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Concurrent Review Nurse jobs

Viewing 1 - 10 of 79 jobs

  • 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)...

    2 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...

    10 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...

    8 days ago from CareerBuilder

  • Chart Review RN (Per Diem / PRN)

    Molina Healthcare - San Antonio, TX

    Quality Improvement, the Quality Improvement Review Nurse is responsible for assisting in the review of ... wound, discharge, discharge planner, 2060, concurrent review, utilization review, case manage, ambulance,...

    21 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)...

    22 days ago from CareerBuilder

  • RN / Case Manager / Utilization Review (NICU)

    Kelly Healthcare Resources - San Antonio, TX

    and education. Related Search Terms: Registered Nurse, Nurse Coordinator, Care Coordinator, Nurse Case Coordinator, ... Registered Nurse, Utilization Review Nurse, Utilization Review, Utilization Review RNAbout Kelly ServicesR Kelly...

    22 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

  • 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

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