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Prior Authorization Registered Nurse
Business Opportunities · Virtualvocations · Dorchester, MAA company is looking for a Pre-Authorization Registered Nurse Intern to review prior authorization requests for appropriate care and setting. Key Responsibilities Review prior authorization requests and approve services or escalate as necess...TopUSAJobs.com ·2 days ago on TopUSAJobs -
Registered Nurse Clinical Reviewer
Healthcare · Virtualvocations · Dorchester, MAA company is looking for a Clinical Reviewer, Nurse to join their utilization management team. Key Responsibilities Evaluate cases that do not pass the authorization approval process and promote a supportive team approach Review charts and...TopUSAJobs.com ·1 week ago on TopUSAJobs -
California RN Appeals Clinician
Business Opportunities · Virtualvocations · Dorchester, MAA company is looking for a Clinical Review Clinician - Appeals. Key Responsibilities Perform clinical reviews to resolve and process appeals by analyzing medical records and clinical data Prepare case reviews for Medical Directors and ensu...TopUSAJobs.com ·1 week ago on TopUSAJobs