100% remote position from anywhere in the US** **Work hours:...varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5… more
- State of Colorado (Denver, CO)
- Medical Clinic and Employee Health Supervisor - NURSE III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5047383) Apply Medical Clinic and ... Employee Health Supervisor - NURSE III Salary $100,443.20 Annually Location Denver, CO Job...training for procedures such as EKGs, including documentation, physician review , billing compliance, and staff competency validation. + Supports… more