1 - 10 of 5,853 Medical Necessity Reviewer jobs

  • Appeals Review Nurse

    Loma Linda University

    - Loma Linda, CA

    documentation such as letter of medical necessity and supporting documents to submit to the insurance company for an appeal on the patient’s behalf. Works collaboratively with...

    6 days ago from Loma Linda University
  • Nurse Practitioner - RNNP


    Maxim Facility Nursing

    - Falls Church, VA

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

    20 hours ago from Maxim Facility Nursing
  • Medical Necessity Coding Splst


    Moffitt Cancer Center

    - Tampa, FL

    Professional Coder5 years experienceAs a Medical Necessity Coding Specialist for ... utilization, and reimbursement for multiple medical specialties. - Excellence in DRG...

    3 hours ago from Jobg8
  • Utilization Review - Managed Care Nurse - Travel (UL RN)


    - Cherry Hill, NJ

    patient services in regards to medical necessity and the appropriate use of resources. As a critical member of the hospital staff, the utilization review nurse is also responsible...

    7 days ago from HospitalJobsOnline
  • Clinical Reviewer LPN

    TRC Staffing Services

    - Phoenix, AZ

    Conducts Medical / Surgical medical necessity reviews ... management activities. Assesses medical necessity by screening available information...

    5 days ago from CareerBuilder
  • Utilization Review - Managed Care Nurse - (UL RN)


    - Oakland, CA

    patient services in regards to medical necessity and the appropriate use of ... and state-of-the-art facilities. The medical center boasts several centers of...

    4 days ago from HealthJobsNationwide
  • REGISTERED NURSE CASE MANAGER Utilization Review (Per diem)8 hr Varied (Posted 3 6 15)


    Tenet Health

    - Fountain Valley, CA

    Description : The Case Manager will assess admission necessity utilizing the IQ SI/IS crit ... in Discharge Planning notes. Educates medical and nursing staff on discharge...

    7 hours ago from nurse.com
  • Director of Medical Management - Direct Hire


    Maxim Facility Nursing

    - Indianapolis, IN

    Director of Medical Management Department: Medical Management Position Summary: This ... medical necessity guidelines and criteria for PHO networks. • Develop new business...

    19 hours ago from Maxim Facility Nursing
  • Medical Reviewer RN

    Blue Cross Blue Shield Illinois

    - Downers Grove, IL

    professional provider claims suspended for medical necessity contract interpretation, pricing, pre-existing conditions, physicians on review and miscellaneous interpretations.JOB...

    7 days ago from CareerBuilder
  • Physician-Oncology/Hematology-Senior Case Reviewer

    Medical Staffing Solutions

    - Northbrook, IL

    Physician Reviewers determine the medical necessity of outpatient requests ... appropriateness guidelines and health plan medical policy. (Positions available in...

    6 days ago from Get Nursing Jobs
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