- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …knowledge of service connection/special authority eligibility requirements, first- and third-party medical review criteria, nurse utilization review ... more
- UCLA Health (Los Angeles, CA)
- …for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical ... more
- HCA Healthcare (San Antonio, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... more
- HCA Healthcare (Austin, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Trauma Medical Surgical Nurse opening. We promptly review all applications. Highly qualified candidates will be ... more
- HCA Healthcare (San Antonio, TX)
- …career path, we encourage you to apply for our Medical ICU Registered Nurse opening. We review all applications. Qualified candidates will be contacted by a ... more
- HCA Healthcare (Austin, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... 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, ... 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 ... more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... more
- Equitable (Charlotte, NC)
- Clinical Review Nurse , Disability Claims ( 25000067 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... 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 ... more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... more
- Actalent (San Antonio, TX)
- Job Title: Review Nurse Job Description The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical necessity ... more
- Actalent (Salt Lake City, UT)
- …This role involves working closely with key facility personnel and internal Medical Directors, Market Engagement Directors, and Nurse Managers to develop ... more
- Molina Healthcare (Seattle, WA)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... more
- Centene Corporation (San Antonio, TX)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... more
- Centene Corporation (Austin, TX)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... more
- Actalent (Idaho Falls, ID)
- …discharge planning. Responsibilities + Collaborate with key facility personnel and internal Medical Directors, Market Engagement Directors, and Nurse Managers to ... more
- Ascension Health (Baltimore, MD)
- … processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. + Collaborate with ... more
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