Remote Nurse Reviewer - Medical Necessity & Medicaid
Healthcare Quality Strategies, Inc. (HQSI)
- Remote job
Healthcare Quality Strategies, Inc. (HQSI) is seeking a Nurse Reviewer for a remote position supporting Medical Review Services. The role requires conducting comprehensive medical necessity reviews and ensuring compliance with established guidelines. The ideal candidate will have a BSN with active RN licensure and 3-5 years of experience in medical record review. Proficiency in medical terminology and excellent communication skills are essential. Benefits include medical/dental/vision insurance and 401k. #J-18808-Ljbffr Healthcare Quality Strategies, Inc. (HQSI)
$33.12 - $56.77 per hour
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$40 per hour
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...your skills and capabilities.SummaryAs a Medicaid Drug Rebate Product Advisor, you will play... ...you should expect in this roleFully remote opportunity with the option to work anywhere... ...including pregnancy, childbirth, or related medical condition), sexual orientation, gender...Remote workMedicalFull timeFlexible hours- ...sector. To learn more, visit .The Regional Medicaid Lead is a senior leadership role... ...meetings required 25-50%This position is remote with travel/onsite requirements. PCG is a... ...range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental...Remote workMedicalFull timeH1bWork at officeLocal areaShift work
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...Technologies is seeking an Advisor Product, Medicaid Solutions, to lead Medicaid claims-... ...What you should expect in this roleFully remote opportunity with the option to work anywhere... ...including pregnancy, childbirth, or related medical condition), sexual orientation, gender...Remote workMedicalFull timeFlexible hoursShift work$73 - $90 per hour
...provides telemedicine, medication delivery, and care coordination... ...it. 2. Role As a Nurse Practitioner (NP)... ...particular, you will review the medical history of... ...This is a part‑time, remote, independent contractor... ...medical license and Alabama Medicaid enrollment ~10+...Remote workMedicalHourly payPart timeFor contractorsFlexible hours- ...Job Description Provide timely review and determination of medical claims, including prior authorization... ...unrestricted State license as a Registered Nurse (RN),as required by contract(s). ~... ...essential for this position Remote but need to be local to 18702 RN...Remote workMedicalContract workFor contractorsWork experience placementWork at officeLocal area
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$19 - $23 per hour
...Oriented. Learn more at About The Role As a Medicaid Eligibility Representative, you will work... ...call center experience (In-office or Remote) High School Diploma/GED Experience with... ...Saturdays Preferred Qualifications Knowledge of medical terminology, HIPAA, Medicaid, Medicare,...Remote workMedicalHourly payWork at officeLocal areaMonday to FridayAfternoon shift- ...About the Position Location: Remote (Must reside in the U.S.) ⏰... ...Role We’re seeking experienced Medical Directors to perform medical necessity reviews, interpret complex inpatient cases... ...InterQual , Medicare Advantage, Medicaid or commercial plans Background...Remote workMedicalWeekly payPermanent employmentFull timeLocumImmediate startShift work
- ...Case Management/Utilization Review Pre-Cert Review* Prior... ...Continued Stay Reviews Determine Medical Necessity per Evidence-Based... ...CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural... ...Additional Skills remote UR work CA and Medi-Cal experience...Remote workMedical
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