- CHRISTUS Health (Mansura, LA)
- …Under the supervision of the School Based Health Centers Director, the Nurse Practitioner has the responsibility and accountability for providing primary care to ... clinic patients as allowed under the Louisiana Nurse Practice Act. Practice will remain within the scope...responsible for participating in development, execution of and periodic review of the written policies governing the services which… more
- HCA Healthcare (Corpus Christi, TX)
- …path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in...Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including… more
- Trinity Health (Livonia, MI)
- …Type:** Part time **Shift:** Rotating Shift **Description:** **JOB SUMMARY** The Clinical Nurse Reviewer 's chief responsibility is to collect and submit reliable ... of all eligible cases for the hospital. The Clinical Nurse Reviewer also works closely with the...Word, Excel, PowerPoint) and web-based applications. + Clinical chart review and abstraction experience required + Database data entry… more
- Elevance Health (Las Vegas, NV)
- ** Nurse Reviewer I** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** **Work ... 9:30am to 6:00pm depending on your time zone.** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Elevance Health (Chicago, IL)
- **Be Part of an Extraordinary Team** **Title** : Nurse Reviewer **Location:** FULLY REMOTE; candidates must reside within 50 miles or 1-hour commute each way of ... Friday, 9:30-6:00pm CST **Build the Possibilities. Make an Extraordinary Impact.** The ** Nurse Reviewer ** is responsible for conducting preauthorization, out of… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. Under limited supervision, the Medicare Nurse Reviewer applies medical necessity guidelines in making authorization ... Nursing Board. Bachelor's degree preferred. + 3 years as a Registered Nurse with a combination of clinical and or utilization/case management experience, preferably… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** + The MTQIP Clinical Reviewer (MCR) is responsible for collecting, analyzing, and reporting clinical data ... Act, or SJMHS's Return to Work Program_ **The RN Clinical Reviewer Required Education, Experience, and** **Certification/Licensure** + Ten years minimum of… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Fire Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4735880) Apply Fire Plan Reviewer Salary $24.86 - $52.12 Hourly ... + Benefits + Questions Description JOIN OUR TEAM AS A FIRE PLAN REVIEWER ! Lee County Community Development is committed to ensuring the safety and compliance… more
- HCA Healthcare (Corpus Christi, TX)
- …next step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- HCA Healthcare (Webster, TX)
- …support our colleagues in their positions. Join our Team as a(an) RN Clinical Reviewer and access programs to assist with every stage of your career. **Benefits** ... and job skills. Apply today for our RN Clinical Reviewer opening and continue to learn! **Job Summary and...+ Bachelor's Degree in Nursing required. + Current Registered Nurse License in the State of Texas or Multi-State… more
- Centers Plan for Healthy Living (Margate, FL)
- …For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063,...to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- HCA Healthcare (Kingwood, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse RN Emergency Department opening. We review all applications. Qualified candidates ... you have the career opportunities as a(an) RN Clinical Reviewer you want in your current role? We invest...as assigned. What qualification you will need: + Registered Nurse , prefer at least one year of experience +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have complex ... the following personas: eWorker, mobile and resident. The Team The Clinical Utilization Reviewer is part of a highly dedicated and motivated team of professionals,… more
- ManpowerGroup (Columbia, SC)
- **Title: Medical Reviewer ** **Location:** **4101 Percival Road Columbia SC 29229 US (Onsite)** **Duration: 03+ Month's Contract** **Shift: Monday to Friday, 8 AM - 5 ... $20.00 to $23.00/hr.** We are looking for a "Medical Reviewer " to join one of our Fortune 500 clients....of our Fortune 500 clients. **Job Summary** The Medical Review and Utilization Management Specialist is responsible for performing… more
- St. Joseph's Health (Paterson, NJ)
- Bariatric RN Clinical Reviewer - Per diem Job ID2024-25808 LocationPaterson, New Jersey ShiftPer Diem - Nursing Apply Now ... (https://careers-sjhmc.icims.com/jobs/25808/bariatric-rn-clinical- reviewer per-diem/login) Apply Now (Internal Candidate) Save This Job Job Saved Overview St.… more
- Magellan Health Services (Baton Rouge, LA)
- …clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or corrective ... to medical necessity criteria. General Job Information Title Clinical Reviewer III (Baton Rouge, LA or Remote in LA)...Professional Clinical Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- Chenega Corporation (NM)
- …Services** ' company, is looking for a fully remote **Clinical Quality Reviewer ** to ensure compliance with the contract, and program requirements for Clinical ... national, TRICARE, and URAC standards for consistency. Supports activities of peer review and quality and safety committees. Our company offers employees the… more
- MetroHealth (Cleveland, OH)
- …of additional comorbid conditions. Conducts concurrent and retrospective medical record review on defined patient populations to identify opportunities to improve ... years of CDI experience or; - CDI Second Level Reviewer with a strong understanding of disease processes, clinical...licensed or licensed by endorsement as a LPN, Registered Nurse , MD or MD equivalent. Minimum 5 years acute… more
- Magellan Health Services (Honolulu, HI)
- …quality of care. General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience - Required Clinical Work Experience - ... - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
- Magellan Health Services (Johnstown, PA)
- …skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer , Licensed/Remote in PA (Cambria Cty) Grade 25 Work Experience - ... Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
