1 - 10 of 8,010 Medical Necessity Reviewer jobs

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  • Utilization Review Nurse (RN) - Case Management-PRN

    NEW

    HCA Healthcare

    - Nashville, TN

    The Utilization Review Nurse performs medical necessity reviews on all commercial ... working relationships. 4. Complete medical review and interpretation of medical...

    3 days ago from HCA Healthcare
  • Nurse Practitioner - NP

    NEW

    Maxim Facility Nursing

    - Lompoc, CA

    and diagnostic procedures; explain necessity, preparation, nature and anticipated ... EOE/AAE Related Keywords: medical, medical care, health, health care, r.n., rn, registered...

    3 days ago from Maxim Facility Nursing
  • Registered Nurse (Utilization Review) VN-0610-I-III

    NEW

    U.S. Department of Veterans Affairs

    - Asheville, NC

    and assistance regarding documentation of medical necessity, insurance review criteria, and SC issues and documents the results of the review in VISTA and Huron and coordinates...

    1 hour ago from U.S. Department of Veterans Affairs
  • Medical Review/Appeals RN Supervisor

    Judge Group

    - Baltimore, MD

    Job Description: Our client is currently seeking a Medical Review/Appeals RN Supervisor in ... problem solving skills needed to assess the medical necessity and appropriateness of...

    4 days ago from ZipRecruiter
  • LVN, Clinical Claims Review

    NEW

    Healthcare Partners

    - Torrance, CA

    recommendations for denials based on medical necessity will be reviewed by a physician. ... prior authorization to determine medical necessity and coding appropriateness. *...

    12 hours ago from IHispano
  • LPN / Medical Reviewer

    Kelly Services

    - Columbia, SC

    for appropriate medical services within benefit and medical necessity guidelines • ... medical necessity of services and/or reasonableness and necessity of services • Provide...

    4 days ago from ZipRecruiter
  • Central Appeals/Medical Review RN Supervisor

    Judge Group

    - Baltimore, MD

    Specialists, Administrative Assistant, Medical Review areas, Legal and Legislative ... solving skills needed to assess the medical necessity and appropriateness of patient...

    4 days ago from ZipRecruiter
  • Utilization Review Specialist

    Harbor Oaks Hospital

    - New Baltimore, MI

    assures completeness and documentation of medical necessity of care for all UR staff. 6. Ensures notification to the proper team members when treatment is not provided as planned...

    5 days ago from MiracleWorkers.com
  • RN Clinical Care Reviewer

    Judge Group

    - Omaha, NE

    Care reviewers will work to complete medical necessity reviews in a timely ... to the Medical Director when interqual medical necessity criteria are not met. The...

    4 days ago from ZipRecruiter
  • Utilization Review Nurse (BHJOB1435 15005)

    NEW

    Astyra

    - Tampa, FL

    conducting medical case review to establish medical necessity using tools such as ... against criteria to determine medical necessity and appropriateness of care;...

    2 days ago from ZipRecruiter
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