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Sep 23 Registered Nurse-Utilization Review Veterans Affairs, Veterans Health Administration Albany, NY

The RN CBO Utilization Review/Utilization Management (UR/UM) Nurse is a patient advocate and program liaison and conducts focused reviews requiring clinical input for sensitive... more

Sep 22 Travel RN- Utilization Review Readylink Mesa, AZ

This is an amazing opportunity to further your career and see the US in the process!Shifts per 2 Weeks: 8End Date: 09/02/13Scheduled Hours: 10Shift Time: 18:00-04:30Unit Notes:... more

Sep 21 Q1 Nurse Reviewer Optima Health Virginia Beach, VA

Job Description: Job Summary: The QI Nurse Reviewer is expected to work closely ... plan. Minimum Qualifications: Registered Nurse with BSN required. If RN candidate is... more

Sep 21 Travel Utilization Review Registered Nurse (RN) Next Medical Staffing Chicago, IL

We are a national staffing agency that partners with premier healthcare facilities across the country to match your professional experience with their needs at a critical time. We... more

Sep 20 Utilization Review Nurse Professional Services Network Columbia, MD

e have an immediate opening for a Registered Nurse with acute care utilization review ... Start immediately! Contact one of our RN Nurse Recruiters now for more details about... more

Sep 20 Registered Nurse Quality Data Reviewer Fulltimegigs Syracuse, NY

INFORMATION : Registered Nurse Quality Data Reviewer (Multi-specialty practice). ... assurance. POSITION SUMMARY: T he Registered Nurse Quality Data Reviewer will provide... more

Sep 20 Registered Nurse Quality Data Reviewer Cameron Craig Group Syracuse, NY

INFORMATION : Registered Nurse Quality Data Reviewer (Multi-specialty practice). ... assurance. POSITION SUMMARY: T he Registered Nurse Quality Data Reviewer will provide... more

Sep 18 Registered Nurse (Utilization Review) U.S. Department of Veterans Affairs Tampa, FL

EDUCATION/EXPERIENCE REQUIREMENTS: ยท Nurse I Level I - An Associate Degree (ADN) or Diplom ... * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov.. more

Sep 17 Utilization Review Nurse RN Novant Health Charlotte, NC

The team member'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... more

Sep 16 Registered Nurse-Review Analys Acro Service Detroit, MI

Registered Nurse-Review Analyst, Detroit, MI Responsible for the approval or rejection of ... Medical Record Review project. Registered Nurse with current Michigan driver's license. more

Sep 15 Retro Review Case Manager LVN Utilization Review Varied Shifts(Per Diem)posted 3 3 14 Tenet Health 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 12 Medical Review RN - Per-Diem 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

Sep 12 Preservice Review RN Optum Medical Network UnitedHealth Group Las Vegas, NV

touch model of care. The Preservice Review Nurse is responsible for reviewing requests received from providers, using approved protocols and criteria (per UnitedHealthcare... more

Sep 12 Registered Nurse- (Utilization Review) U.S. Department of Veterans Affairs White River Junction, VT

The Utilization Management (UM) Nurse is a registered professional nurse, qualified by ... * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov.. more

Sep 10 Utilization Review (UR) Nurse (LVN) Healthcare Scouts New Braunfels, TX

role for you! The Utilization Review (UR) Nurse will be responsible for analyzing and ... quality assurance, licensed vocational nurse, LVN, imaging techniques, medical/surgical... more

Sep 10 Utilization Review Specialist - Oasis Review RN - Kindred at Home - East Region - Full Time Kindred at Home Indianapolis, IN

IN Qualifications Education: Registered Nurse, Bachelor's Degree preferred ... Job : Clinical Operations/Nurse Mgmt Primary Location : OH-Akron-East Region - HH Shift :... more

Sep 05 Utilization Review Nurse (RN) Healthcare Scouts Phoenix, AZ

out this opportunity as a Utilization Review Nurse (RN)! This position requires an ... Ideal candidates for the Utilization Review Nurse (RN) position will bring a minimum of... 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

Aug 27 Utilization Review Nurse Newport Academy Bethlehem, CT

Job Description Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,... more

Aug 12 Claim DRG Readmission Review RN - Telecommute opportunity UnitedHealth Group Las Vegas, NV

drug testing. key words: RN, Registered Nurse, DRG readmission review, Las Vegas, NV, Nevada, United Health Group, concurrent review, medical claim review, telecommute, work from... more

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

DIRECTOR - UNIT DIRECTOR Manages the overall operations of assigned Units/Departments on a 24-hour basis. Establishes, implements and monitors standards for care for assigned... more

Aug 04 REGISTERED NURSE CASE MANAGER - Utilization Review Full time NIGHT with rotating weekends(posted 8/4/14 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. * The Case... 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

Jul 25 Clinical Care Reviewer, RN - Per Diem Nurse 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

May 07 Anesthesia 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

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