1 week ago Be among the first 25 applicants Job Title:Clinical Review Nurse (RN) – Utilization Management Location:Oregon or bordering states Duration:3+ Months Job Summary: This role uses clinical expertise to review medical records for medical appropriateness based on established criteria and contractual guidelines. The nurse will ensure timely, accurate case handling and serve as a key liaison between providers and internal departments. Key Responsibilities: Conduct medical record reviews in accordance with clinical and contractual standards Prioritize and manage daily case queues to meet workload demands Collaborate with supervisors on quality assurance and continuous improvement Maintain up-to-date knowledge of review processes and clinical best practices Serve as a liaison for provider communications and issue resolution Build and maintain positive relationships with internal and external stakeholders Participate in required training and meetings for updates and compliance Crosstrain to support broader team needs and ensure workforce flexibility Comply with HIPAA and all corporate privacy and security policies Required Qualifications: Willingness or ability to be licensed in Nebraska if not compact-eligible Bachelor’s degree in a healthcare-related field At least 2 years of experience in Utilization Management or Clinical Review Preferred Qualifications:
...Job Description: The Radiation Therapist is responsible for administration of ionizing radiation for therapeutic purposes in accordance with the prescription of the Radiation Oncologist and is accountable for the simulation of patients in preparation of radiation therapy...
...Job Description Class Action Attorney Pixel or Privacy Litigation | Law Firm | Remote | #2639615-PX \n \n Republican Jobs is leading the search for a national plaintiff-side law firm is seeking an experienced Class Action Attorney to join its Data Privacy...
...invoice processing, expense reconciliation, and vendor contract administration. Service Delivery: Oversee workplace service requests and... ...and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable...
...growing group in Las Vegas NV Most Details on the table for discussion some details / FAQs below Will look into J1 and H1B Visa sponsorship options Employment Details: Position Title: Neurologist with Neuromuscular (EMG) Fellowship Term: 3+ Years...
...Remote Digital Marketing Consultant | Independent Opportunity What if the next chapter of your career gave you more ownership over how you work, what you build, and where your time goes? Were looking for motivated, growth-minded individuals who are interested in...