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Clinical Care Reviewer-Utilization Management
Staffing the Universe - Phila, Pennsylvania, United States, 19117 14 hours ago
Clinical Care Reviewer Utilization ManagementResponsibilities: Under the direction of a supervisor, the Clinical Care Reviewer Utilization M...
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Clinical Care Reviewer-Utilization Management
Staffing the Universe - Philadelphia 2 days ago
Clinical Care Reviewer Utilization Management Responsibilities: Under the direction of a supervisor, the Clinical Care Reviewer Utilizati...
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Utilization Management Reviewer
Davita Inc. - Boston, Massachusetts, us, 02298 20 hours ago
013650 CCA-Auth & Utilization Mgmt
Position Summary:
Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily respo...
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Utilization Management Reviewer
Commonwealth Care Alliance - Boston, Massachusetts, us, 02298 1 days ago
Join to apply for theUtilization Management Reviewerrole atCommonwealth Care Alliance
1 day ago Be among the first 25 ap...
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Utilization Clinical Reviewer
Triwest Healthcare - Phoenix 2 days ago
Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiar...
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Physician Reviewer MD, DO or Psy.D (Part-Time)
Alura Workforce Solutions - Rancho Cucamonga, California, United States, 91739 12 hours ago
Position
Physician Reviewer
(Doctor of Medicine or Psy.D)Position Type:Contract
Location: Remote (Candidates must reside...
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Utilization Management Physician Reviewer
Dane Street - New York, New York, United States 12 hours ago
Dane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department.
...
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Dental Hygienist Reviewer
GreenLife Healthcare Staffing - Syracuse, New York, us, 13235 11 hours ago
JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, NY
Minimum of 2 years experience in the provision of clinical services or in quali...
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Go to next pageStaffing the Universe - Phila, Pennsylvania, United States, 19117
Work at Staffing the Universe
Clinical Care Reviewer Utilization Management
Responsibilities: Under the direction of a supervisor, the Clinical Care Reviewer Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on established criteria.
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Clinical Care Reviewer-Utilization Management