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Concurrent Review Nurse jobs

Viewing 1 - 10 of 13 jobs

  • Sr. Account Executive, VMI

    Virginia Mason - Seattle, WA

    with the purpose of driving business. Track and review sales performance; prepare reports by collecting, ... MS Office), and the internet; ability to manage multiple concurrent activities; ability to respond appropriately in...

    19 days ago from Virginia Mason

  • RN/Case Manager

    Smith Arnold - White Plains, NY

    IND123 Review of evaluations and progress reports to determine appropriate authorization Receive concurrent reviews on inpatient surgical procedures to determine appropriate authorization Interact with patients, treating therapists and...

    19 days ago from Smith Arnold

  • RN, Clinical Charge Auditor

    Smith Arnold - Bronx, NY

    auditing experience preferred Proficient in payment review systems, hospital information systems, clinical record ... process improvement initiatives Performs concurrent review of hospital bills to document unbilled,...

    30+ days ago from Smith Arnold

  • CDI Manager

    MRI Network - St Louis, MO

    in Missouri, including the personnel responsible for concurrent review of patient medical records. * Ten years experience in Quality Improvement, Healthcare Revenue Cycle or other related area. * Three years experience in a...

    3 days ago from MRI Network

  • Field Health Services - Director

    WellCare - St Louis, MO

    Health Services team comprised of prior authorization, concurrent review, utilization management and case ... review and interpret treatment plans Ability to create, review and interpret treatment plans Demonstrated...

    13 days ago from WellCare

  • Director, Field Health Services

    Sterling Life Insurance Company - St Louis, MO

    Health Services team comprised of prior authorization, concurrent review, utilization management and case ... review and interpret treatment plans Ability to create, review and interpret treatment plans Demonstrated negotiation...

    14 days ago from Sterling Life Insurance Company

  • Manager Product Stewardship

    Legrand Na - West Hartford, CT

    or skills * Perform highly detailed work on multiple, concurrent tasks * Work under intensive deadlines with frequent interruptions * Interact with managers, staff, customers, the public and others encountered in the course of work...

    16 days ago from Legrand NA

  • Vice President, Medical Manage

    Aetna - Phoenix, AZ

    for Utilization Management functions including Concurrent Review and Prior Authorization departments, 40% leadership ... LICENSES AND CERTIFICATIONS Nursing/Registered Nurse is desired FUNCTIONAL EXPERIENCES Functional - Medical Management/M...

    25 days ago from Aetna

  • Manager, 24 Hour Services

    Amalgamated Life Insurance - Salem, NH

    as it relates to service, clinical knowledge, case review, and productivity. * Completes and/or delegates as ... and submits administrative reports. * Function in Nurse Counselor role 50% of the time. * Responsible for management...

    16 days ago from Amalgamated Life Insurance

  • Pharmacy Policy Manager

    Oregon Health & Science University - Portland, OR

    the High-Cost Drug Initiative, the Drug Effectiveness Review Project (DERP), and others. The position provides strategic and political direction to these projects in both public and private settings, ensuring high quality and timely...

    13 days ago from Oregon Health & Science University