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Concurrent Review Nurse jobs

Viewing 1 - 10 of 154 jobs

  • RN /LPN Concurrent Review (Chart Review/Data Abstractor)

    Healthcare Support Staffing - Coral Gables, FL

    Nurse or Licensed Practical Nurse to assist in Field Concurrent Review! The position is a full time field based ... chart review. Pay: $27-34/hour Description: Initiates a concurrent review assessment within one working day of...

    1 hour ago from ZipRecruiter

  • Case Manager I (Concurrent Review)

    Centene - Shawnee Mission, KS

    * Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care * Review and audit patient charts through on-site hospital visits * Act as clinical resources to referral staff and make...

    12 hours ago from A Mighty River

  • Care Review Clinician/RN Remote Must have a Ca,State RN License

    Molina Healthcare - Long Beach, CA

    procedures providing prior authorizations and/or concurrent review. Mentors and trains new team members. Assesses ... regulations and guidelines. Essential Functions * Provides concurrent review and prior authorizations (as needed)...

    8 hours ago from Molina Healthcare

  • Registered Nurse - Utilization Review Specialist

    Kingsbrook Jewish Medical Center - Brooklyn, NY

    healthcare, licensed practical nurse, licensed practical nurse lpn, lpn, lpn (nurse or nursing), lpn nurse, lvn, ... new grad rn, nurse practitioner, nurse rn, nursing, registered nurse rn, rn (nurse or nursing), rn nurse, stna, Full...

    20 hours ago from NY City Works

  • Utilization Management Review Nurse

    Meridian Health Plan - Des Moines, IA

    Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services ... pertinent documentation and conduct medical services review applying appropriate criteria, which may include...

    12 hours ago from CareerBuilder

  • Utilization Review Nurse

    Chartisinsurance - Dallas, TX

    Position Description Perform Utilization Review of workers' compensation claims, based on review criteria and protocols ... and regulatory agency compliance. Conduct prospective, concurrent and retrospective reviews to determine medical...

    16 hours ago from Professional Diversity Network

  • Case Manager/Utilization Review Nurse

    Professional Services Network - Washington, DC

    has a need for a nurse to perform <strong>utilization review and case management.</strong>  This is a ... and inpatients based on standardized criteria, including concurrent and retrospective reviews</li>...

    8 hours ago from AllCountyJobs.com

  • Utilization Review Specialist

    IASIS Healthcare - Phoenix, AZ

    Opportunity Employer Minorities/Women/Veterans/Disabled Review clinical information for accuracy. Review level of ... Review claims including pre-payment and retrospective review. Work collaboratively with other departments to...

    4 hours ago from Iasis Healthcare

  • UTILIZATION REVIEW SPECIALIST, SENIOR - SJH - UTILIZATION MGT DENIALS

    BayCare Health System - Tampa, FL

    appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and ... The Senior Utilization Review Specialist is responsible for the oversight of the utilization Review Specialists...

    12 hours ago from BayCare Health System

  • Utilization Review Clinician, NHP (02

    Beacon Health Strategies - Boston, MA

    The Utilization Review (UR) Clinician performs utilization review and initial authorization determination of mental ... for prospective, concurrent and discharge review with psychiatric and substance treatment facilities as...

    20 hours ago from EasternMass

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