TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated individuals who want to be part of our mission and join our team. As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise and judgement along with established medical ...
TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated individuals who want to be part of our mission and join our team. As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise and judgement along with established medical ...
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Clinical Review Nurse Working at Abbott At Abbott, you can do work that matters, gr...
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. Clinical Review Nurse. Working at Abbott. At Abbott, you can do work that matters, grow, and learn, ...
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Clinical Review Nurse – Concurrent Review. Location. Remote – Candidates can be live anywhere in the US but must be able to work CST hours. Schedules Available. Monday–Friday, 10:30 AM – 7:00 PM CST. Friday–Monday, 8:00 AM – 6:30 PM CST. Wednesday–Saturday, 8:00 AM – 6:30 PM CST. Sunday–Wednesday, 8:00 AM – 6:30 PM CST. Position Overview. We are seeking. Clinical Review Nurses. to join our remote team. In this role, you will perform concurrent re...
Position Purpose. Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. Education/Experience. Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nur...
Job Position: Clinical Review NurseLocation: Chicago, IL (Remote)Pay Rate: $42.00-$44.00/hour, based on experienceShift: 8:30-5 CST. Tues- Sat Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage.Job Responsibilities:● Provides recommendations to the appropriate medical tea...
A-Line Staffing is now hiring a Clinical Review Nurse – Prior Authorization in Texas. The Clinical Review Nurse would be working for a major healthcare insurance company and has career growth potential. This is a full-time / 40 hours per week position. If you are interested in this position, please Apply or Email me with your resume attached at. cmeyer@alinestaffing.com. Clinical Review Nurse Compensation. The pay for this position is. up to $43/...
Job Title: Medical Authorization Review Specialist. Job Description. We are seeking a dedicated Medical Authorization Review Specialist to analyze all prior authorization requests and determine the medical necessity of services. The role ensures that care is provided in accordance with national standards, contractual requirements, and a member's benefit coverage. Your insights will contribute to promoting quality and cost-effective medical care. ...
Job Title: Medical Authorization Review Specialist. Job Description. We are seeking a dedicated Medical Authorization Review Specialist to analyze all prior authorization requests and determine the medical necessity of services. The role ensures that care is provided in accordance with national standards, contractual requirements, and a member's benefit coverage. Your insights will contribute to promoting quality and cost-effective medical care. ...
Job Title: Clinical Review Nurse – Prior Authorization. Location. Remote (this position is looking for east coast nurses who would be willing to help out the PST team on a remote short term contract). Contract Duration. 3 months. Schedule. Monday–Friday, 8:00 AM–5:00 PM PST (occasional weekend/holiday rotation). Position Summary. The Clinical Review Nurse will conduct medical necessity reviews for prior authorization and inpatient service request...
