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

hiring for a Telecommuting UR Nurse Case Manager. Residence in Long Island, NY area and licensed in state of New York. Ideal candidates are able to: • Utilize innovative tools and... more

Oct 19 RN Utilization Review Full-Time Positions! Maxim Healthcare Services Nashville, TN

Company Description: Since 1988, Maxim Healthcare Services has become one of the largest employers of clinicians in the nation. At Maxim Healthcare Services, we're known for our... more

Oct 19 RN Utilization Review Maxim Healthcare Services Mason, OH

Company Description: Since 1988, Maxim Healthcare Services has become one of the largest employers of clinicians in the nation. At Maxim Healthcare Services, we're known for our... more

Oct 17 Quality Review Nurse Brookdale Overland Park, KS

principal qualifications: * Registered Nurse state licensure * 2 years of experience ... clinical supervisor, registered nurse, nurse, Overland Park, KS, Shawnee, KS,... more

Oct 17 Quality Nurse Consultant I Peer Review(286594) Kaiser Permanente Oakland, CA

Description Coordinates quality, accreditation, regulatory and licensing (AR&L), patient safety and risk management activities for the medical center. Provides clinical,... more

Oct 17 RN (Registered Nurse) -Review Analyst Epitec Detroit, MI

compensation package. RN (Registered Nurse) -Review Analyst Responsible for the approval ... Placing People First! Registered Nurse with current Michigan driver's license. more

Oct 17 Registered Nurse/RN/QA/Peer Review Med-scribe New York City, NY

is a direct hire position for an experienced nurse with strong QA skills to collaborate ...                                                           QA Nurse Specialist  #728143 Be... more

Oct 17 Quality Nurse Consultant I Peer Review(286606) Kaiser Permanente Oakland, CA

Description Coordinates quality, accreditation, regulatory and licensing (AR&L), patient safety and risk management activities for the medical center. Provides clinical,... more

Oct 16 RN / Registered Nurse / Medical Review / Appeals A-line Staffing Solutions Southfield, MI

  Job Summary of the RN / Registered Nurse / Medical Review / Appeals: Responsible for the ... REQUIREMENTS: Active MI State Registered Nurse license in good standing Associate... more

Oct 16 Utilization Review Nurse AIG Addison, TX

Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance. Conduct prospective,... more

Oct 16 Surgical Clinical RN Reviewer HR Cadence Health Winfield, IL

Responsible for the collection and submission of reliable data to the NSQIP. This is accomplished through high-quality clinical screening, data compilation, documentation and... more

Oct 16 Registered Nurse-Senior Review Manager Columbus Organization Washington, DC

Company Description: Columbus is the nations leading provider of on-site professional staffing and consultative services, focusing exclusively on agencies that serve individuals... more

Oct 16 RN - Registered Nurse Case Manager/Utilization Review Supplemental Health Care Grand Prairie, TX

RN - Registered Nurse Case Manager/Utilization Review Be a part of the Supplemental Health Care Team! We have a great opportunity at hospital in Dallas for a Case Manager. If you... more

Oct 15 Nurse Manager, Utilization Review Healthcare Scouts Albuquerque, NM

industry, government reimbursement, nurse, Behavioral Health, mental disability, nurse, RN For Immediate Consideration, Please Contact Ryan S. Lawhon National Recruiting... more

Oct 15 RN, Director Care Management & Utilization Review AmeriHealth Charleston, SC

About Us The AmeriHealth Caritas is growing! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people... more

Oct 15 MEDICAL REVIEW RN Mercy Healthcare Sacramento Sacramento, CA

Sacramento CATEGORY: Nursing - Registered Nurse Position Summary: The primary function ... skills * Current Registered Nurse (RN) License to practice professional... more

Oct 14 Utilization Review Nurse Healthcare Scouts North Lauderdale, FL

Review Nurse! The Utilization Review Nurse will be responsible for reviewing ... Licensed Practical Nurse (LPN) or Registered Nurse (RN) license * Managed Care experience... more

Oct 10 Nursing Project Coordinator Peer Review(245457) Kaiser Permanente Oakland, CA

of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations. • Must be able to work in a Labor/Management Partnership environment. Preferred... more

Oct 07 Utlization Review Nurse American Addiction Centers Murrieta, CA

Job Description: The Utilization Review (UR) Nurse is responsible for prospective, ... California Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license •... more

Oct 07 Concurrent Review Nurse Healthcare Scouts Tempe, AZ

you! The Concurrent Review RN (Registered Nurse) will conduct review of inpatient ... is a great opportunity for a RN (Registered Nurse) to expand their knowledge of Case... more

Oct 01 REGISTERED NURSE CASE MANAGER - Utilization Review (Per diem) (Posted 9/30/14) Tenet Healthcare Fountain Valley, CA

plan does not meet criteria, the UR nurse will refer case to attending physician. ... If no determination, the UR nurse will refer the case to the Medical Director... more

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

Nurse- Appeals & Grievances/Outpatient Nurse/ Inpatient Nurse. Location: Glen ... Outpatient-The Utilization Review Nurse is responsible for receipt, screening... more

Sep 03 RN Care Coordinator Utilization Review Baylor Health Care System Dallas, TX

Location: Dallas, TX The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type. more

Jul 31 REGISTERED NURSE CASE MANAGER - Utilization Review (Full Time Days) (Posted 7/30/14) Tenet Healthcare Fountain Valley, CA

plan does not meet criteria, the UR nurse will refer case to attending physician. ... If no determination, the UR nurse will refer the case to the Medical Director... more

Jul 28 Clinical Care Reviewer, RN - Per Diem AmeriHealth Philadelphia, PA

Management, the Clinical Care Review Nurse is responsible for completing medical ... Nebraska, and Harrisburg. Registered Nurse graduated from an accredited Diploma,... more

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