- A-Line Staffing Solutions (San Antonio, TX)
- …InterQual, ICD-10, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse , ... Full time Case Manager Nurse RN openings in the San Antonio, TX...duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care… more
- A-Line Staffing Solutions (Dallas, TX)
- …InterQual, ICD-10, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse , ... Full time Case Manager Nurse RN openings in the Dallas, TX 75244...independently. Why Apply: Full benefits available after 90 days: Medical , Dental, Vision, Life, Short-term Disability 401k after 1… more
- Careerbuilder-US (Atlanta, GA)
- Job Title: Utilization Review Nurse I Location: 100% Remote Duration: 3 months (Possibility of extension) Shift timings: 8:00 AM to 5:00 PM EST (Mon-Fri) Pay ... the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities… more
- TalentBurst, Inc (Irving, TX)
- …insurance providers and vendors to obtain approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members ... with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst Health… more
- A-Line Staffing Solutions (Shaker Heights, OH)
- …Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Waiver Program, Registered Nurse , MCO, RN, Nurse , Managed ... Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse , Managed Care,… more
- US Tech Solutions, Inc. (Columbia, SC)
- …practices. . May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews ... reviewed using the individual patient's benefits contract and our medical policies. The nurse would read through...indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization… more
- Aequor (New York, NY)
- …York State Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, ... wellness care and counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Case Management and… more
- A-Line Staffing Solutions (Houston, TX)
- …LVN, Licensed Vocational Nurse , Clinical Care, Case Manager, Case Management, Utilization Review , Utilization Management, LPN, ADN, Clinical Service, ... Full time Case Manager Nurse LVN openings in Houston, TX 77027 area...Ensure supportive services are in place to reduce inappropriate utilization patterns and condition exacerbation. Assist members with accessing… more
- A-Line Staffing Solutions (Tampa, FL)
- …Case Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, HMO, Concurrent ... Review , Retrospective Review , Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient… more
- A-Line Staffing Solutions (Haverhill, FL)
- …Case Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, HMO, Concurrent ... Review , Retrospective Review , Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient… more
- Saint Francis Health System (Tulsa, OK)
- …of adverse physiological trends, assurance of appropriate prophylactic strategies, and medical chart review . Virtually evaluates patients, educates the patient ... Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job...location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office… more
- Spectraforce Technologies Inc (Branchburg, NJ)
- …on an acute/critical care unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skillset ... Job Title: Registered Nurse Location: Branchburg, NJ 08876 Duration: 06 months...international and state regulations during the second level quality review of all tissue donor files for tissue submitted… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …strategies and interventions, consultation with members on their medications and durable medical equipment, review member care plans, address home care needs, ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …but are not limited to, consultation with members on their medications and durable medical equipment, review member care plans, address home care needs, and ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia...with emphasis on care of adults in acute care medical and surgical areas/home care preferred.Other: Preferred Job QualificationsPreferred… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Labor ... with 2 or more years of experience as a RNJob Summary: The Clinical Nurse I assesses, plans, implements and evaluates nursing care, utilizing the nursing process in… more
- A-Line Staffing Solutions (Atlanta, GA)
- Job Title: Remote Prior Authorization Licensed Vocational Nurse Pay: $37.17 an hr | Bi-weekly Job Type: Remote Start Date: August 4th, 2024 Shift Options: Training: ... Sun - Sat 8:00 AM - 6:00 PM CST Remote Prior Authorization Licensed Vocational Nurse Overview: This position is a 100% remote, work from home opportunity and will… more
- A-Line Staffing Solutions (Mcallen, TX)
- …Pay Rate! Keywords: RN, Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization Manager, UR, UM, Utilization Review , Case Management, Medicare, ... Apply with A-Line? Full benefits available after 90 days: Medical , Dental, Vision, Life, Short-term Disability 401k after 1...Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization Manager, UR, UM, Utilization Review… more
- VitalCore Health Strategies (Carson City, MI)
- …direction. Responsible for maintaining the clinical quality and integrity of patient medical care including oversight of utilization and quality management, ... healthcare, has an opening for a The Hub Director- West region/ Regional Medical Director West region- Michigan! The HUB director will oversee multiple sites… more
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