Utilization review nurse jobs in Plano, TX

RN. Utilization Review. REMOTE Pay rate. 74 hr Facility Name. Enloe Medical Center Facility Address.. Job Description. Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday..

We are looking for a Utilization Review Nurse Remote Local (Richardson, TX). The individual should be.. The UR Nurse determines medical necessity of these services by utilizing clinical expertise, judgment..

and administration of the utilization benefit management function.Required Qualifications3.. years of experience as a Registered NurseMust have active, current, and unrestricted RN licensure in..

Job Description Job Description Description. Soleo Health is seeking a Clinical Review Coordinator to.. The Clinical Review Coordinator works closely with all departments to research and provide accurate and..

MUST HAVE Knowledge of CPT, ICD 9 10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review auditing. Prepares and compiles medical provider..

Scott & Associates, P.C. , a well established multi state legal recoveries law firm, is actively on the lookout for a motivated Document Review Attorney to join the team and represent our firm..

Under general supervision, assigns medical necessity requests to a qualified reviewer and follows up to.. and state licensure requirements.Upon receipt of completed determination, reviews for spelling and..

As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business.. During a Typical Day, You'll Review images of license plates from toll transactions Enter data of..

Large company perks.Small company feel! We are now seeking a Medical Review Manager to join our team.. Registered Nurse Licensure Certified Professional Coder (CPC) Certification or the ability to obtain..

Description Summary. The Quality Review Specialist will be responsible for the review work associated.. Review QR workflow queue at the deal level.Analyze the in process (pre close) or post closing adherence..

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by.. and leading a team of experienced medical bill review auditors, nurse auditors, med legal nurse..

The Communications Review Specialist works under the direction of the Communications Review Manager and.. Communications Review SpecialistCareington is seeking a Communications Review Specialist to join its..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Conducts pre review of Claim decisions which may include high dollar claim payments and proposed denials.Participate as needed in response to appeals, escalations, and complaints. Drafts..

Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..

Sales Director Position Overview UWorld Themis Bar Review is looking for new grads and experienced.. To learn more, please visit UWorld.com. About Themis Bar Review Themis Bar Review is the first fully..