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:
...school diploma or GED. EXPERIENCE: Minimum of one-year experience in customer service setting, requires at least six months receptionist experience in health care setting to apply . REQUIREMENTS: 50 wpm typing skill preferred. KNOWLEDGE AND SKILL...
...current technical and intellectual approaches to art and design and welcomes interdisciplinary experimentation. Temporary Life Drawing Model is a nude model for drawing and other Art Studio classes. Responsibilities include: Take direction from faculty and...
Remote, Nationwide - Seeking Medical Content ReviewerEverybody Has A Role To Play In Accelerating Healthcare InnovationIf you want to be part of changing healthcare to better serve patients, you are in the right place. With Inflect Health you will join a team of individuals...
...fully onsite position in Indian Land,SC. Application Deadline This position is anticipated to close on Oct 6, 2026. About Aerotek Aerotek Inc. provides staffing and services solutions in manufacturing, logistics, construction, aviation, facilities and maintenance...
...Thursdays. As a perk, we also have up to four weeks per year of fully remote work! Responsibilities Work with... .... Requirements Experience architecting, developing, and testing client-side code end to end Experience...