- MRG Exams (Posen, MI)
- Work can be performed by a Nurse Practitioner or Physician Assistant We are looking for the right Nurse Practitioner or Physician Assistant to perform medical ... the VA's disability benefits process. In performing Disability Assessments, you will review medical records electronically through a web portal and perform a… more
- MRG Exams (Hudson, IA)
- We are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. In ... performing Disability Assessments, you will review medical records electronically through a web portal and...required by the VA through the web portal. The Nurse Practitioner DOES NOT make disability determinations. The United… more
- MRG Exams (Spanaway, WA)
- Work can be performed by a Nurse Practitioner. We are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part ... the VA's disability benefits process. In performing Disability Assessments, you will review medical records electronically through a web portal and perform a… more
- Granville Center (Milton, NY)
- Granville Center is hiring a Registered Nurse (RN) Unit Manager in Granville, NY. Granville Center offers the following benefits and more: Tuition Reimbursement ... Education Discounts Perks at Work Programs Career Advancement Opportunities Two-Tiered Insurance Plan: Medical and Dental included! Duties: Handle all supervisory… more
- Novo Nordisk Inc. (Palm Desert, CA)
- …the DCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical customers ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records.; May be required to work company holidays and ... Bachelor's degree required* (science related discipline preferred): *Alternatively, a Registered Nurse with a minimum of 3 years of on-site monitoring experience… more
- Merck & Co. (Bronx, NY)
- …may include:- Health care providers such as physicians, physician assistants, nurse practitioners, nurses, pharmacists as well as quality directors and office ... at product workshops and conferences, as well as consistent and ongoing review of Company promotional materials.Providing Company management with updates on customer… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate,...+ The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical admission as… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse (RN) to join our team...hour + Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage.… more
- HCA Healthcare (Webster, TX)
- …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse (RN) Quality - Peer Review Coordinator for our facility to ... **Description** **Introduction** Do you have the career opportunities as a(an) RN Peer Review Coordinator you want with your current employer? We have an exciting… more
- Actalent (Nashville, TN)
- Actalent is Hiring a Team of Post Acute Utilization Review Nurses - Open to both RNs and LPNs! - Remote! This is a Monday to Friday 10am - 7pm CST (No weekends or ... and Start Date of 3/24!! Job Description The PAC Nurse is a telephonic position responsible for recommending discharge...telephonic touch points with each facility point person to review each member within that facility and confirm appropriateness… more
- Actalent (Tampa, FL)
- …is Hiring a Team of PAC LPN's/Nurses - Remote!Job Description The PAC Nurse is a telephonic position responsible for recommending discharge plans, assisting with the ... and non-assigned post-acute care (PAC) facilities through collaboration. The PAC Nurse will collaborate with key facility personnel and internal Medical Directors,… more
- Actalent (Uniondale, NY)
- Job Title: Clinical Review Nurse -HYBRID WORK POSITION Job Description We are seeking a dedicated Clinical Review Nurse to manage authorization requests ... cases to the site Physician and/or Medical Director for review and determination. + Work closely with the Physician...New York State license to practice as a Registered Nurse . + Minimum of three to five (3 -… more
- State of Maine, Bureau of Human Resources (ME)
- MaineCare Quality Review Nurse Maine, USA | Nursing | Full-time Apply by: Feb. 26, 2025 Apply with Linkedin Apply Department of Health and Human Services ... yes and you are licensed as a Registered Professional Nurse in the State of Maine as issued by...service, and overtime-exempt employees receive personal leave. + Health Insurance Coverage - The State of Maine pays 85%-95%… more
- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a rotating ... and finance teams for clinical documentation requirements, level of care, insurance coverage issues, specific payer and government policies and post-acute services… more
- Centene Corporation (Olympia, WA)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- Centene Corporation (New York, NY)
- …discuss member care being delivered. + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings. + Assists with providing education to providers on utilization… more
- Actalent (Uniondale, NY)
- Description Review , recommend and provide authorization for service requests. Process requests from in-network providers Suggest alternative care plans for patients ... reviews Present cases to Medical Director and Physicians for review Perform other job duties as needed Skills Clinical...Plan - Pre-tax and Roth post-tax contributions available* Life Insurance (Voluntary Life & AD&D for the employee and… more
