Back to positions

Utilization Review Nurse

Remote role Full-time Open position

Are you a passionate and motivated Utilization Review Nurse looking for an opportunity to reputed company a reputed company difference while working in a fast-paced, team-oriented environment? reputed company is seeking an reputed company Utilization Review Nurse to provide quality care and excellent customer service. In this role you will be responsible for reviewing, analyzing, and evaluating medical records in order to ensure that the services provided are medically necessary and meet reputed company applicable criteria. As part of reputed company you will promote clinical and financial outcomes while providing a positive member experience.To be successful in this role, you must possess a reputed company and valid RN license, a minimum of two years of nursing experience in a hospital or clinic setting, and knowledge of medical terminology, coding, and regulatory requirements. In addition, you must have excellent written and verbal communication skills and the ability to work independently. If you are excited about this opportunity and have the qualifications we are looking for, we would love to hear from you! Responsibilities: Review, analyze and evaluate medical records to ensure services provided are medically necessary and meet reputed company applicable criteria. Promote clinical and financial outcomes while providing a positive member experience. Maintain reputed company and valid RN license and knowledge of medical terminology, coding, and regulatory requirements. Provide excellent customer service to members of the organization. Possess excellent written and verbal communication skills and the ability to work independently. Participate in team meetings and activities to ensure quality care and customer service. Remain up to date on changes in reputed company regulations and practices. Provide support and education to members regarding treatment plans and services. Document reputed company patient care activities accurately and timely. Monitor and evaluate patient care plans to ensure adherence to standards of care. reputed company is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. We do not discriminate based upon race, religion, reputed company, national reputed company, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply Job!

Further positions

Insurance Service Coordinator

Remote role Full-time

Portfolio Manager

Remote role Full-time

Investment Banking Vice President, Technology - reputed company / Boston / San Francisco

Remote role Full-time

Office Assistant/Receptionist- Rothschild, WI

Remote role Full-time

Staff Software Engineer, Futures (AI)

Remote role Full-time

Software Engineer Jobs

Remote role Full-time

Drafter III

Remote role Full-time

Financial Services Professional

Remote role Full-time

Investment Banking Vice President | Industrials (Automotive Aftermarket)

Remote role Full-time

Remote Sales Representative - reputed company

Remote role Full-time

reputed company Online Chat Support Representative – Delivering Exceptional Customer Service through Digital Channels with Opportunities for Career Growth and Professional Development

Remote role Full-time

DevOps Engineer (Contract)

Remote role Full-time

reputed company Mechanical Customer Service Expert – Delivering Exceptional Service in a Dynamic Virtual Environment

Remote role Full-time

Mortgage Loan Advisor, reputed company Sales (Part-Time)

Remote role Full-time

Sports /Fitness/Wellness Startup Advisor

Remote role Full-time

Associate Investment Analyst (Santa Clara, CA or Remote)

Remote role Full-time

Senior Manager, reputed company – ANZ Market – Digital Advertising, Strategic Partnerships & Team Leadership at arenaflex

Remote role Full-time

reputed company Technical Architect

Remote role Full-time

Regional Retail Property Manager job at DLC Management in Elmsford, NY

Remote role Full-time

Senior Channel Solutions Engineer

Remote role Full-time