A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate the quality of care for members.
Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate level of careDocument review findings and collaborate with healthcare providers on medical determinationsProvide education to providers on utilization processes and improve care qualityRequired Qualifications and EducationGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, with 2+ years in acute careKnowledge of Medicare and Medicaid regulations preferredKnowledge of utilization management processes preferredLPN - Licensed Practical Nurse - State Licensure required
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. ...
Clinical Operations Lead / Licensed Vocational Nurse - LVN YO003
Clinical experience: 3+ years of clinical experience. B; Clinical Operations Lead (LVN) in Bay Area for a Full-time and Permanent position. Clinical skills: vitals, phlebotomy, wound care, injections, POC testing, EKG, catheter care, etc. Clinical qualification: LVN (...
Inpatient Review Nurse - CA Licensed
A company is looking for an Inpatient Review Nurse (RN/LVN) with California licensure to join their utilization management team. ...
Licensed Clinical Review Therapist
A company is looking for a Clinical Review Therapist - Physical Health. ...
Travel Nurse RN - Case Manager, Utilization Review - $2,504 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Castro Valley, California. Posted job title: Case Management (Utilization Review). The hospital is looking for someone to start in late October, Seeking experience with Utilization Review and ...
Travel Nurse RN - Case Manager - $3,031 per week in Greenbrae, CA
TravelNurseSource is working with Lead Health to find a qualified Case Manager RN in Greenbrae, California, 94904!. Travel Nurse, Traveler, Contract Nurse - whatever you like to be called, Lead has the perfect position for you! We are looking for a Case Management Registered Nurse (RN) for our clien...
Travel Nurse - RN - Case Manager - $2530 / Week
KPG Healthcare Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Oakland, CA. Travel Case Management Registered Nurse (RN) - $2,530 per week in taxable pay and non-taxable stipend amount. Requirements for a Travel Case Management Registered Nurse (...
Travel Nurse - Registered Nurse - ER - Emergency Room - $2541 / Week
Meda Health is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Oakland, CA. ...
(RN) Per Diem Registered Nurse - Medicine IMU/PCU - 132765
RN) Per Diem Registered Nurse - Medicine IMU/PCU - 132765. We have new graduate nurses just starting their journey into the nursing profession as well as season nurses with over 20 years of experience. RN) Per Diem Registered Nurse - Medicine IMU/PCU - 132765. RN) Per Diem Registered Nurse - Medicin...
Utilization Review Specialist - PHP
A company is looking for a Utilization Review Specialist for a Partial Hospitalization Program (Remote). Minimum of 2 years' experience in a behavioral health setting, preferably in utilization review or partial hospitalization programsStrong knowledge of payer regulations and medical necessity crit...