- Centene Corporation (Columbia, SC)
- …perspective on workplace flexibility. **Centene is Hiring!** **We're looking for a Remote Concurrent Review Nurse to support our Ambetter Marketplace with ... more
- Dignity Health (Gilbert, AZ)
- …the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the ... more
- Sacramento County (Sacramento, CA)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply Nurse Practitioner Salary $127,576.80 - $155,096.64 ... more
- Sacramento County (Sacramento, CA)
- Supervising Public Health Nurse Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply Supervising Public Health Nurse Salary ... more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse D/CF Salary ... more
- ChenMed (Newport News, VA)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... more
- ChenMed (Philadelphia, PA)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... more
- ChenMed (Houston, TX)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506000443 Description : DMC Detroit Receiving Hospital , Michigan’s first Level I Trauma Center, helped pioneer the ... more
- ChenMed (St. Petersburg, FL)
- …departments, external service organizations, agencies and healthcare facilities. + Conducts concurrent medical record review using specific indicators and ... more
- Prime Healthcare (Gadsden, AL)
- …and cost effective outcomes + perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... more
- Logan Health (Kalispell, MT)
- …are utilized by the assigned area(s). Participates in the development and concurrent review of policies and procedures. Assures appropriate staff training ... more
- Trinity Health (Des Moines, IA)
- …Des Moines Join the MercyOne Family! We are looking to hire a Utilization Review RN! Responsible for the review of inpatient and outpatient admission records ... more
- Centene Corporation (Madison, WI)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... more
- Great River Health (West Burlington, IA)
- …evidence-based criteria to certify an admission to the facility, and for concurrent /continued stay review as appropriate. Also responsible for maintaining ... more
- Molina Healthcare (Bronx, NY)
- …community and accessing and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or risk management a plus. * ... more
- Trinity Health (Troy, NY)
- …administrative requirements for Utilization Management and works collaboratively with Utilization Management/ Concurrent Review Nurse , physicians, staff and ... more
- Nuvance Health (Danbury, CT)
- …level of care. Develop clinical criteria and guidelines for efficient UR processes. * * Concurrent Review :* Oversee the concurrent review process, ... more
- Centene Corporation (Olympia, WA)
- …to reside in MST or PST time zones.** **Position Purpose:** Manages Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review ... more
- Sacramento County (Sacramento, CA)
- …Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or supervising mental ... more