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Nov 01 Nurse Manager (Utilization Review) Veterans Affairs, Veterans Health Administration Smyrna, TN

Duties: As the Nurse Manager (Utilization Review), the incumbent is accountable to the ... and compliance guidelines. Duties of the Nurse Manager may include and are not limited... more

Oct 31 Registered Nurse RN, Utilization Review Right Solutions Bellingham, WA

requiring medical services. This Registered Nurse RN, Utilization Review position ... amazing opportunities in employment with customer service only a nurse can... more

Oct 31 HEDIS Nurse Chart Review Medisys Wayne, PA

Company Description: MEDISYS is a specialized firm for nurses with skills in medical record review (MRR) in a variety of settings. MEDISYS® focuses on large scale healthcare data... more

Oct 31 Registered Nurse (RN) - Concurrent Review Healthcare Scouts French Camp, CA

managed care organization. The Registered Nurse (RN) – Concurrent Review will review ... ensure medical necessity. The Registered Nurse (RN) – Concurrent Review will ensure... more

Oct 31 Registered Nurse (RN), Concurrent Review Healthcare Scouts French Camp, CA

is currently seeking a Registered Nurse for Concurrent Review. In this ... much more! Required Skills * 2+ years of Nurse experience * Strong clinical skills *... more

Oct 31 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 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

Oct 30 Utilization Review Nurse Spectrum Utilization Review Highland Park, IL

Company Description: We provide utilization review services for Hospitals, Nursing Homes, Clinics, Medicare/Medicaid, Physician Offices Job Description: We are looking for... more

Oct 30 Nurse Manager (Utilization Review) U.S. Department of Veterans Affairs Smyrna, TN

Lean Six Sigma certification. VA Nurse Qualifications: Nurse I Level I - An Associate ... * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov.. more

Oct 29 ACS Surgical Case Reviewer (Registered Nurse) Barnabas Health Newark, NJ

Description: The Surgical Clinical Reviewer?s chief responsibility is to collect and ... presentations Requirements: Registered Nurse Quality Abstractor for the American... more

Oct 29 Nursing Project Coordinator Peer Review Short Hour(259402) 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 29 Nursing Project Coordinator, Peer Review 3 -6 Month Contract(245469) 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 28 Utilization Review Specialist - Oasis Review RN - Kindred at Home - East Region - Full Time Kindred- Kindred Hospital 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

Oct 28 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

Oct 22 UTILIZATION REVIEW NURSE -FULL TIME - COAST HEALTHCARE Tenet Healthcare Lakewood, CA

The Utilization Review Nurse oversees the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and cost effective... more

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

of dependability and reliability. VA Nurse Qualifications: Nurse I Level I- Associate ... A current VA Form 10-2850a Application for Nurses and Nurse Anesthetics http://www4.va.gov... more

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

Oct 18 Clinical Claim Review RN - Telecommute Salt Lake City, Utah or Las Vegas, NV UnitedHealth Group West Valley City, UT

drug testing. Job Keywords: RN, registered nurse, United Health Group, UHG, UnitedHealth Group, case management, utilization review, clinical claims review, West Valley, Salt Lake... more

Oct 16 MEDICAL REVIEW RN Dignity Health Rancho Cordova, CA

Position Summary: The primary function of this role is remote response to Dignity Health hospitals to conduct emergency department admission screening reviews. Through... 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 14 Healthcare Physician Practice Consultant / Medical File Review Nurse UnitedHealth Group New York City, NY

Managed Care, RN, registered nurse, nurse practitioner, RPN, Medical File Review, Medical Coding Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune... more

Sep 27 Temp HEDIS RN Medical Record Reviewer Boston Medical Center Healthnet Plan New Bedford, MA

issues to the Quality Improvement Nurse * Meets or exceeds accuracy standard of 95% ... Successfully completes Medical Record Reviewer training and Inter Rater Reliability... more

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

Korak Global Healthcare Services LLC is seeking Nurses to work in Utilization Review-Appeals & Grievances; and Inpatient/Outpatient Location: Glen Burnie, MD Type: Contract (One... more

Sep 23 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

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

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