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Contract Clinical Reviewer jobs

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RN PRE-SERVICE CLINICAL REVIEW

Conducts Clinical Review of coverage request based on the application of medical necessity criteria, understanding of individual coverage contracts and ability to meet Kaiser Foundation Health Plan of Washington, coding rules and...

CompanyKaiser Permanente
AddressRenton, WA
CategoryInformation Technology
Date Posted 6 days ago See detail

RN Pre-Service Clinical Review

Kaiser Permanente

Renton, WA

Conducts Clinical Review of coverage request based on the application of medical necessity criteria, understanding of individual coverage contracts and ability to meet Kaiser Foundation Health Plan of Washington, coding rules and...

6 days ago seen See more...

Registered Nurse Clinical Denials & Appeals Reviewer

Administrative Regional Training Cntr

Buffalo, NY

$36.19 - $54.29 an hour

Registered Nurse with a current New York State license Bachelor of Science Nursing degree Holds, or will obtain within one (1) year of hire, one of the following (or similar) credentials: Certified Documentation Specialist, Certif...

yesterday seen See more...

Clinical Review Nurse I - Medicare Part B (US)

Elevance Health

Atlanta, GA

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

2 weeks ago seen See more...

Registered Nurse- Risk Manager Clinical Reviewer

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...

4 weeks ago seen See more...

Clinical Nurse Review - II

Progressive Technology Solutions

Owings Mills, MD

$35 - $39 an hour

8 hour shift. Owings Mills, MD 21117: Relocate before starting work (Required)....

a week ago seen See more...

Clinical Review Nurse - Prior Authorization

Bcforward

Indianapolis, IN

Clinical Review Nurse - Prior AuthorizationBC Forward is looking for Clinical Review Nurse - Prior Authorization (Remote Work) Position Title: Clinical Review Nurse - Prior Authorization (Remote Work) Locations: Remote IN (Local t...

2 months ago seen See more...

Clinical Review Nurse I (US)

Elevance Health

Waukesha, WI

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

2 months ago seen See more...

What should I search to find Contract Clinical Reviewer jobs?

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What are the top cities open Contract Clinical Reviewer jobs?

There are open Contract Clinical Reviewer jobs in several cities including Bloomfield, Wallington, Nashville, Jackson, Harrisburg, Watertown, Birmingham, Canton, Riverside, Albuquerque, Shrewsbury, Houston, Bolingbrook, Greenwich, Charleston,

What companies are hiring for Contract Clinical Reviewer jobs?

The top companies hiring now for Contract Clinical Reviewer jobs are Acentra Health, Blue Cross of Idaho Health Service, Inc., Blue Cross of Idaho Health Service, Inc., Children's Health, Comagine Health, CVS Health, ezURs, Health First, Infirmary Health, TapestryHealth,

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