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Aug 27 Travel Utilization Review Registered Nurse (RN) Next Medical Staffing Sitka, AK

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

Aug 27 Preservice Review RN Optum Medical Network UnitedHealth Group Las Vegas, NV

Medicare & Retirement guidelines). The RN is expected to approve those requests that ... Keywords:Pre Service, Prior Authorization, RN, Milliman, Acute, Rehab, Medical Surgical,... more

Aug 27 Registered Nurse Case Manager / Utilization Review - Full Time Days Job Centura Health Denver, CO

years of clinical experience as a Registered Nurse. 2 years experience in Case Management/ Utilization review and discharge planning in hospital setting. Knowledge of community... more

Aug 27 Medical Reviewer RN Blue Cross Blue Shield of New Mexico Albuquerque, NM

active, unrestricted Registered Nurse (RN) license in the state of operations(or ... operations, must obtain active, unrestricted RN licensure in the state of operations... more

Aug 26 Utilization Review RN Sedgwick Chicago, IL

Review RN Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT ... accredited college or university preferred. RN licensure and CPUR or equivalent... more

Aug 26 RN - Utilization Review Unimed Direct Plano, TX

Registered Nurse for WC Utilization Review Seeking experienced Utilization Review RN at our Plano office location. Familiarity with ODG, ACOEM and other evidence based guidelines... more

Aug 26 Registered Nurse (RN) Manager Utilization Review (232492-005) Concentra Fort Lauderdale, FL

Experience * Must be a Registered Nurse (RN) with five (5) years clinical experience, ... * Maintain current State of Florida RN License * Minimum two (2) years of... more

Aug 26 Utilization Review Nurse (RN-Skilled Nursing Facility review Humana Louisville, KY

## Description **Role: Utilization Review Nurse (RN)** **Assignment: Medicare/SNF** **Loca ... Qualifications **Role Essentials** * Active RN license in the state(s) in which the nurse... more

Aug 25 Medical Bill Review- Registered Nurse (RN) Healthcare Scouts Fort Worth, TX

Medical Bill Review-Registered Nurse (RN) works Monday thru Friday during “normal ... Comp, Insurance, LNC, Legal Nurse Consultant, RN, Registered Nurse, R.N., Attorney, WC,... more

Aug 25 RN-Utilization Review Nychsro/medreview New York City, NY

management services corporation now hiring RN for its Review Dept. Position is 9-5 Monday-Friday with great benefits including 5 weeks time off. Must either have Utilization... more

Aug 24 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

Aug 24 Registered Nurse Medical Data Reviewer Fulltimegigs Syracuse, NY

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

Aug 21 Medical Reviewer RN Blue Cross Blue Shield New Mexico Albuquerque, NM

active, unrestricted Registered Nurse (RN) license in the state of operations(or ... operations, must obtain active, unrestricted RN licensure in the state of operations... more

Aug 21 Registered Nurse (RN) Case Manager - Concurrent Review Healthcare Scouts Corpus Christi, TX

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

Aug 16 Utilization Review Nurse RN 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

Aug 14 RN Clinical Claims Review - Work from Home anywhere in the US UnitedHealth Group Phoenix, AZ

Qualifications: * Current, unrestricted RN license in your state of residence * ... subject to random drug testing. Keywords: RN, Claims Review, Claims, Clinical claims... more

Aug 14 Quality Review Registered Nurse (RN) Part Time Lifetime Care Rochester, NY

1. Supports one or more clinical teams for issues related to compliance regarding: 485’s, OASIS Assessments and other opening/recertification/SCIC/ROC paperwork. 2. Reviews... 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

Aug 04 Utilization Review Specialist - Oasis Review RN - Kindred at Home - East Region - Full Time Kindred- Kindred Hospital Indianapolis, IN

and accurate HHRG coding. Registered Nurse RN Oasis Review Utilization Review ... IN Qualifications Education: Registered Nurse, Bachelor's Degree... more

Jul 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. ... Education: Knowledge necessary to obtain RN license in the state of California and... more

Jul 29 Medical Review RN - Per-Diem Mercy Healthcare Sacramento Sacramento, CA

Sacramento CATEGORY: Nursing - Registered Nurse Position Summary: The primary ... skills * Current Registered Nurse (RN) License to practice professional... 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

Jul 25 Clinical Care Reviewer, RN - Per Diem Nurse 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

May 09 Utilization Review Nurse Novant Health Salisbury, NC

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