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Concurrent Review Nurse jobs

Viewing 1 - 10 of 457 jobs

  • 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

  • Utilization Review Nurse

    Judge Healthcare - San Diego, CA

    review and certify the medical necessity of prospective, concurrent, and retrospective units of inpatient and ... Prospective Review Urgent/ Non-urgent, Concurrent Review, Retrospective Review, Early initiation of discharge...

    21 days ago from ZipRecruiter

  • RN- Registered Nurse- Utilization Review-Utilization Management-Managed Care-CONTRACT/TEMP

    Albuquerque, NM

    Performs on-site and/or telephonic review of acute and subacute services.2 ... with the Medical Director. 11. Review Plan appeal items for concurrent and retrospective reviews as required and...

    30+ days ago from CareerBuilder

  • Temporary Concurrent Review Nurse RN

    Central California Alliance For Health - Merced, CA

    Manager - Concurrent Review, the Concurrent Review Nurse: performs concurrent or post-service review of acute ... The Concurrent Review Nurse performs preauthorization, concurrent and post-service review for all acute, sub-acute,...

    12 days ago from Central California Alliance for Health

  • Utilization Review Nurse I or II NYC (93952)

    WellPoint - New York City, NY

    etc. The other UR position will focus on Inpatient, concurrent review. Responsible for collaborating with ... a minimum of 2 years of clinical and utilization review experience; or any combination of education and...

    2 days ago from WellPoint, Inc

  • Utilization Review Nurse I or II NYC (93952)

    AMERIGROUP - New York City, NY

    etc. The other UR position will focus on Inpatient, concurrent review. Responsible for collaborating with ... a minimum of 2 years of clinical and utilization review experience; or any combination of education and...

    3 days ago from Amerigroup

  • Care Review Nurse

    Morgan Stephens - Columbus, OH

    and/or procedures providing prior authorizations and/or concurrent review.? Assesses services for Healthcare Members ... of acute medical care - Chart Review and Concurrent Review experience-Interqual or Milliman guideline...

    30+ days ago from Morgan Stephens

  • Utilization Review Nurse Job

    University of Utah Health Care - Salt Lake City, UT

    - Communication to third-party payers for initial and concurrent clinical review. - Reviews patient chart to ... - Performs verbal/fax clinical review with payer as determined by nursing judgment and/or collaboration with the payer p...

    30+ days ago from University of Utah Health Care

  • RN Quality Peer Review McAllen Medical Center (6062279)

    Universal Health Services - Mcallen, TX

    Facility: South Texas Health System POSITION SUMMARY: The RN Quality Analyst/Peer Review performs medical record reviews ... standards of care have been met. These reviews may be concurrent or retrospective and may include, but not limited...

    9 days ago from Universal Health Services

  • Utilization Review Nurse - Contingent on Contract Award

    Delmarva Foundation - Worcester, MA

    for a Utilization Review Nurse. The Utilization Review Nurse performs the following duties and responsibilities: ... Director for peer review. Performs on-line data entry of review results concurrently, utilizing appropriate codes and...

    4 days ago from Western Mass Works

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