RN Utilization Review Project Lead
Med-Metrix
Med-Metrix seeks a Project Manager, Utilization Review to provide operational and analytical support to end-to-end UR clients. You will oversee implementation coordination, stakeholder management, and utilization data analysis with a focus on HIPAA compliant handling of PHI. You will lead meetings, track deliverables, and support onboarding while driving data-driven decisions and project efficiencies across hospital UR processes. #J-18808-Ljbffr Med-Metrix
Vacancy posted 4 days ago
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...named one of the Tampa Bay Times’ Top Workplaces. Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective... ...Needed: Yes Minimum Licensure: Registered Nurse (RN) Minimum Licensure (Other): Knowledge of utilization management...SuggestedFull timeWork at office$60.2k - $107.4k
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INTEGRIS Health
Brooklyn, NY5 days ago - ...BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical... ...established guidelines. The role documents decisions and supports utilization review across multiple services. The position is remote,...Remote jobFull time
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...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at officeMolina Healthcare
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$25 - $29 per hour
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Ebbot
Brooklyn, NY5 days ago
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