- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider ... clinical experience, previous case management, discharge planning or utilization review experience. **Licenses/Certifications** RN - Registered Nurse - State… more
- FlexStaff (Uniondale, NY)
- …Under the direction of the Senior Director of Clinical Review , the Clinical Review Nurse is responsible for complying with the day-to-day operations ... Senior Director of Clinical Review will monitor the Clinical Review Nurse 's activities and outcomes, ensuring compliance with established regulatory… more
- Centene Corporation (Phoenix, AZ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
- Centene Corporation (Phoenix, AZ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Actalent (San Antonio, TX)
- Actalent is hiring fully remote Concurrent Review RNs! *Must be located in Texas* Job Description: + Reviewing authorization requests + Utilizing evidence-based ... + Active Compact RN License in Texas + Prior Utilization management/Concurrent review experience + Acute care experience (ER/ICU) + Experience with MCG Why… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to ... production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal… more
- Community Health Systems (Sarasota, FL)
- (Full-Time, Remote) The Clinical Review Auditor is a professionally licensed nurse /LPN who is responsible for effectively managing the denial/appeal process ... for care delivered to patients in a dynamic changing environment. As an Clinical Review Auditor at Community Health Systems, you'll play a vital role in… more
- HCA Healthcare (San Antonio, TX)
- …step in your career path, we encourage you to apply for our Clinical Nurse Coord Nurse opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coord Nurse you want in your current role? We invest in what… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Float Pool Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Float Pool Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (Atlantis, FL)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Florida...or other data collection tools by careful source document review ; monitors data for missing or implausible data +… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Dialysis Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Dialysis Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (Austin, TX)
- …in your career path, we encourage you to apply for our Emergency Room Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as an Emergency Room Clinical Nurse Coordinator you want in your current role? We invest in what… more
- HCA Healthcare (San Antonio, TX)
- …next step in your career path, we encourage you to apply for our ICU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) ICU Clinical Nurse Coordinator you want in your current role? We invest in what… more
- HCA Healthcare (Margate, FL)
- …career path, we encourage you to apply for our Registered Nurse RN Clinical Nurse Coord opening. We review all applications. Qualified candidates will ... **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Clinical Nurse Coord you want in your current role? We… more
- HCA Healthcare (Myrtle Beach, SC)
- …step in your career path, we encourage you to apply for our RN Medsurg Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a **RN Medsurg Clinical Nurse Coordinator** you want in your current role? We invest in what… more
- HCA Healthcare (Plano, TX)
- …in your career path, we encourage you to apply for our Medical Oncology Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** ** Clinical Nurse Coordinator - Medical Oncology** **Shift: Full time - Nights** **Location: Medical City Plano Hospital** **Introduction** Do you… more
- HCA Healthcare (Walterboro, SC)
- …your next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** Do you have the career opportunities as a Clinical Nurse Coordinator you want in your current role? We invest in what matters most to nurses like… more
- HCA Healthcare (Plano, TX)
- …in your career path, we encourage you to apply for our Ortho Trauma PCU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** ** Clinical Nurse Coordinator / CNC -...**Description** ** Clinical Nurse Coordinator / CNC - Orthopedic Trauma PCU**...have the career opportunities as an Ortho Trauma PCU Clinical Nurse Coordinator you want in your… more
- HCA Healthcare (Lone Tree, CO)
- …step in your career path, we encourage you to apply for our Telemetry Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... the range. **Introduction** Do you have the career opportunities as a(an) Telemetry Clinical Nurse Coordinator you want in your current role? We invest in what… more
- HCA Healthcare (Austin, TX)
- …in your career path, we encourage you to apply for our Progressive Care Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Progressive Care Clinical Nurse Coordinator you want in your current role? We invest in what… more
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