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Concurrent Review Nurse jobs

Viewing 1 - 10 of 56 jobs

  • RN / Case Manager / Utilization Review Nurse

    Kelly Healthcare Resources - Chicago, IL

    in Chicago, IL! As the RN / Case Manager / Utilization Review Nurse with a global health insurance service company, ... and education. Related Search Terms: Registered Nurse, Nurse Coordinator, Care Coordinator, Nurse Case Coordinator,...

    3 hours ago from CareerBuilder

  • LVN-RN - Care Review Clinician - Managed Care

    Nurse Resolutions - Long Beach, CA

    regulations and guidelines.Essential Functions• Provides concurrent review and prior authorizations (as needed) ... nurse, work from home, remote, care review clinician, utilization review, utilization management, medical...

    19 days ago from CareerBuilder

  • RN-Care Review Clinician II (Registered Nurse)

    Molina Healthcare - Columbus, OH

    and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ... regulations and guidelines.Essential Functions* Provides concurrent review and prior authorizations (as needed)...

    26 days ago from CareerBuilder

  • Case Manager RN

    Saint Anthony Hospital - Chicago, IL

    or four years recent clinical experience . Utilization Review experience required Requires excellent observation ... Case manager RN, utilization review RN, utilization review, concurrent review, inpatient case management,...

    6 days ago from CareerBuilder

  • RN, Registered Nurse Data Analyst- Quality Risk Management(Full Time)

    CHRISTUS Health - Lake Charles, LA

    for Quality Measures data abstraction, concurrent record review of Quality Measures and review of other Quality ... Indicators as required by regulatory agencies, record review for Risk Management activities and other Quality...

    30+ days ago from CareerBuilder

  • RN - Nurse Care Manager - Managed Care

    Nurse Resolutions - Portland, OR

    Utilizationprograms include: pre-authorization for services and concurrent hospital stay reviews / planning.3 ... care manager, care management, case management, utilization review, utilization management, health coach, behavioral...

    30+ days ago from CareerBuilder

  • Registered Nurse Care Coordinator - Quality Medical Management

    Providence Health & Services - Beaverton, OR

    authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy ... Specific Functional areas Functional area: Medical Review (Concurrent Review and Prior Authorization)*1.

    30+ days ago from CareerBuilder

  • Registered Nurse - Quality Medical Management Care Coordinator

    Providence Health & Services - Beaverton, OR

    authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy ... planning. Specific Functional areas Medical Review (Concurrent Review and Prior Authorization) *1. Perform...

    6 days ago from CareerBuilder

  • RN Case Manager - Days

    CHRISTUS Health - Alexandria, LA

    Documents all review activity via HBOC/Star Navigator System.22 ... cases regarding pre-certification, concurrent and retro, review in assigned areas and initiates appropriate...

    3 hours ago from CareerBuilder

  • Travel Registered Nurse Job - Case Mgt

    Maxim Staffing - Kennewick, WA

    for providing case management services including concurrent review of medical records, admissions status ... of the state as a Registered Nurse / RN. The Registered Nurse assumes responsibility and accountability for the...

    3 days ago from CareerBuilder

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