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Concurrent Review Nurse jobs

Viewing 41 - 50 of 5,810 jobs

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

    Nurse Resolutions - Long Beach, CA

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

    30+ days ago from MiracleWorkers.com

  • Chart Review RN (Per Diem / PRN)

    Molina Healthcare - San Antonio, TX

    Quality Improvement, the Quality Improvement Review Nurse is responsible for assisting in the review of ... wound, discharge, discharge planner, 2060, concurrent review, utilization review, case manage, ambulance,...

    16 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

  • 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

  • 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

  • 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

  • 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

  • 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- Utilization Review-Utilization Management-Managed Care

    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

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