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

adhere to regulatory compliance. The UR RN coordinates and conducts initial, ... * Licensure/certification/registration: Current RN licensure in appropriate state required... more

Oct 20 Concurrent Review RN - Full-time Maxim Staffing Solutions Merced, CA

as assigned. The Concurrent Review Nurse performs preauthorization, concurrent and ... a current, valid California Registered Nurse license, a minimum of a year of experience... more

Oct 20 Managed Care Reviewer/RN - Case Mgt - Full-time HCA East Florida Division Atlantis, FL

Job Description Managed Care Reviewer/RN - Case Mgt - Full-time(Job Number:02873-5738) Work Location: United States-Florida-Atlantis-JFK Medical Center - Palm Beach Schedule:... more

Oct 20 RN - Registered Nurse - Utilization Review Core Medical Group Fresno, CA

Client in California seeking RN Case Manager to work 8 hour days with some possible ... a travel allied professional or a traveling nurse with CoreMedical Group, you are... more

Oct 18 Registered Nurse Quality Data Reviewer Fulltimegigs Syracuse, NY

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

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

best work. (sm) As the Clinical Claim Review RN your responsibilities will be as follows: ... to random drug testing. Job Keywords: RN, registered nurse, United Health Group,... 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 ... degree required 2+ years RN experience in medical / surgical / geriatric / LTC /... more

Oct 17 Staff Nurse (Revenue Utilization Review) U.S. Department of Veterans Affairs Washington, DC

dependability and reliability. VA Nurse Qualifications: Nurse I Level I - An Associate ... * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov.. more

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

• Current RN license in California. Additional Requirements: • Must be able to work in a ... in California. Additional Requirements: • CIC certificate required within one (1)... more

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

• Current RN license in California. Additional Requirements: • Must be able to work in a ... in California. Additional Requirements: • CIC certificate required within one (1)... 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 15 RN, Director Care Management & Utilization Review AmeriHealth Charleston, SC

preferred. Active and unrestricted RN license. 8-10 years progressive experience in healthcare delivery required with at least. 5 years experience in managed healthcare. Minimum... more

Oct 15 RN-CASE MANAGER (Utilization Review) U.S. Department of Veterans Affairs Palo Alto, CA

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available http://vaww4.v ... * 1-Full-Time * 0610-Nurse * Active * https://ApplicationManager.gov.. 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 10 Utilization Review RN, Utilization Mgmt, FT, 7P-7:30A Baptist Health South Florida Miami, FL

centered care environment. Our Professional Nurse Advancement Program recognizes and ... Qualifications BSN preferred FL RN license required Minimum of 3 years clinical RN experie... more

Oct 10 Utilization Review Nurse Novant Health Charlotte, NC

adhere to regulatory compliance. The UR RN coordinates and conducts initial, ... * Licensure/certification/registration: Current RN licensure in appropriate state required... more

Oct 02 Registered Nurse RN, Utilization Review Right Solutions Harrison, MT

medical services. This Registered Nurse RN, Utilization Review position requires ... of client needs. The Registered Nurse RN, Utilization Review position will require... 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. ... Education: Knowledge necessary to obtain RN license in the state of California and... more

Sep 27 Temp HEDIS RN Medical Record Reviewer Boston Medical Center Healthnet Plan Manchester, NH

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

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 ... 8am – 4:30pm Qualifications * RN * 1 year of related experience Strongly preferred: *... more

Aug 22 Medical Review Nurse–Licensed Vocational Nurse (LVN)/Registered Nurse (RN) Healthcare Scouts New Braunfels, TX

The Medical Review Nurse – Licensed Vocational Nurse (LVN)/Registered Nurse (RN) role give ... The ideal Medical Review Nurse – Licensed Vocational Nurse (LVN)/Registered Nurse (RN) can... more

Aug 20 Supervisor of Utilization Review (RN) Registered Nurse Healthcare Scouts Waltham, MA

as: * Clear and active Registered Nurse (RN) license for MA * Understanding quality ... Manager, Supervisor, Leadership, Registered Nurse, Managed Care, Compliance,... 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. ... Education: Knowledge necessary to obtain RN license in the state of California and... more

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

Position Qualifications/Requirements: Current RN licensure; positions are available in Phi ... Nebraska, and Harrisburg. Registered Nurse graduated from an accredited Diploma,... more

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