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Nurse Reviewers are responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging and other... - Indeed
Licensure as a Nurse or clinician or Medical Management/Administrator experience desired. OPTIMAL is a leading non-partisan public policy research firm that... - Indeed
Materials for use by nurse reviewers. Train nurse reviewers on risk adjustment audit process. Communicate results of inter-rater reliability check to nurse... - Indeed
Detail oriented position responsible for medical record review of all Start of Care, Recertification, and Resumption OASIS and concurring orders; - Indeed
Registered Nurse graduated from an accredited Diploma, Associates Degree or Bachelor’s Degree program. Refers cases to KFHP Medical Director for medical... - Indeed
Refers cases to KFHP Medical Director for medical necessity review when medical information provided does not support the nurse review process for giving an... - Indeed
Current, unrestricted SC Registered Nurse license. Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical... - Indeed
Job duties for the Licensed Practical Nurse Clinical Reviewer include:. A Licensed Practical Nurse Clinical Reviewer job in Rochester, New York is now available... - Indeed
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost... - Indeed
Job duties for the Registered Nurse Clinical Reviewer include:. A Registered Nurse Clinical Reviewer job in Rochester, New York is now available courtesy of... - Indeed
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