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Apr 15 Claims Medical Review Nurse(Job Id 8393) Arizona Health Care Cost Containment System (ahcccs) Phoenix, AZ

Claims Medical Review Nurse(Job Id 8393) Post Date 02/27/2014 Close Date Category HEALTHCA ... recruiting for a Claims Medical Review Nurse, Grade 20. This position may be worked... more

Apr 15 RN - Quality Review Specialist - Quality Management(1400006468) Mercy Gilbert Medical Center Gilbert, AZ

Provides quality management guidance to physicians and staff to ensure appropriate care to patients. Ability to communicate in a professional and articulate manner with excellent... more

Apr 15 PCA Clinical Reviewer - RN, OT or Social Worker Commonwealth Medicine (cwm) Shrewsbury, MA

Director, or designee, the Clinical Reviewer II (PCA) is responsible for reviewing service authorizations. Using program guidelines and regulations; medical records; and... more

Apr 15 Chart Review Nurse Healthcare Scouts Wichita, KS

Currently seeking RN's or LVN/LPN's to come on board for an annual Hedis review project that starts at the end of February. No experience in Hedis is required but any type of... more

Apr 14 Utilization Review Nurse- Utilization Management Siena campus(1400005909) St Rose Dominican - Siena Henderson, NV

Job Summary The Utilization Review Nurse is responsible for coordinating healthcare ... of Case Management. The registered nurse employs critical thinking to integrate... more

Apr 14 RN-Registered Nurse-Temporary Care Review Clinician III-Managed Care Nurse Resolutions Long Beach, CA

Job SummaryWorks with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization... more

Apr 14 REGISTERED NURSE CASE MANAGER - Utilization Review (Part Time Varied Rotating Weekends (posted 10/10/13) 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. * The Case... more

Apr 14 RN Utilization Review Edge Recruitment Solutions Shawnee Mission, KS

for public programs. We seek a Registered Nurse with two (2) or more years experience ... or behavioral health for the role of Nurse Medical Management. In this role you... more

Apr 13 Pool Utilization Review RN, Utilization Mgmt, Per Diem, Vari Baptist Health South Florida Miami, FL

Title: Pool Utilization Review RN, Utilization Mgmt, Per Diem, VariesLocation: KendallEvaluate and monitor pre-admission and the admission process by using established criteria as... more

Apr 11 RN / Registered Nurse / Review Analyst / Precertification / UR / Utilization Review A-line Staffing Solutions Detroit, MI

A-Line Staffing has 3 openings for RN / Registered Nurse / Review Analyst / Precertification / UR or Utilization Review. Hours: Monday-Friday 8a-5p with start time flexibility... more

Apr 11 Utilization Review Registered Nurse Cancer Treatment Center Philadelphia, PA

Utilization Review Registered Nurse We Fight Cancer: Care That Never Quits® Cancer ... Utilization Review Registered Nurse is responsible for the utilization review of... more

Apr 10 Utilization Review Nurse - Utilization Mgt San Martin campus(1400005634) St Rose Dominican - Siena Henderson, NV

Job Summary The Utilization Review Nurse is responsible for coordinating healthcare ... of Case Management. The registered nurse employs critical thinking to integrate... more

Apr 09 Utilization Review Nurse - Utilization Mgt Rose de Lima campus(1400005632) St Rose Dominican - De Lima Henderson, NV

Job Summary The Utilization Review Nurse is responsible for coordinating healthcare ... of Case Management. The registered nurse employs critical thinking to integrate... more

Apr 09 Preservice Review Nurse RN Telecommuter UnitedHealth Group San Antonio, TX

551446 Job Title: Preservice Review Nurse RN Telecommuter San Antonio Job Family: Nursing Business Segment: UHC Clinical Services Job Location Information: Region: North... more

Apr 09 Pre Services Review Nurse Novant Health North Carolina

The employee's Number One Job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the... more

Apr 09 Registered Nurse (Revenue Utilization Review) U.S. Department of Veterans Affairs Richmond, VA

VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at http://www. ... mail service, etc. * 1-Full-Time * 0610-Nurse * Active *... more

Apr 08 Inpatient Care Manager, RN - Telephonic Review UnitedHealth Group Washington, UT

Inpatient Care Manager, RN - Telephonic Review - Washington Inpatient Care Manager, RN - Telephonic Review - Washington Bookmark and Share Save this job Email this job Text this... more

Apr 04 AIS - Nurse Reviewer (232266-005) Concentra Woodbridge, NJ

Medical Advisory Solutions, which include nurse case management, physician reviews, ... www.cccis.com JOB SUMMARY: The National Nurse Review position provides support to the... more

Apr 04 Registered Nurse (Utilization Review) U.S. Department of Veterans Affairs Fresno, CA

Requirements: * Nurse I Level I - An Associate Degree (ADN) ... your fax transmission. * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov... *... more

Apr 02 Clinical Care Reviewer- RN AmeriHealth Caritas Harrisburg, PA

and Training: * Registered Nurse graduated from an accredited Diploma, ... Current Pennsylvania Registered Nurse License required * Valid driver’s license and... more

Mar 19 Utilization Review Nurse Novant Health Salisbury, NC

The employee's Number One Job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the... more

Feb 25 REGISTERED NURSE CASE MANAGER - Utilization Review (Part Time Varied)Rotating Wekends (Posted 9/713 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. * The Case... more

Feb 19 Quality Review Registered Nurse RN Coordinator Lahey Health Burlington, MA

1) Participates in the development of methods for data collection and assessment for targeted patient populations. 2) Collects data on targeted patient populations through daily... more

Jan 19 Managed Care RN Quality Review Specialist Advanced Resources Chicago, IL

and Duties: Must be a Licensed Registered Nurse in the State of Illinois. Knowledge of ... positions. Must be a Licensed Registered Nurse in the State of Illinois.Knowledge of... more

Jan 19 Registered Nurse Quality Review Specialist Advanced Resources Chicago, IL

Job Number: 417080 Registered Nurse Quality Review Specialist An exciting opportunity ... positions. Must be a Licensed Registered Nurse in the State of Illinois.Knowledge of... more

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