• University of Maryland Medical System (Glen Burnie, MD)
    Company Description Experience the highest level of appreciation at UM Baltimore Washington Medical Center - named Top Workplace in the Baltimore area by The ... 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC...who have greater than (>) 12 months experience. This nurse will be competent in the skills/knowledge required and… more
    JobGet (10/02/24)
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  • The Laurels of Hamilton (Hamilton, OH)
    …benefit packages in the industry. This includes:Comprehensive health insurance - medical , dental and vision401K with matching fundsDailyPay, a voluntary benefit that ... cost uniformsLegacy,our new virtual community and rewards & recognitions programCheapest medical benefits Receive PTO after 6 months.ResponsibilitiesAs an STNA, you… more
    JobGet (10/03/24)
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  • University of Maryland Medical System (Baltimore, MD)
    Company Description THE MEDICAL HEART OF MARYLAND Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of ... I. General Summary This role is designed for the nurse who is a clinical and professional leader at...ancillary personnel's skills and development; leads unit based peer review processes. 2. Actively engaged in advancing own practice;… more
    JobGet (10/02/24)
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  • University of Maryland Medical System (Chestertown, MD)
    …the ability to serve as a trained preceptor and coach's new nurse and students. Contributes to developing/evaluating unit based orientation and other education ... safety initiatives. Operations: Demonstrates the ability to function in the charge nurse role. Participates in teambuilding efforts on their unit. Contributes to… more
    JobGet (10/02/24)
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  • Christus Health (Longview, TX)
    …applying, then please read the following job information.Summary:A Registered Professional Dialysis Nurse is responsible for the delivery of patient care through the ... of medications during dialysis. In addition, the Registered Professional Dialysis Nurse operates all dialysis equipment and supplies in accordance with hospital… more
    JobGet (10/03/24)
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  • Medical Review Nurse

    TEKsystems (Baltimore, MD)
    Description: PURPOSE: The Clinical Medical Review Nurse an RN with clinical experience will report to the Clinical Support Supervisor - HEDIS and be part of ... Medical Record Retrieval Abstraction and Research during the Medical Record Review Project 25 Medical...is essential for this role. Licenses/Certifications RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA… more
    TEKsystems (10/03/24)
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  • Clinical Medical Review Nurse

    System One (Baltimore, MD)
    …requirements. + Medical Record Retrieval, Abstraction and Research during the Medical Record Review Project + Medical Record Retrieval for ... overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal… more
    System One (09/27/24)
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  • Medical Claim Review Nurse

    Molina Healthcare (Lexington, KY)
    …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in… more
    Molina Healthcare (08/11/24)
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  • Nurse Auditor - Medical Bill…

    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
    Rising Medical Solutions (09/07/24)
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  • Classroom Nurse

    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
    Sioux City Community School District (10/03/24)
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  • Medical Oncology Registered Nurse

    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 (09/19/24)
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  • Psychiatric Nurse Practitioner, Emergency…

    Children's Hospital Boston (Boston, MA)
    …representative of the ED Psychiatry team, with the medical team and charge nurse to review and coordinate plans for patients boarding in the emergency ... 76115BRJob Posting Title:Psychiatric Nurse Practitioner, Emergency Department *$5,000 sign-onDepartment:Psychiatry and Behavioral Sciences… more
    Children's Hospital Boston (07/26/24)
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  • Utilization Review Nurse

    Milford Regional Medical Center (Milford, MA)
    …our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC. The UR ... needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching... Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge… more
    Milford Regional Medical Center (09/03/24)
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  • Licensed Practical Nurse (LPN)…

    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
    The Arora Group (08/23/24)
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  • Utilization Review Nurse Supervisor…

    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
    The County of Los Angeles (09/30/24)
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  • Utilization Review Nurse BH WFH

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Nurse BH WFH you want with your current employer? We have an ... colleagues. Do you want to work as a(an) Utilization Review Nurse BH WFH where your passion...URS Behavioral Health RN include the following:** + **Conduct medical record review , validate admission status order,… more
    HCA Healthcare (09/24/24)
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  • Registered Nurse (Regional Quality…

    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
    State of Georgia (09/25/24)
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  • Utilization Review Nurse

    Martin's Point Health Care (Portland, ME)
    …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as… more
    Martin's Point Health Care (09/24/24)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up… more
    Albany Medical Center (09/24/24)
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  • Facility Site Review Nurse

    LA Care Health Plan (Los Angeles, CA)
    Facility Site Review Nurse Specialist RN II Job... Specialist RN II conducts Full Scope Reviews, Site Review Surveys, Medical Record Review ... Category: Clinical Department: Facility Site Review Location: Los Angeles, CA, US, 90017 Position Type:...Review (FSR) Nurse...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
    LA Care Health Plan (09/20/24)
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