This is full-time remote, but candidates must reside in IL or TX. Contract: 05/05/2025 to 12/31/2025. RN working in the. insurance. or. managed care. industry using medically accepted criteria to. validate the medical necessity and appropriateness of the treatment plan. This position is responsible for. performing accurate and timely medical review. of claims suspended for medical necessity, contract interpretation, pricing. and to initiate and/o...
This is full-time remote, but candidates must reside in IL or TX. Contract: 05/05/2025 to 12/31/2025. RN working in the. insurance. or. managed care. industry using medically accepted criteria to. validate the medical necessity and appropriateness of the treatment plan. This position is responsible for. performing accurate and timely medical review. of claims suspended for medical necessity, contract interpretation, pricing. and to initiate and/o...
Utilization Review Nurse. Not Disclosed. Richardson, TX (100% Remote). 7 Months. Not Disclosed. Not Disclosed. Healthcare. $36.3/hour - $41.3/hour. Job Posted on (Mar 28, 2025). Reference Number: KBTXUR28. Description. Job Description. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accura...
this is full time remote, but candidates must reside in IL or TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing. And To Initiate And/Or Respond To Correspondence From Providers ...
Utilization Review Nurse. Not Disclosed. Richardson, TX (100% Remote). 7 Months. Not Disclosed. Not Disclosed. Healthcare. $36.3/hour - $41.3/hour. Job Posted on (Mar 28, 2025). Reference Number: KBTXUR28. Description. Job Description. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accura...
this is full time remote, but candidates must reside in IL or TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing. And To Initiate And/Or Respond To Correspondence From Providers ...
COMPANY OVERVIEW. HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negative...
Job ID: JP00045397. Anticipated Start Date. 04/07/2025. Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date. Elevance Health. is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are pa...
Opportunity Description. Growing Healthcare system located in Hartford, CT is seeking a Utilization Review Specialist for a long term contract role. Job Duties. Utilizes clinical experience and skill in a collaborative process to assess, plan implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare. Communicates with providers and other parties to facilitate care/treatment. Education. BSN preferred.
Opportunity Description. Growing Healthcare system located in Hartford, CT is seeking a Utilization Review Specialist for a long term contract role. Job Duties. Utilizes clinical experience and skill in a collaborative process to assess, plan implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare. Communicates with providers and other parties to facilitate care/treatment. Education. BSN preferred.
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains clinical information and utilizes Independent Health policy and/or applicable clin...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains clinical information and utilizes Independent Health policy and/or applicable clin...
