- Actalent (Bakersfield, CA)
- Remote Concurrent Review Nurse Job...on projects within utilization management as part of the clinical review team + Partners and works with ... Description We are seeking a dedicated Concurrent Review Nurse to perform concurrent reviews, assess...The dress code is professional attire suitable for a clinical setting. Job Type 100% Remote ! Pay… more
- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent ... Review Work Environment + This is a 100% remote position + The schedule is Tuesday to Saturday, 10 ... management, and concurrent review . Job Description The Clinical Review Nurse will perform...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Medical Mutual of Ohio (OH)
- …provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or otherwise ... pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Appeal & Claim Review Nurse II_ **Location:** _Ohio_ **Requisition ID:** _2500127_ more
- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review (West Coast) Job Description We are seeking a dedicated Clinical Review Nurse to perform ... 2 years in acute care. + Strong skills in clinical review , utilization management, and concurrent ...utilization management processes. Work Environment This is a 100% remote position based on the West Coast, with working… more
- Centene Corporation (Sacramento, CA)
- …with interdepartmental teams on projects within utilization management as part of the clinical review team + Partners and works with Medical Affairs and/or ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... competitive benefits including a fresh perspective on workplace flexibility. Job Description Remote position. Must work PST **RN-Must hold a current CA license.**… more
- CVS Health (Phoenix, AZ)
- …members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position offers ... 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 (Lansing, MI)
- …UM, concurrent review or prior authorization + 3+ years acute clinical Oncology or Oncology/Transplant experience + Strong decision-making skills and clinical ... members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant - Oncology and Transplant to join our...managed care organization (MCO). + Experience in a high-volume clinical call center or prior remote work… more
- Banner Health (Gilbert, AZ)
- …If you're looking to leverage your abilities - apply today. The **RN Clinical Research Specialist** at **Banner MD Anderson Cancer Center Clinical ** Trials ... oncology service line for Banner Research. This department conducts Phase I-III treatment clinical trials across all disease groups, with a mission to provide trial… more
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