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Concurrent Review Nurse jobs

Viewing 1 - 10 of 5,929 jobs

  • Clinical Care Reviewer Utilization Management (RN)

    AmeriHealth - Harrisburg, PA

    requiring Plan approval; reviews may be pre-service, concurrent or retrospective in nature. Assesses and appropriately ... Unrestricted Pennsylvania Registered Nurse License required. • Valid Drivers license and reliable automobile...

    30+ days ago from AmeriHealth

  • Nurse Care Manager & Utilization Review

    Gillette Children's Specialty Healthcare - St Paul, MN

    experienced RN to serve as Nurse Care Manager & Utilization Review (1.0 FTE). Performing preadmission, concurrent, and ... • Knowledge and understanding of utilization review and management concepts and practice • Group process and change...

    10 days ago from Gillette Children's Specialty Healthcare

  • Clinical Care Reviewer UM, RN

    AmeriHealth - Philadelphia, PA

    Utilization Management, the Clinical Care Review Nurse is responsible for completing medical necessity ... by specific UM role (Prior Authorization, Concurrent Review) Submits appropriate documentation/clinical information...

    30+ days ago from AmeriHealth

  • Case Manager (Concurrent Review)

    Healthcare Scouts - San Antonio, TX

    check out this opportunity as the Case Manager,Concurrent Review. In this position you will be required to review ... appropriate level of care. As the Case Manager, Concurrent Review, you will also act as clinical resources to referral...

    8 days ago from HealthCare Scouts

  • Utilization Management/Concurrent Review Nurse

    Healthcare Scouts - Federal Way, WA

    into the system. As a Utilization Management Concurrent Review Nurse you will determine medical necessity ... candidates for the Utilization Management Concurrent Review Nurse will have Managed Care or Health Plan experience...

    8 days ago from HealthCare Scouts

  • Clinical Care Reviewer UM

    AmeriHealth - Philadelphia, PA

    requiring Plan approval; reviews may be pre-service, concurrent or retrospective in nature. Assesses and appropriately ... Unrestricted Pennsylvania Registered Nurse License required. • Valid Drivers license and reliable automobile...

    30+ days ago from AmeriHealth

  • Utilization Management/Review RN full time

    Sunbelt Staffing - San Antonio, TX

    Full time job for Utilization Management/Review RN in San Antonio Texas ... utilization review activities, including pre-certification, concurrent, and retrospective reviews according to...

    30+ days ago from Sunbelt Staffing

  • Concurrent Review Nurse

    Healthcare Scouts - Encino, CA

    available for immediate hire as a Concurrent Review Nurse. In this role, you will be responsible for ... focus on cost effective quality health care. The Concurrent Review Nurse will develop the plan of care, coordinate...

    3 days ago from HealthCare Scouts

  • Manager Concurrent Review

    Healthcare Scouts - San Antonio, TX

    If so, check out this opportunity as the Manager Concurrent Review. In this position you will be required to ... much more! REQUIREMENTS: Ideal candidates for the Manager Concurrent Review position will bring a minimum of 3 years...

    8 days ago from HealthCare Scouts

  • Clinical Concurrent Reviewer

    Holy Cross Health - Silver Spring, MD

    indicators and compliance requirements. 2. Providing concurrent medical records reviews to assess documentation ... (if applicable): 1. Registered or Licensed Practical Nurse with current Maryland license. Minimum Knowledge,...

    5 days ago from CareerRookie.com

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