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Concurrent Review Nurse jobs

Viewing 1 - 10 of 5,840 jobs

  • Utilization Review Nurse

    Newport Academy - Bethlehem, CT

    Specialist responsible for prospective, retrospective and concurrent Utilization Review, Discharge Planner and Crisis ... and procedures relating to UR/UM Discharge activities; review policies and procedures periodically Qualifications...

    27 days ago from Newport Academy

  • Claim DRG Readmission Review RN - Telecommute opportunity

    UnitedHealth Group - Las Vegas, NV

    Preferred Assets: * Prior experience doing inpatient concurrent review preferred * Prior coding experience ... review, Las Vegas, NV, Nevada, United Health Group, concurrent review, medical claim review, telecommute, work...

    30+ days ago from UnitedHealth Group

  • Anesthesia Quality Review Registered Nurse RN Coordinator

    Lahey Health - Burlington, MA

    on targeted patient populations through daily concurrent review as well as retrospective chart review. 3) Interacts with caregivers to ensure that patients being followed meet goals and targets for timely delivery of care according to...

    30+ days ago from Lahey Health

  • 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...

    19 hours ago from AmeriHealth

  • Retro Review Case Manager- LVN- Utilization Review - Varied Shifts( Per Diem)posted 5/7/14

    Tenet Healthcare - Fountain Valley, CA

    continued stay IQ and document in eCARE a concurrent review every 3 days or sooner if change in LOC or clinical ... * The Case Manager will review all Observation patients daily per P&P #8756-M 8.0 * Prepares review sheets for all p...

    30+ days ago from Tenet Healthcare

  • Utilization Review Nurse RN

    Novant Health - Charlotte, NC

    Review RN serves as a leader resource in the Utilization Review process. They collaborate with physicians and other ... compliance. The UR RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All...

    6 days ago from Novant Health

  • Medical Review RN - Per-Diem

    Mercy Healthcare Sacramento - Sacramento, CA

    of the Dignity Health designated criteria for primary review. Incorporates into the utilization review process the ... including physician orders and documents admission, concurrent, discharge reviews and retrospective reviews as...

    11 days ago from Mercy Healthcare Sacramento

  • Registered Nurse (RN) Case Manager Concurrent Review

    Healthcare Scouts - Waltham, MA

    for you! The Registered Nurse (RN) Case Manager Concurrent Review will conduct either case management or disease ... within a collaborative office environment. As a Registered Nurse (RN) Case Manager Concurrent Review you will work...

    30+ days ago from HealthCare Scouts

  • Concurrent Review RN - Full-time

    Maxim Staffing Solutions - Merced, CA

    Manager - Concurrent Review, the Concurrent Review Nurse: performs concurrent or post-service review of acute ... The Concurrent Review Nurse performs preauthorization, concurrent and post-service review for all acute, sub-acute,...

    2 days ago from ZipRecruiter

  • Registered Nurse (RN) Case Manager - Concurrent Review

    Healthcare Scouts - Corpus Christi, TX

    Nurse (RN) Case Manager – Concurrent Review will review inpatient admissions to ensure medical necessity. The ... managed care, registered nurse, RN, utilization review, UR, medical necessity, CCM, concurrent review, prior...

    30+ days ago from HealthCare Scouts

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