- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Degree in scientific discipline, healthcare, or related discipline and/or background in Medical Health Profession ( RN , Medical technologist) preferred ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… more
- Serco (VA)
- **Position Description** Serco is seeking a motivated Medical Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS. ... The Medical Review Manager position would be responsible...and Certification: + Bachelor's Degree in Nursing + Current Registered Nurse Licensure + Certified Professional Coder… more
- CareFirst (Baltimore, MD)
- …previous case management, discharge planning or utilization review experience. **Licenses/Certifications** RN - Registered Nurse - State Licensure And/or ... **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider… more
- Molina Healthcare (Columbus, OH)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of… more
- FlexStaff (Uniondale, NY)
- **Req Number** 147980 JOB PURPOSE: Under the direction of the Senior Director of Clinical Review , the Clinical Review Nurse is responsible for complying with ... of Clinical Review will monitor the Clinical Review Nurse 's activities and outcomes, ensuring compliance...Physician and/or Medical Director to ensure that medical review of specific cases occurs timely… more
- HCA Healthcare (Webster, TX)
- …knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Quality - Peer Review Coordinator for our facility to ... **Introduction** Do you have the career opportunities as a(an) RN Peer Review Coordinator you want with...of Trustees **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …View Benefits (https://www.jobapscloud.com/CT/jobs/?b=Benefits) + + + + Introduction Are you a skilled Registered Nurse ( RN )? Join our team and utilize your ... Utilization Review Nurse (40 Hour) Office/On-site Recruitment...party administrator files to oversee contractor handling; + May review medical records of various health care… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed...clinical information and may also provide education on the medical review process. + The Contractor performing… more
- Vighter Medical Group (Alexandria, LA)
- Flight Registered Nurse ( RN ), AEX, Alexandria,...detainees being repatriated to their countries of origin. The RN will review medical records to ... Details Job Location Alexandria, LA - Alexandria, LA Position Type Part Time Education Level Registered Nurse ( RN ) Travel Percentage Up to 100% Job Shift Day… more
- Vighter Medical Group (Harlingen, TX)
- Flight Registered Nurse ( RN ) - Harlingen,...detainees being repatriated to their countries of origin. The RN will review medical records to ... Job Location Harlingen, TX - Harlingen, TX Education Level Registered Nurse ( RN ) Travel Percentage...correctional health environment + Assumes responsibility as the sole medical provider of care for Federal detainees with stable,… more
- Ascension Health (Baltimore, MD)
- …experience, location, qualifications and comparison with associates in similar roles_ ** Registered Nurse , Certified Case Manager (CCM, ACM, URAC) preferred ... development and evaluation of staff **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer… more
- HCA Healthcare (Salem, VA)
- …your career path, we encourage you to apply for our Registered Nurse RN Medical ICU opening. We review all applications. Qualified candidates will be ... Sign-On Bonus up to $15,000 **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Medical ICU you want in your current role?… more
- Henry Ford Health System (Grand Blanc, MI)
- …RN ) nursing program; must possess current Michigan licensure to practice as a registered nurse ( RN ). - Essential Functions: - Interpersonal skills ... the official job description. Licensure / Certification / Registration: - Licensed Registered Nurse credentialed from the Michigan Board of Nursing obtained… more
- Henry Ford Health System (Grand Blanc, MI)
- Registered Nurse - Medical ...tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with ... will be considered the official job description. Education/Experience Requirements + Licensed Registered Nurse credentialed from the Michigan Board of Nursing… more
- HCA Healthcare (Houston, TX)
- …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Clinical Reviewer to join our healthcare family. ... their passion for patient care. Apply today for our Registered Nurse RN Clinical Reviewer...The Clinical Quality Improvement Specialist conducts a comprehensive current review of clinical documentation within the medical … more
- Cleveland Clinic (Weston, FL)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic Life Support (BLS) certification through ... of the responsibilities of a Utilization Management Specialist include medical record review , providing clinical information to...to five years of full-time clinical experience as an RN . + Knowledge of medical terminology, anatomy,… more
- Helio Health Inc. (Utica, NY)
- …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aFull-Timebasis for ourOutpatient and Inpatient ... Program. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- Helio Health Inc. (Rochester, NY)
- …behavioral healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on a Full-Time basis for our Rochester ... Inpatient Program. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- Commonwealth Care Alliance (Boston, MA)
- …to obtain access to medical record data. + Collect, abstract and review medical record data and identify needed improvements that impact HEDIS measures ... Specialist will support quality controls for the HEDIS Medical Record Review . HEDIS ratings are one...experience **Desired Licensing (nice to have):** + Current unrestricted RN license in the Commonwealth of Massachusetts preferred **MA… more
- ACHIEVE (Binghamton, NY)
- Registered Nurse RN Binghamton,...to individuals and staff as requested + Maintain and review medical and health information on assigned ... NY (http://maps.google.com/maps?q=Binghamton+NY+USA+13905) Apply Description Registered Nurse 40 hours per week - Full Time Starting...program, as well as staff training in health and medical issues. The RN 's specific duties and… more
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