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Concurrent Review Nurse jobs

Viewing 1 - 10 of 135 jobs

  • Utilization Review RN (2014-47)

    Qualis Health - Birmingham, AL

    In this role, you would conduct retrospective inpatient hospital reviews for admission and concurrent stays, plus review ... in nursing. Current, active, unrestricted Registered Nurse (RN) licensure in Alabama.Experience Required At least 4...

    6 days ago from CareerBuilder

  • Utilization Review Director

    Marquis Health Services - Trenton, NJ

    to ensure medical necessity and effectiveness Perform concurrent reviews for PHP and other levels of care as ... independently; computer knowledge and use of computer systems a must Preferred Registered Nurse or Licensed...

    13 hours ago from CareerVitals.com Healthcare Job Board

  • Utilization Management Review Nurse

    Meridian Health Plan - Chicago, IL

    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...

    5 days ago from CareerBuilder

  • Registered Nurse - Review Analyst

    Jawood - Detroit, MI

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

    17 days ago from Jobs.ResumeSpider

  • Utilization Review RN - Utilization Management

    Medix - Baltimore, MD

    goals!Utilization Review -RN Registered Nurse – Clinical Nurse – Nursing – Healthcare – Medical Job ... review, concurrent review, retrospective chart review and clinical systems review to measure clinical performance...

    20 days ago from CareerBuilder

  • Registered Nurse Review Analyst

    Jawood - Ann Arbor, MI

    Jawood Healthcare Solutions, is seeking a Registered Nurse Review Analyst. Duties include: Perform review of ... Knowledge of application of clinical criteria/guidelines for medical necessity, setting/level of care, and concurrent pa...

    30+ days ago from Jobs.ResumeSpider

  • RN-Registered Nurse-Care Review Clinician III / RN

    Nurse Resolutions - 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)...

    30+ days ago from CareerBuilder

  • 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

  • Hospital Utilization Review RN

    Medix - Chicago, IL

    insurances Performing concurrent and retrospective review per member Utilizing Milliman criteria to establish ... License Must have Hospital or Health Plan Utilization Review experience Preferred acute care experience Preferred...

    30+ days ago from CareerBuilder

  • Utilization Review Manager (Full time , Days, RN required)

    Catholic Health Initiatives - Grand Island, NE

    external equirements. Performs the functions of Utilization Review Nurses as needed to maintain adequate saff and ... for improved resource utilization and works withutilization review nurses and other clinical staff to develop strategies...

    6 days ago from CareerBuilder

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