Current jobs related to Clinical Review Nurse - Detroit, Michigan - OpTech

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  Clinical Reviewer

  2 weeks ago

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  Detroit, Michigan, United States Umanist Staffing LLC Full time

  Job Title: Clinical ReviewerUmanist Staffing LLC is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for reviewing inpatient, outpatient, and ambulatory services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care.Key Responsibilities:Perform prospective,...

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  Clinical Review Nurse

  7 days ago

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  Detroit, Michigan, United States LanceSoft Full time

  Job Summary:We are seeking a skilled Clinical Review Nurse to join our team at LanceSoft. As a Clinical Review Nurse, you will play a critical role in ensuring the medical necessity of post-acute care services.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute care services to ensure medical...

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  Clinical Review Nurse

  4 weeks ago

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  Detroit, Michigan, United States LanceSoft Full time

  Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at LanceSoft. As a key member of our healthcare team, you will be responsible for conducting thorough medical necessity reviews of post-acute care services to ensure that patients receive the most appropriate care.Key ResponsibilitiesConduct prospective, concurrent, and...

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  Clinical Review Nurse

  3 weeks ago

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  Detroit, Michigan, United States LanceSoft Full time

  Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at LanceSoft. As a key member of our healthcare team, you will be responsible for performing prospective, concurrent, and retrospective medical necessity reviews of post-acute care services to ensure medical necessity for appropriate setting and length of stay.Key...

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  Clinical Reviewer

  4 weeks ago

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  Detroit, Michigan, United States ICONMA Full time

  Job Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Reviewer. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure...

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  Clinical Review Specialist

  2 weeks ago

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  Detroit, Michigan, United States W3R Consulting Full time

  Job Title - Registered Nurse - Clinical ReviewDuration - 10 monthsLocation - RemotePay: $40.00/hr on W2We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary...

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  Clinical Review Specialist

  2 weeks ago

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  Detroit, Michigan, United States Umanist Staffing LLC Full time

  Job Title: Clinical Review SpecialistUmanist Staffing LLC is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate...

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  Clinical Research Nurse

  2 weeks ago

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  Detroit, Michigan, United States WEP Clinical Full time

  Mobile Research Nurse Job DescriptionWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. As a key member of our team, you will play a crucial role in ensuring the successful execution of research studies.Key Responsibilities:Administer investigational medications/products...

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  Clinical Review Specialist

  2 weeks ago

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  Detroit, Michigan, United States LanceSoft Full time

  Job SummaryWe are seeking a highly skilled Clinical Review Specialist to join our team at LanceSoft. As a key member of our post-acute care review team, you will be responsible for ensuring the medical necessity of services provided to our members.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute...

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  Clinical Review Specialist

  4 weeks ago

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  Detroit, Michigan, United States LanceSoft Full time

  Job Title: Registered Nurse-Review AnalystJob Summary:We are seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting medical necessity reviews of post-acute care services to ensure compliance with established medical policy and guidelines.Key Responsibilities:Conduct prospective,...

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  Clinical Review Specialist

  4 weeks ago

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  Detroit, Michigan, United States ICONMA Full time

  Job Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:Job Summary:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and...

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  Clinical Utilization Reviewer

  2 weeks ago

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  Detroit, Michigan, United States Genex Services, LLC. Full time

  Genex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will be responsible for performing precertification reviews for New Jersey auto accident PIP medical treatment referrals. You will use your critical thinking and clinical judgment to ensure that treatment is medically necessary and authorized. This is...

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  Clinical Review Specialist

  2 weeks ago

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  Detroit, Michigan, United States LanceSoft Full time

  Job SummaryWe are seeking a skilled Clinical Review Specialist to join our team at LanceSoft. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity and appropriate care.Key Responsibilities:Perform prospective, concurrent, and retrospective reviews of healthcare...

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  Clinical Review Analyst

  5 days ago

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  Detroit, Michigan, United States OpTech Full time

  Why Work at OpTech?OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. Our company culture is built on a foundation of respect, empathy, and open communication. When you work at OpTech, you can expect a supportive team environment, opportunities for professional development, and a competitive compensation...

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  Clinical Review Nurse

  7 days ago

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  Detroit, Michigan, United States Actalent Full time

  Job Title: Prior Authorization NurseJob SummaryActalent is seeking a skilled Clinical Review Nurse to join our team as a Prior Authorization Nurse. In this role, you will be responsible for analyzing prior authorization requests to determine medical necessity and appropriate level of care in accordance with national standards, contractual requirements, and a...

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  Nurse Review Specialist

  2 weeks ago

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  Detroit, Michigan, United States Umanist Staffing LLC Full time

  Job Title: Registered Nurse Review AnalystUmanist Staffing LLC is seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity, appropriate length of stay, and level of care.Key...

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  Nurse Review Specialist

  2 weeks ago

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  Detroit, Michigan, United States w3r Consulting Full time

  Job Title: Registered Nurse Review AnalystDuration: 10 monthsLocation: RemotePay: $40.00/hr on W2As a Registered Nurse Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of...

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  Nurse Reviewer Position

  2 weeks ago

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  Detroit, Michigan, United States Umanist Staffing LLC Full time

  Job Title: Registered Nurse ReviewerUmanist Staffing LLC is seeking a skilled Registered Nurse to join our team as a Reviewer. In this role, you will be responsible for reviewing precertification admission and concurrent reviews for the appropriateness of the inpatient setting using InterQual criteria.Key Responsibilities:Review and analyze patient data to...

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  Clinical Reviewer

  4 weeks ago

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  Detroit, Michigan, United States Genex Services, LLC. Full time

  Job Title: Utilization ReviewerGenex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that medical treatment is necessary and appropriate for patients.Responsibilities:Perform utilization review of medical treatment requests to determine medical necessity.Collaborate...

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  Nurse Review Specialist

  3 weeks ago

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  Detroit, Michigan, United States PSG Global Solutions Careers Full time

  Job OpportunityWe are seeking a skilled Registered Nurse to join our team as a Review Analyst in the Insurance industry in Detroit, Michigan, United States.About the RoleThis is a challenging and rewarding opportunity to work with our client, a fast-growing industry-recognized staffing firm. As a Review Analyst, you will be responsible for performing...