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Jul 22 Registered Nurse (RN) Medical Bill Review Healthcare Scouts Fort Worth, TX

and skill set? This Registered Nurse (RN) Medical Bill Review position in Fort ... professional growth. As a Registered Nurse (RN) Medical Bill Review you will be... more

Jul 22 RN - Registered Nurse - Utilization Review Core Medical Group Espanola, NM

Client in New Mexico seeking Hospital / Acute Care Case Manager to work days. Work with other travelers while gaining valuable experience in this highly sought after location! Top... more

Jul 21 RN Utilization Review Maxim Healthcare Services Mason, OH

We are currently searching for several Utilization Review/Management RNs to work full time for a Managed Care organization in Mason, OH. If you are interested in this position... more

Jul 21 RN/ Review Nurse Total Clerical Services East Windsor, NJ

Our client is looking for a RN/ Review Nurse in East Windsor, NJ ... backgroundRequirements Active, unrestricted RN license, NJ with 5 years of clinical... more

Jul 20 Registered Nurse Medical Data Reviewer Cameron Craig Group Syracuse, NY

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

Jul 18 Registered Nurse (RN) Case Manager - Concurrent Review Healthcare Scouts El Centro, CA

Skills The ideal Registered Nurse (RN) Case Manager – Concurrent Review ... managed care, registered nurse, RN, utilization review, UR, medical necessity,... more

Jul 18 CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT Tenet Healthcare Lakewood, CA

regulations. Qualifications : * Current CA RN license * 3+ years experience * Three to five years experience in Utilization Review, Medical Coding or Health Experience... more

Jul 18 RN Utilization Review Per Diem Siena campus St Rose Dominican - Siena Henderson, NV

Summary: The Utilization Review Nurse is responsible for coordinating healthcare ... verbal and written. Licensure Required: RN = Current license as a Registered Nurse in the... more

Jul 17 Nursing Project Coordinator Peer Review Short Hour(259402) Kaiser Permanente Oakland, CA

California RN license required. Additional Requirements: • Specific subject matter ... of Nurse Practice Act, The Joint Commission, and other local, state, and federal... more

Jul 17 Nursing Project Coordinator Peer Review Short-Hour(259405) Kaiser Permanente Oakland, CA

California RN license required. Additional Requirements: • Specific subject matter ... of Nurse Practice Act, The Joint Commission, and other local, state, and federal... more

Jul 17 Lead Claims Review Analyst (Nurse Reviewer) Ces Peoria, AZ

and has an active license as a Registered Nurse (RN). Must have no adverse actions pending or taken against him/her by any State or Federal licensing board or program; and must... more

Jul 16 Utilization Review RN Coordinator Maricopa Integrated Health System Phoenix, AZ

and the health care delivery system. The RN Utilization Review Coordinator is ... (3) years of recent acute clinical RN hospital experience; preferably in Case... more

Jul 10 Registered Nurse (UTILIZATION REVIEW LEAD NURSE) U.S. Department of Veterans Affairs New Orleans, LA

Serves as the Lead Nurse/VIP Liaison, Utilization Review for the Office of Cultural Transf ... Most Recent SF-50 (if applicable) * 1-Full-Time * 0610-Nurse * Active * https://Applicati... more

Jul 08 Utilization Review Nurse RN Novant Health Salisbury, NC

adhere to regulatory compliance. The UR RN coordinates and conducts initial, ... Current RN licensure in appropriate state required. BLS... more

Jul 08 Utilization Review Registered Nurse (RN) Healthcare Scouts Lafayette, LA

as a Utilization Review Registered Nurse (RN). This position requires an ... as: * Clear and active Registered Nurse (RN) license for LA * InterQual or Milliman... more

Jul 04 Director of Quality, Risk, Case Management and Utilization Review, RN, BSN, North Tx. Hospital Southern Medical Recruiters Denton, TX

Case Management and Utilization Review, RN, BSN, North Tx. Hospital Director of ... Case Management experience. Must be an RN, BSN, Masters nice. Hospital is state of... more

Jul 01 Case Reviewer (RN or PA) Execu|search Group New York City, NY

Case Reviewer (RN or PA) Case Reviewer (RN or PA) Location: Manhattan, NY Salary: ... seeking a licensed Registered Nurse (RN) or Physician Assistant (PA) for a... more

Jun 26 Clinical Care Reviewer RN--Utlization Management Medicaid HMO AmeriHealth Caritas Baton Rouge, LA

It is within the nurse’s discretion to pend requests for additional information and/or req ... The nurse will use his/her professional judgment to evaluate the request to ensure that ap... more

Jun 17 RN Care Coordinator Utilization Review TDA Baylor Health Care System Dallas, TX

Location: Dallas, TX The Utilization Review Nurse provides clinical review against ... – 9am to 9pm Qualifications * RN * 1 year of related experience Strongly preferred: *... more

Jun 10 RN Manager Utilization Review (232492-005) Concentra Fort Lauderdale, FL

Job Description: RN Quality Manager for HEDIS. The Manager is responsible ... Nurse • 3+ years’ experience in Utilization and Quality Improvement • HEDIS... more

Jun 05 Utilization Review Nurse Novant Health Charlotte, NC

adhere to regulatory compliance. The UR RN coordinates and conducts initial, ... Current RN licensure in appropriate state required. BLS... more

May 27 Manager of UR Case Management (RN) - Utilization Review Health Career Services Salinas, CA

Center needs Manager of UR Case Management (RN) in Salinas, CA. 1+yrs exp Manager of Case Management in Hospital Acute Setting Required. Knowledge of ICD-9-CM and CPT codes... more

May 20 Clinical Care Reviewer RN --Utilization Management Medicaid HMO AmeriHealth Caritas Baton Rouge, LA

It is within the nurse’s discretion to pend requests for additional information and/or req ... The nurse will use his/her professional judgment to evaluate the request to ensure that ap... 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

Jan 23 Registered Nurse Review Analysts Jawood Detroit, MI

data via PC and/or CRT terminal. Registered Nurse with current Michigan driver\'s license. Associate Degree or nursing diploma required. Two 2 years patient care experience. more

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