Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Concurrent Review Nurse jobs - San Antonio, TX

Viewing 1 - 10 of 86 jobs

  • San Antonio Concurrent Review Nurse (RN or LVN) – Managed Care

    Carenational Healthcare Services - San Antonio, TX

    Concurrent Review Nurse (RN or LVN) – Managed Care San Antonio, TX Your Job Summary: As a Concurrent Review Nurse you ... interventions. The nurse will perform prospective, concurrent & retrospective review of inpatient, outpatient,...

    20 days ago from CareNational Healthcare Services, LLC

  • Case Manager I (Concurrent Review - RN )

    Centene - San Antonio, TX

    Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care. Act as clinical resources to referral staff and make appropriate referrals. Provide patient and provider education. Data...

    30+ days ago from Centene

  • Case Manager I (Concurrent Review)

    Centene - San Antonio, TX

    necessity Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Review and audit patient charts through on-site hospital visits Act as clinical resources to referral staff and...

    1 day ago from Centene

  • RN Care Review Clinician II : Multiple Positions

    Molina Healthcare - San Antonio, TX

    procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure ... regulations and guidelines.Essential Functions • Provides concurrent review and prior authorizations (as needed)...

    30+ days ago from Molina Healthcare, Inc

  • RN Care Review Clinician II

    Molina Healthcare - San Antonio, TX

    procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure ... regulations and guidelines.Essential Functions • Provides concurrent review and prior authorizations (as needed)...

    30+ days ago from Molina Healthcare, Inc

  • Registered Nurse (RN) - Utilization Management (UM) Nurse Consultant

    Aetna - San Antonio, TX

    LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required Nursing/Certified Case Manager is desired FUNCTION ... private practice)/1-3 Years Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years Functional...

    12 days ago from Aetna

  • RN Case Manager

    Healthtexas Medical Group of San Antonio - San Antonio, TX

    are not reoccurring in nature may be assigned. Performs concurrent hospital review to assess utilization of ... as occurrence reporting, special projects, grievance review, program evaluation, etc. Assist documenting...

    23 hours ago from HealthTexas Medical Group of San Antonio

  • Utilization Mgmt Nurse RN- SIGN ON BONUS

    UnitedHealth Group - San Antonio, TX

    utilization review activities, including pre-certification, concurrent, and retrospective reviews according to ... May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly...

    19 days ago from United Health Group

  • Registered Nurse - RN

    Maxim Facility Nursing - San Antonio, TX

    review activities, including pre-certification, concurrent, and retrospective reviews according to guidelines. ... nursing, nurse, er, emergency, practical nurse, medical, surgical, obstetrics, pediatrics, intensive care unit, lpn,...

    21 days ago from Maxim Facility Nursing

  • RN Case Manager - Full time - Day - Medical Center

    CHRISTUS Health - San Antonio, TX

    Category: Nurse, Management, Health Care Location: San Antonio, TX Employee Type: Full-Time Experience: Not Specified This position provides expertise and leadership to insure effective resource management for patient care delivery (COP...

    27 days ago from CHRISTUS Health