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Medicaid Clinical Reviewer - RN
Work from Home · Virtualvocations · Naperville, ILA company is looking for a Medical Reviewer III - Managed Care Project (MCP). Key Responsibilities Conduct clinical reviews of medical records for Medicaid claims Utilize Medicaid guidelines to determine payment coverage appropriateness ...TopUSAJobs.com ·5 days ago on TopUSAJobsTools -
California Licensed Utilization Management RN
Work from Home · Virtualvocations · Aurora, ILA company is looking for an RN, Utilization Management - Remote. Key Responsibilities Perform all functions of a UM nurse reviewer and compose compliant denial letters Ensure accurate clinical decision-making and documentation for adverse ...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
RN Care Navigator
Work from Home · Virtualvocations · Naperville, ILA company is looking for a Care Navigator specializing in kidney health management. Key Responsibilities Manage case load and coordinate care for patients with kidney health issues Educate members on kidney health, dialysis, and transplant...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Clinical Reviewer RN
Work from Home · Virtualvocations · Rockford, ILA company is looking for a Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote). Key Responsibilities Review medical records to ensure compliance with contract requirements Collaborate with supervisors on quality monitori...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools