Massachusetts Licensed RN ReviewerVirtualVocations • Pasadena, Texas, United States
Massachusetts Licensed RN Reviewer
VirtualVocations • Pasadena, 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 • Pasadena, Texas, United States
Job_description.internal_linking.related_jobs
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN...serp_jobs.internal_linking.show_more
Job Summary And Responsibilities As a Registered Nurse you will be responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goal...serp_jobs.internal_linking.show_more
List of Benefits Unlike working for agency after agency, with our travel program, you get to work for a company : Work with 1 recruiter from start to finish and assignment to assignment Local and No...serp_jobs.internal_linking.show_more
Description Summary : The Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters...serp_jobs.internal_linking.show_more
Job Summary And Responsibilities.Responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goals, planning and implementing interv...serp_jobs.internal_linking.show_more
Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.
HCA Houston Healthcare Clear Lake have the op...serp_jobs.internal_linking.show_more
Equity Staffing is seeking a skilled Clinical Quality LPN for a temporary-to-hire position.This onsite opportunity is located in San Antonio, TX.
Our client is a leading healthcare organization dedi...serp_jobs.internal_linking.show_more
Position Summary Under the Nursing Leadership direct supervision, the RN provides comprehensive nursing care to patients with complex medical, neurodevelopmental and psychiatric health needs in ac...serp_jobs.internal_linking.show_more
American Medical Staffing is seeking a travel nurse RN Rehabilitation for a travel nursing job in Humble, Texas.Job Description & Requirements.
We’re living in the new normal.Lives and car...serp_jobs.internal_linking.show_more These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN...serp_jobs.internal_linking.show_more These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN...serp_jobs.internal_linking.show_more Job Summary And Responsibilities Responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goals, planning and implementing inter...serp_jobs.internal_linking.show_more 
Clinical Documentation Integrity Manager.At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our commu...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
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of ...serp_jobs.internal_linking.show_more
Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.
As a national leader in home-bas...serp_jobs.internal_linking.show_more These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN...serp_jobs.internal_linking.show_more These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN...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
Every great life-changing discovery begins the same way-with new knowledge.It can change everything, from a single life to the future of entire communities.
That's why academic medicine, and the con...serp_jobs.internal_linking.show_more
RN / LVN Regional Clinical Liaison - Sugar Land, TX
Skilled Wound Care • Sugar Land, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
CVRR RN
CHI • Houston, 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
Vibra Travels • Webster, 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 Lead (Houston)
Christus Health • Trammells, 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 II
CHI • Houston, 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
Manager RN Rehab Inpatient Services
HCA Houston Healthcare • Webster, 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
Clinical Quality LPN
Equity Staffing Group • Houston, 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
Nexus Health Systems • Spring, 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
Travel Inpatient Rehabilitation RN
American Medical Staffing • Humble, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN / LVN Regional Clinical Liaison - Pearland, TX
Skilled Wound Care • Pearland, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN / LVN Regional Clinical Liaison - Katy, TX
Skilled Wound Care • Katy, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN
CHI • Houston, 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
Regional Manager Clinical Documentation Integrity (Remote)
Memorial Hermann • Houston, TX, US
serp_jobs.filters.remote
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 • HOUSTON, 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, PA (RN)
Molina Healthcare • Houston, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Home Health,
Enhabit Home Health & Hospice • Baytown, 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 / LVN Regional Clinical Liaison - Richmond, TX
Skilled Wound Care • Richmond, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN / LVN Regional Clinical Liaison - Houston, TX
Skilled Wound Care • Houston, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Care Review Clinician, Inpatient Review (RN)
Molina Healthcare Careers • Houston, 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
Research Regulatory Supervisor - 100% Remote
Medical College of Wisconsin • Houston, Texas, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted