RN REVIEW ANALYST jobs in USA, United Kingdom

Claims Analyst – Medical Review RN Work from Home within the Continental United States @Orchard LLC is supporting... communities. Our client is seeking an experienced Medical Review RN (Claims Analyst II) to join their Investigation clinical...

@Orchard

Claims Analyst - Medical Review RN Work from Home within the Continental United States @Orchard LLC is supporting... communities. Our client is seeking an experienced Medical Review RN (Claims Analyst II) to join their Investigation clinical...

@Orchard

required. Master’s degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review... and/or assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience...

Centene

Analyst - Case Management (CM) plays a key role in ensuring our case management program meets high-quality standards.... This Analyst is responsible for monitoring staff performance, identifying opportunities for improvement, and ensuring we comply...

EXL Service

for themselves. JOB SUMMARY The Quality Analyst RN is accountable to support quality, patient safety, peer review and patient experience... and be able to work within teams of employees and physicians to improve clinical outcomes. The Quality Analyst RN...

Sweetwater Memorial Hospital

on others! Saddle Rock Legal Group is seeking a skilled full- or part-time RN Case Management Analyst to help build strong cases... RN Case Management Analyst! ABOUT US We are a cutting-edge law firm, that utilizes a business-like entrepreneurial...

Saddle Rock Legal Group

Job Description: Quality Outcomes Analyst MBH Administrative Costs-Tau Center Baton Rouge, La The Quality... Outcomes Analyst is responsible primarily for reviewing data, including charts and databases to identify operational...

Franciscan Missionaries of Our Lady Health System

Job Description: JOB SUMMARY The Clinical Quality Analyst plays an integral role in the review process... customer requested due date. In addition to the duties of the Quality Analyst, the Clinical Quality Analyst...

Sane Street

JOB SUMMARY The Clinical Quality Analyst plays an integral role in the review process as they are responsible... date. In addition to the duties of the Quality Analyst, the Clinical Quality Analyst is also responsible for ensuring that the...

Dane Street, LLC

Clinical Quality Analyst is responsible for the collection, improvement, reporting, and accuracy of data collected for publicly... Analyst must be self-motivated and able to prioritize a variety of duties to meet deadlines. This position requires a high...

Deaconess Health System

perspective on workplace flexibility. ***Position is REMOTE*** ***CANDIDATE MUST HAVE EITHER RN OR CPC** ***CANDIDATE... THAT HAS RN AND CPC STRONGLY PREFERRED*** Position Purpose: Designs, develops, and distributes evidence-based medical...

Centene

management position (experience can be a combination of LVN/RN licensure) Previous HEDIS and/or CMS STARs experience... ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review requirements...

The Cigna Group

management position (experience can be a combination of LVN/RN licensure) Previous HEDIS and/or CMS STARs experience... ability Organizational skills Typing and computer knowledge- able to type 35WPM Knowledge of utilization review requirements...

Cigna

Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... and CMS. This position requires a current unrestricted nursing license (i.e. RN) in the applicable state, who is a subject...

UnitedHealth Group

Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... and CMS. This position requires a current unrestricted nursing license (i.e. RN) in the applicable state, who is a subject...

UnitedHealth Group

RN Care Coordinator - Carlsbad NM The goal of the RN Care Coordinator role is to improve care delivery of the aligned.... Some actions the RN CC may take, but are not limited to are the following: Works with health center staff to Identify and refer...

The Cigna Group

RN Care Coordinator - Carlsbad NM The goal of the RN Care Coordinator role is to improve care delivery of the aligned.... Some actions the RN CC may take, but are not limited to are the following: Works with health center staff to Identify and refer...

Cigna