Nurse Reviewer Specialist

Elevance Health seeks a skilled Clinical Review Specialist to join our team. As a valued member of our organization, you will play a critical role in ensuring the quality and efficiency of healthcare services. Your primary responsibilities will include conducting medical necessity reviews for diagnostic imaging procedures and out-of-network services,...

Job SummaryThis Clinical Utilization Review Specialist role is a vital part of our team at Integrated Resources, Inc.About the RoleWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Clinical Utilization Review Specialist. In this role, you will play a crucial part in ensuring compliance with utilization management (UM) and...

About the Role: We are seeking a Contract Review Specialist to join our team at GoHealth. This individual will be responsible for reviewing, drafting, and negotiating commercial contracts.Key Responsibilities:Review and negotiate contracts and agreementsEvaluate new products and programs for potential compliance issuesProvide guidance on regulatory...

About the RoleWe are seeking a highly skilled and experienced Clinical Utilization Management Specialist to join our team at Mindlance. In this role, you will be responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in the networks of Client's HMOs.The ideal...

We are seeking a highly skilled HEDIS Review Nurse to join our team at PSG Global Solutions in Chicago, Illinois. As an RN and LPN (LVN), you will play a critical role in ensuring the quality of patient care provided by our insurance partners.Job SummaryThis is a challenging yet rewarding opportunity for a dedicated professional who is passionate about...

**Job Overview**The Federal Savings Bank is seeking a skilled Compliance Risk Review Specialist to join our team. As a key member of our Risk Prevention Team, you will be responsible for conducting thorough reviews of loans to ensure compliance with our risk policy and regulatory requirements.About the Role:Conduct pre-fund and post-close loan reviews to...

Clinical Review Nurse Job DescriptionWe are seeking a highly skilled Clinical Review Nurse to join our team in the Insurance industry in Chicago, Illinois.Job SummaryThis role involves reviewing patient charts to ensure compliance with standards of care. The ideal candidate will have experience with medical record review and be able to apply structured...

Mindlance is seeking a highly skilled Clinical Data Abstractor to join our team. As a Clinical Data Abstractor, you will be responsible for reviewing and accurately performing comprehensive reviews of medical records to abstract relevant clinical data during HEDIS, in accordance with NCQA guidelines and technical specifications.You will work closely with the...

Become a Nursing Support Specialist with Nurse Next Door!We are seeking a dedicated and compassionate Nursing Support Specialist to join our team at Nurse Next Door. In this role, you will play a vital role in supporting our caregivers in providing high-quality care to our clients, enabling them to live safely and comfortably in their own homes.About the...

Nurse First is committed to providing exceptional travel nurse experiences. As a Psychiatric Nurse Specialist, you will have the opportunity to work in Chicago, Illinois.About the RoleThis 13-week assignment requires a Registered Nurse (RN) with expertise in psychiatric care. The shift pattern consists of 12-hour days, with a guaranteed 36 hours per...

Job Title: Travel Nurse RN SpecialistWe are seeking a skilled Travel Nurse RN Specialist to join our team. This role involves providing high-quality patient care in a fast-paced Telemetry environment.About the Job:Specialize in Telemetry nursing with 1-2 years of recent acute care experience.Work 12-hour shifts, nights, for 36 hours per week.Employment Type:...

About the Job:We are seeking a highly skilled Utilization Review Nurse to join our team at US Tech Solutions. As a key member of our organization, you will be responsible for reviewing documentation and evaluating Potential Quality of Care issues based on clinical policies and benefit determinations. You will work closely with internal/external clinicians to...

Your Opportunity:US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. As a Nurse Utilization Reviewer - Clinical Policy, you will be responsible for reviewing documentation and interpreting data obtained from clinical records or systems to apply appropriate clinical criteria and...

About Us: At Insight Hospital and Medical Center, we prioritize delivering exceptional patient care while achieving health equity. Our team works closely with neighbors and residents to create a comprehensive plan that meets community needs. We strive to deliver world-class service to everyone we meet, fostering a culture of compassion, expertise, and...

We are seeking a skilled Registered Nurse with experience in utilization review to join our team at Walker HealthForce. As a local contract nurse RN, you will be responsible for reviewing patient cases and ensuring that medical treatments are necessary and effective.About the JobThis is a 52-week contract position with 40 hours of work per week. The shift...

About Incredible HealthHospitals partnering with Incredible Health are actively hiring and accepting applications for a Registered Nurse - Utilization Review in the Chicago, IL area.CompensationThe estimated annual salary for this position ranges from $61,300 to $100,980, depending on experience and qualifications.Job SummaryWe are seeking experienced Nurses...

Seeking a dedicated Travel Nurse Specialist to join our team in Chicago, Illinois.About the RoleWe are looking for a skilled Telemetry Registered Nurse to provide high-quality patient care and support our healthcare team. As a Travel Nurse Specialist, you will work closely with patients, families, and interdisciplinary teams to deliver exceptional patient...

Travel Nurse Across America is seeking a skilled Diagnostic Imaging Specialist to join our team for a travel assignment in Chicago, Illinois.About the JobThis is a 13-week contract with a guaranteed salary of $140,000 per year. You will work 40 hours per week, with 8-hour shifts and opportunities for overtime.Job ResponsibilitiesOperate fluoroscopic...

Job Title: Travel Interventional Radiology SpecialistWe are seeking a skilled Interventional Radiology Technologist to join our team in Chicago, Illinois.About the Job:This is a 13-week travel assignment with 40 hours per week and 8-hour shifts. As an Interventional Radiology Technologist, you will be responsible for operating fluoroscopic equipment and...

Job OverviewWe are seeking an experienced Medical Imaging Specialist to join our team on a travel assignment in Chicago. This is a 13-week opportunity that offers a chance to work with a dynamic team and gain valuable experience in the field.About the JobThis position requires the successful candidate to have at least 1 year of recent acute care experience...