RN Case Review & Medical Necessity Specialist
TALENT Software Services
TALENT Software Services is looking for a qualified RN to perform clinical reviews, ensure compliance with medical necessity, and communicate with providers. The role demands strong clinical and computer skills, as well as the ability to work independently. Ideal candidates should have experience in case management and prior authorization, with a proactive approach to claims review. Join a team focused on maintaining high-quality care standards in a dynamic environment. #J-18808-Ljbffr TALENT Software Services
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the RN Case Review & Medical Necessity Specialist in California, MO vacancy
$30.77 - $44.52 per hour
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NeueHealth in California is seeking a Concurrent Utilization Review Nurse responsible for conducting clinical reviews to ensure the medical necessity and appropriateness of services provided under a managed care plan. The role requires 2-3 years of clinical experience,...- .... (EEI) is seeking a Concurrent Utilization Review Nurse responsible for real-time clinical reviews to ensure the medical necessity of healthcare services provided under a managed... ...continued stays. The ideal candidate is an RN with a California license and at least 2...
- ...POSITION SUMMARY RN Case Manager POSITION DUTIES Discharge planning; Utilization review; Dealing with all payers, including uninsured and homeless; Completing Initial assessments. MINIMUM REQUIRED QUALIFICATIONS CA RN license BSN BLS 2 years recent acute hospital experience...Immediate startShift workWeekend work
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$26.41 - $51.49 per hour
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California, MO2 days ago
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