A company is looking for a Clinical Review Nurse - Concurrent Review to perform Medicaid reviews and evaluate member care.
Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate level of careCollaborate with healthcare providers and document findings in health management systemsProvide education to providers on utilization processes and ensure timely discharge planningRequired Qualifications and EducationGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, with at least 2 years of acute care experienceCurrent LPN - Licensed Practical Nurse - State Licensure requiredKnowledge of Medicare and Medicaid regulations preferredFamiliarity with utilization management processes preferred
Clinical Review Nurse - LPN
A company is looking for a Clinical Review Nurse - Concurrent Review to perform Medicaid reviews and evaluate member care. ...
Utilization Review Nurse - LPN
As a Utilization Management Nurse, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet reg...
California RN Clinical Review Nurse
A company is looking for a RN Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate the necessity of care for members. ...
Clinical Review Nurse - NM Licensed
A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate the quality of care for members. ...
Tele-Critical Care Clinical Coordinator FT Nights
Critical Care Registered Nurse Certificate within 12 months of hire OR Critical-Care Registered Nurse Knowledge Professional - Adult (AACN) within 12 months of hire OR Critical-Care Registered Nurse (Tele-ICU) - Adult (AACN) within 12 months of hire OR Critical-Care Registered Nurse Knowledge Profes...
Travel Registered Nurse ($2850-$3750/Week)
Vetted Health is actively hiring Travel Registered Nurses (RNs) for 13-week assignments across the United States. Minimum 1 year of Registered Nursing experience required. ...
RN - Case Manager - Travel - Los Angeles, CA - $2,289 per week
TravelNurseSource is working with Care Team Solutions to find a qualified Case Manager RN in Los Angeles, California, 91345!. Must Have 2+ Years of recent Case Manager experience. But the one thing nurse after nurse has said they want and don't have is someone in their corner. You learn to effective...
Travel Nurse - Registered Nurse - ICU - Intensive Care Unit - $2082.6 / Week
Uniti Med is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in West Hollywood, CA. ...
Travel Nurse - Registered Nurse - MS/TELE - Medical Surgical/Telemetry - $2104 / Week
Fusion Medical Staffing is seeking an experienced Medical Surgical/Telemetry Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Registered Nurse - Medical/Surgical/Telemetry. Medical/Surgical/Telemetry Registered Nurse travel assignment. Client in Los Angeles, CA is looking for ...
Travel Nurse - Registered Nurse - NICU - Neonatal Intensive Care Unit - $2082.6 / Week
Ventura MedStaff is seeking an experienced Neonatal Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...