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Concurrent Review Nurse jobs

Viewing 31 - 40 of 5,816 jobs

  • RN-Utilization Review-/Managed Care-CONTRACT

    Nurse Resolutions - Long Beach, CA

    and guidelines. Essential Functions • Provides concurrent review and prior authorizations (as needed) ... RN Licensure Case Management/Utilization Review experience Abe Ghebrehiwet Senior Account Executive Nurse Resolutions 88...

    30+ days ago from MiracleWorkers.com

  • RN-Utilization Review-Managed Care-Contract

    Columbus, OH

    procedures providing prior authorizations and/or concurrent review. Assesses services for members to ensure optimum ... regulations and guidelines. Essential Functions: * Provides concurrent review and prior authorizations (as needed)...

    30+ days ago from CareerBuilder

  • Utilization Review Nurse

    IASIS Healthcare - Phoenix, AZ

    Utilization Review Nurse completes inpatient admission and concurrent reviews for Health Choice members, considering ... Previous UR/Discharge planning experience preferred Chart review experience helpful Previous Medicaid/Medicare...

    22 days ago from MiracleWorkers.com

  • Care Review ClinicianIII/RN Remote Must have a Ca,State License

    Molina Healthcare - Long Beach, CA

    and/or procedures providing prior authorizations and/or concurrent review. Mentors and trains new team members. ... regulations and guidelines.Essential Functions* Provides concurrent review and prior authorizations (as needed)...

    25 days ago from CareerBuilder

  • Case Manager/Utilization Review Nurse

    Professional Services Network - Washington, DC

    a large hospital in Washington D.C., has a need for a nurse to perform utilization review and case management. ... and inpatients based on standardized criteria, including concurrent and retrospective reviews Perform discharge...

    17 days ago from MiracleWorkers.com

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

    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

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

    Nurse Resolutions - Long Beach, CA

    and/or procedures providing prior authorizations and/or concurrent review. Mentors and trains new team members. ... and guidelines. Essential Functions • Provides concurrent review and prior authorizations (as needed)...

    30+ days ago from MiracleWorkers.com

  • 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

  • Utilization Review Nurse

    Healthcare Support Staffing - Miami, FL

    and Licensed Practical Nurses for positions in concurrent review. This is primarily a field-based position involving ... minimum experience in concurrent review *Managed care experience strongly preferred *Strong computer and...

    27 days ago from MiracleWorkers.com

  • Utilization Review Nurse

    Santa Clara Family Health Plan - Campbell, CA

    We are seeking a Utilization Review Nurse who will be responsible for the day-to-day utilization review for inpatient an ... Review outpatient prior authorization requests and/or retrospective requests through claims review and incoming requests...

    28 days ago from MiracleWorkers.com

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