Massachusetts Licensed RN ReviewerVirtualVocations • Mesquite, Texas, United States
Massachusetts Licensed RN Reviewer
VirtualVocations • Mesquite, Texas, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for an RN Utilization Management Reviewer.
Key Responsibilities :
Conduct pre-certification, concurrent, and retrospective reviews focusing on utilization management and care coordination
Evaluate members' clinical status and develop cost-effective, medically necessary plans of care
Monitor clinical quality concerns and interact with various healthcare providers to gather necessary clinical information
Key Qualifications :
3-5 years of relevant experience in clinical healthcare settings
Utilization Management experience preferred
Active RN licensure in Massachusetts; additional state licensure is a plus
Proficient with multiple IT systems
Bachelor's degree in nursing (BSN) preferred for Registered Nurses
serp_jobs.job_alerts.create_a_job
Rn • Mesquite, Texas, United States
Job_description.internal_linking.related_jobs
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more
Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_more
Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_more
Shift Details : Full-time days, 3-12 hour shifts, 7 : 00 am - 7 : 00 pm Weekend Requirement : 4-weekend shifts per 6-week scheduling period Experience Requirements : 2 years of nursing experience, Oncol...serp_jobs.internal_linking.show_more
X3 Day (United States of America).The Clinical Team Leader performs direct patient care as the charge nurse and maintains a safe and therapeutic environment.
Graduate from an accredited school of nu...serp_jobs.internal_linking.show_more
SmithRx is a rapidly growing, venture-backed Health-Tech company.Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug ...serp_jobs.internal_linking.show_more
About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities.Baylor Scott and White is the largest not-for-profit healthcare system in Texas ...serp_jobs.internal_linking.show_more RN CVOR experience) Job Summary Shift : FT / Day, 3 - 12, 7 : 00am -7 : 00pm call requirement The Operating Room (OR) Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professi...serp_jobs.internal_linking.show_more 
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities.As a RRT PRN with Medical City Las Colinas you can be a part of an organization that is devoted t...serp_jobs.internal_linking.show_more Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more 
Fusion Medical Staffing is seeking a skilled Telemetry RN for a 13-week travel assignment in Plano, Texas.As a member of our team, you'll have the opportunity to make a positive impact on the lives...serp_jobs.internal_linking.show_more JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_more 
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.We are ...serp_jobs.internal_linking.show_more
Description $10,000 SIGN ON BONUS Introduction Do you have the career opportunities as a RN Coordinator you want in your current role? We invest in what matters most to nurses like you - at home, a...serp_jobs.internal_linking.show_more
Do you want to join an organization that invests in you as a(an) RN Labor and Delivery? At Medical City Lewisville, you come first.
HCA Healthcare has committed up to $300 million in programs to sup...serp_jobs.internal_linking.show_more
Description Introduction- This Position May Qualify for Up to a 10K Sign on Bonus! Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and servi...serp_jobs.internal_linking.show_more Do you have the PRN career opportunities as a(an) RN Nurse Resource Unit you want with your current employer? We have an exciting opportunity for you to join Medical City Arlington which is part of...serp_jobs.internal_linking.show_more The Heart Hospital - Plano • Position : RN Non-Invasive Cardiology • Shift : Full-time, Days, 3x12s About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, famil...serp_jobs.internal_linking.show_more 
This position will help to support the.This position can be a level 1, 2 or Sr based on relevant candidate experience.Texas and southeastern Oklahoma.
Our founders pioneered community-based cancer c...serp_jobs.internal_linking.show_more
X3 Day (United States of America).The Clinical Team Leader performs direct patient care as the charge nurse and maintains a safe and therapeutic environment.
Graduate from an accredited school of nu...serp_jobs.internal_linking.show_more
Inpatient DRG Sr. Reviewer
Zelis Healthcare, LLC • Plano, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Care Review Clinician (RN)
Molina Healthcare • DALLAS, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Care Review Clinician (RN)
Molina Healthcare Careers • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN Med Oncology Days
Baylor Scott & White Health • Grapevine, Texas, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN Clinical Team Lead - FT - Days - Neuro / Pulmonary
Methodist Health System • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director, Clinical Review
SmithRx • Plano, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Transition Clinic
Baylor Scott & White Health • Dallas, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN CVOR
Baylor Scott & White Health • Dallas, Texas, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RRT PRN
Medical City Las Colinas • Irving, TX, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Inpatient DRG Reviewer
Zelis Healthcare, LLC • Plano, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Telemetry RN
Fusion Medical Staffing • Plano, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Care Review Clinician, Inpatient Review (RN)
Molina Healthcare Careers • Dallas, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Bill Review Director
Ethos Risk Services • Irving, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Coordinator
HCA Healthcare • Plano, Texas, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN LD
Medical City Healthcare • Lewisville, TX, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN Oncology
Medical City Healthcare • Dallas, Texas, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN NRU PRN
Medical City Healthcare • Arlington, TX, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN Non-Invasive Cardiology
Baylor Scott & White Health • Plano, Texas, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
LVN Sr.-Rockwall
The US Oncology Network • Rockwall, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
RN Clinical Team Leader - Operating Room
Methodist Health System • Richardson, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted