- CHRISTUS Health (Mansura, LA)
- …the services which the health center provides. The NP, in conjunction with the Medical Director, participates in the periodic review of the patient's health ... Under the supervision of the School Based Health Centers Director, the Nurse Practitioner has the responsibility and accountability for providing primary care to… more
- CareFirst (Cumberland, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider ... appeals that require medical review to determine if the claim...and written communication skills. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA,… more
- HCA Healthcare (Chattanooga, TN)
- …is your next step in your career path, we encourage you to apply for our Medical ICU Nurse opening. We review all applications. Qualified candidates will be ... for Eligible Full Time Hires** Do you have the career opportunities as a(an) Medical ICU Nurse you want in your current role? We invest in what matters most to… more
- Rising Medical Solutions (Chicago, IL)
- …too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark ... Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including...in acute care, surgery and/or orthopedic + Workers' Compensation medical bill review experience a major plus… more
- Sioux City Community School District (Sioux City, IA)
- …Maintain accurate health records for students served, including Medicaid documentation as required. Review medical orders with school nurse to guide the ... or procedures on a daily basis due to significant medical needs. Facilitate positive student responses to development; promote...medical matters under the direction of the school nurse and administration. Provide health care for chronic and… more
- HCA Healthcare (Charleston, SC)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** Do you have the career opportunities as a Medical Surgical Registered Nurse you want in...admissions, testing and discharges . You will maintain and review patients' records including posting tests and examination results… 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 ... **Description** **Introduction** Do you have the career opportunities as a(an) Medical Surgical Registered Nurse you want in your current role? We invest in what… more
- HCA Healthcare (Plano, TX)
- …path, we encourage you to apply for our Medical Oncology Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Registered Nurse / RN - Medical Oncology** **Shift: Full time - Nights** **Location: Medical City Plano Hospital** **Introduction** **Do… more
- HCA Healthcare (Plano, TX)
- …path, we encourage you to apply for our Medical Oncology Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Registered Nurse / RN - Medical Oncology** **Shift: Full time - Nights** **Location: Medical City Plano hospital** **Introduction** Do you… 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,...clinical information and may also provide education on the medical review process. + The Contractor performing… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) position, located… 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 ...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- State of Georgia (Thomas County, GA)
- Registered Nurse (Regional Quality Review (RQR)) - Region 4 Georgia - Thomas - Thomasville ... located in downtown Atlanta. Job Description Job Title: Registered Nurse ( Regional Quality Review (RQR) )...aimed at assessing the quality of the environment, health, medical supports and community integration of the individual. .… more
- Travelers Insurance Company (Albany, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range ... Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for prospective,… more
- Hackensack Meridian Health (Little Falls, NJ)
- …coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine that the coding ... in the system if inappropriate codes are identified. + Review each Hospice assessment to assure each CTI, 485...of the certified operation, Hospice Clinical Director, and the Nurse Manager for the appropriate operation. Demonstrates the ability… more
- Hackensack Meridian Health (Brick, NJ)
- …coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine that the coding ... in the system if inappropriate codes are identified. + Review each Hospice assessment to assure each CTI, 485...of the certified operation, Hospice Clinical Director, and the Nurse Manager for the appropriate operation. Demonstrates the ability… more
- Premier Health (Troy, OH)
- Position: ASSOCIATE NURSE MGR/ UTILIZATION REVIEW RN Dept: Inpatient Behavioral Health Shift: Full time 72 hours/pp: 7am-7:30pm Facility: Upper Valley Medical ... **_*NOTE: THIS IS A COMBINATION POSITION: 24 HOURS/PP ASSOCIATE NURSE MANAGER AND 48 HOURS/PP UTILIZATION REVIEW ...ASSOCIATE NURSE MANAGER AND 48 HOURS/PP UTILIZATION REVIEW RN._** The **Associate Nurse Manager (ANM)-Inpatient… more
- Trinity Health (Springfield, MA)
- …Part time **Shift:** Rotating Shift **Description:** Requires BSN At **Mercy Medical Center** the **Utilization Review /Appeals & Denials** **RN** performs ... determinations using screening criteria, and assists the physician, bedside Registered Nurse , ICC and Social Worker with utilization management and clinical… more
- InnovaCare (San Juan, PR)
- …to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization ... visits to Acute, SNF, and Rehabilitation Inpatient facilities to concurrently review admissions and continued stay to determine appropriate Utilization, Quality… more
- US Tech Solutions (Columbia, SC)
- …Utilizes available resources to promote quality, cost effective outcomes. Performs medical or behavioral review /authorization process. Ensures coverage for ... healthcare needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
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