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Concurrent Review Nurse jobs

Viewing 1 - 10 of 79 jobs

  • Care Review Clinician II/RN

    Molina Healthcare - Long Beach, CA

    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)...

    5 days ago from CareerBuilder

  • RN (Utilization Review, Full-time, Days & every 3rd Saturday)

    Catholic Health Initiatives - Grand Island, NE

    Summary: The Utilization Review Nurse conducts admission and continued stay reviews to achieve cost effective and timely ... code assignment.Facilitates the internal and external review processes of questionable utilization management...

    2 days ago from CareerBuilder

  • Care Review ClinicianII/RN Remote Must have a Ca,State RN Licen

    Molina Healthcare - Long Beach, CA

    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)...

    5 days ago from CareerBuilder

  • Registered Nurse / Utilization Review / Pre-Certification

    A-line Staffing Solutions - Detroit, MI

    A-Line Staffing is seeking experienced Registered Nurse / Utilization Review / Pre-Certification to work in the Metro De ... Utilize Internal Criteria for review purposes.Qualifications of the Registered Nurse / Utilization Review / Pre-Certific...

    17 days ago from CareerBuilder

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

    Molina Healthcare - Long Beach, CA

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

    11 days 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...

    30+ days ago from CareerBuilder

  • Utilization Management Review Nurse

    Meridian Health Plan - Detroit, MI

    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...

    19 days ago from CareerBuilder

  • Care Review Clinician III- RN Hospital Based

    Molina Healthcare - Sacramento, 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)...

    30+ 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,...

    30+ 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

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