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Concurrent Review Nurse jobs

Viewing 1 - 10 of 43 jobs

  • Concurrent Review Nurse

    Health Plan of San Joaquin - French Camp, CA

    Summary Under general supervision, conducts onsite and/or telephonic concurrent review of inpatient activities ... they apply to concurrent review. In-depth knowledge of health care delivery systems as they apply to concurrent...

    21 days ago from Health Plan of San Joaquin

  • Utilization Review Nurse

    Quality Health Strategies - Columbia, MD

    The Utliization Review Nurse independently performs clinical assessment functions of the review program as outlined by ... Refers all potential adverse decisions to the Expert Reviewer/Medical Director or peer review...

    1 day ago from Quality Health Strategies

  • Registered Nurse - Review Analyst

    Jawood - Detroit, MI

    Jawood Healthcare Solutions, is seeking a Registered Nurse Review Analyst. Responsible for the approval or ... Utilization Review Experience McKesson Interqual Criteria Concurrent, Prospective and retrospective clinical review of...

    30+ days ago from Jobs.ResumeSpider

  • Utilization Review Specialist

    IASIS Healthcare - Phoenix, AZ

    Review clinical information for accuracy. Review level of care and location of services delivered. Review ... Identify member’s Third Party Liability coverage. Review claims including pre-payment and retrospective review. Work...

    25 days ago from IASIS Healthcare

  • Clinical Review Coordinator - RN

    Jawood - Southfield, MI

    JAWOOD is seeking a Clinical Review Coordinator RN. SUMMARY Perform timely initial clinical review as well as provider ... Perform appropriateness review and authorization of services for all authorization requests requiring clinical review, i...

    30+ days ago from Jobs.ResumeSpider

  • Utilization Review Lead

    IASIS Healthcare - Phoenix, AZ

    within the Concurrent Review department: • Utilize Inter-rater each month to review 5 inpatient stays/employees as ... Utilization Review Nurse/Specialist • Assist other Utilization Review Nurses/Specialists with complex casesKnowledge...

    30+ days ago from IASIS Healthcare

  • Nurse Case Manager I

    JPS Health Network - Fort Worth, TX

    · 1-3 years of clinical experience and/or case management, utilization review, and/or discharge planning experience in a ... Required Licensure/Certification/Specialized Training: · RN licensure through the Texas State Board of Nurse Examiners.

    7 days ago from JPS Health Network


    Unm Hospitals - Albuquerque, NM

    Responsible for concurrent review (during the patient stay) of appropriate and complete clinical documentation in the medical record to support services ordered and/or received, support primary diagnosis, secondary diagnoses, and...

    21 days ago from UNM Hospitals

  • RN - Clinical Case Manager

    Ucla - Los Angeles, CA

    patient care. Performs appropriate Utilization Review functions utilizing approved Intensity of Service, Severity of Illness criteria. Coordinates utilization management and evaluates services provided. Oversight responsibilities of the...

    21 days ago from UCLA

  • Team Leader, Population Health Managment, RN

    Spectrum Staffing Services - Edison, NJ

    managed care experience as a Team Leader with experience in concurrent review and ancillary services thorough knowledge of all utilization management processes, expectations, requirements medical terminology ICD-9 CPT coding, medical...

    30+ days ago from Meshhire

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