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Oct 29 Medical Review RN Dignity Health Sacramento, CA

Review Consistently applies the utilization review process as required by the Code of ... review. Incorporates into the utilization review process the ability to access and... more

Oct 28 Utilization Review Specialist - Oasis Review RN - Kindred at Home - East Region - Full Time Kindred- Kindred Hospital Indianapolis, IN

we serve. Join us! Summary: The Utilization Review Specialist conducts utilization review ... HHRG coding. Registered Nurse RN Oasis Review Utilization Review Specialist Home... more

Oct 28 MEDICAL REVIEW RN Dignity Health - Mercy Sacramento Rancho Cordova, CA

Review Consistently applies the utilization review process as required by the Code of ... review. Incorporates into the utilization review process the ability to access and... more

Oct 28 Utilization Review Specialist - Oasis Review RN - Kindred at Home - East Region - Full Time Kindred at Home Indianapolis, IN

we serve. Join us! Summary: The Utilization Review Specialist conducts utilization review ... HHRG coding. Registered Nurse RN Oasis Review Utilization Review Specialist Home... more

Oct 28 Staff Nurse (Utilization Review) U.S. Department of Veterans Affairs West Palm Beach, FL

of the RUR (Registered Utilization Review) Nurse include but are not limited to: ... and assistance regarding documentation of medical necessity, insurance review criteria,... more

Oct 27 MEDICAL REVIEW RN Mercy Healthcare Sacramento Sacramento, CA

Health designated criteria for primary review. Incorporates into the utilization review ... Health. Accountabilities: 1. Completes medical necessity utilization reviews and... more

Oct 27 Continuing Care Utilization Review Coordinator RN(296211) Kaiser Permanente San Francisco, CA

Description Conducts utilization review for in-house patients and/or those members at cont ... Essential Functions: • Conducts utilization review for in-house patients and/or members wh... more

Oct 27 Registered Nurse RN, Utilization Review Right Solutions Oakland, CA

requiring medical services. This Registered Nurse RN, Utilization Review position ... duties. The Registered Nurse RN, Utilization Review professional will perform nursing... more

Oct 21 Registered Nurse (Utilization Review) U.S. Department of Veterans Affairs Saginaw, MI

of the RUR (Registered Utilization Review) Nurse include but are not limited to: ... and assistance regarding documentation of medical necessity, insurance review criteria,... more

Oct 21 Utilization Review Nurse RN Novant Health Winston-Salem, NC

The Utilization Review RN serves as a leader resource in the Utilization Review process ... medical necessity reviews. All Utilization Review activities are performed in accordance... more

Oct 20 Utilization Review Nurse, Long Island Tenet Healthcare Brooklyn, NY

integrated, URAC certified web-based medical management software application that ... tool that support all levels of medical management interventions; utilization... more

Oct 14 Healthcare Physician Practice Consultant / Medical File Review Nurse UnitedHealth Group New York City, NY

Requirements Requirements: - Medical/clinical background desirable (NP) - 7+ years ... nurse, nurse practitioner, RPN, Medical File Review, Medical Coding Careers with... more

Oct 13 Sr. Medical Review- Utilization Review Nurse Federal Staffing Resources (fsr) Glen Burnie, MD

Staffing Resources is seeking a Sr. Medical Review- Utilization Review Nurse to provide ... Medical Directors for decision. The Medical Review URN is available as a reference source... more

Oct 03 Medical Necessity Reviewer(286832) Kaiser Permanente Portland, OR

financial liability for out-of plan medical services. Performs special projects, ... work experience in Medical Necessity Review. • Minimum five (5) years of experience in... more

Oct 02 Medical Bill Review Healthcare Scouts Fort Worth, TX

medical saving solutions in medical bill review to the health, workers’ compensation, ... Registered Nurse, RN, Medical Bill Review, Work Comp, Disability Management, Claims... more

Sep 24 Utilization Review-Nurse Korak Global Healthcare Services Glen Burnie, MD

LLC is seeking Nurses to work in Utilization Review-Appeals & Grievances; and Inpatient/Outpatient Location: Glen Burnie, MD Type: Contract (One Year) Full Time Salary:... more

Sep 23 Utilization Review Nurse Novant Health Salisbury, NC

The Utilization Review RN serves as a leader resource in the Utilization Review process ... medical necessity reviews. All Utilization Review activities are performed in accordance... more

Sep 22 Clinical Care Reviewer UM, RN AmeriHealth Philadelphia, PA

Management, the Clinical Care Review Nurse is responsible for completing medical ... Medical Director for medical necessity review when medical information provided does not... more

Sep 18 Physician- Medical Review - Part-Time (232024-005) Concentra Las Vegas, NV

-Assists the Concentra Physician Review Medical Director with recruiting, ... for utilization review, chart reviews, medical necessity, appropriateness of care... more

Sep 12 Medical Reviewer LPN Blue Cross Blue Shield of Texas Fort Worth, TX

with the medical contract and regulations, medical criteria, utilization review, and ... with PC or database systems. *Utilization review or utilization management experience. more

Aug 12 Retro Review Case Manager- LVN- Utilization Review - Varied Shifts( Per Diem)posted 5/7/14 Tenet Healthcare Fountain Valley, CA

physician. If no determination, the UR nurse will refer the case to the Medical ... daily per P&P #8756-M 8.0 * Prepares review sheets for all patients, Medi-cal,... more

Jul 17 MANAGER,CLINICAL RESOURCE CENTER (Utilization Review/Pre-Cert) RN BSN Temple University Health System Philadelphia, PA

RN-LIC - PA Registered Nurse License (Required) CCM - Certified Case ... challenge you to be your best, our academic medical center is second to none. Here, in... more

Jul 07 Medical Bill Review Nurse (RN) Healthcare Scouts Haltom City, TX

position. In this role as a Medical Bill Review Nurse, you will engage in case review ... care plans are established, managed and medical personnel have followed the... more

Jul 05 Healthcare Physician Practice Consultant / Medical File Review Nurse - Jefferson County UnitedHealth Group Watertown, NY

Requirements Requirements: - Medical/clinical background desirable (NP) - 7+ years associa ... nurse, nurse practitioner, RPN, Medical File Review, Medical Coding Careers with... more

May 30 CASE REVIEW COORDINATOR, RN, Per Diem Faulkner Hospital Boston, MA

communities by offering comprehensive medical, surgical and psychiatric care, as ... in-patient Case Management and Utilization Review. Basic computer knowledge. Experience... more

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