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 Review Nurse - Appeals
A company is looking for a Clinical Review Clinician - Appeals (RN). ...
Clinical Review Nurse
A company is looking for a Clinical Review Nurse responsible for reviewing health claims and making medical determinations. ...
Travel Registered Nurse - Telemetry in Salt Lake City, UT - Excellent Benefits 2024-10-21
TravelNurseSource is working with Titan Medical Group to find a qualified Telemetry RN in Salt Lake City, Utah, 84101!. In times of public health crises, travel nurses often play essential roles in vaccination campaigns, disease control efforts, and other initiatives that contribute to the well-bein...
Travel Nurse - Registered Nurse - TELE - Telemetry - $1927.08 / Week
TRS Healthcare is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Salt Lake City, UT. TRS Healthcare is seeking a Registered Nurse that is licensed in UT to work in the specialty area of Telemetry Unit. The Registered Nurse assumes responsibility and accountab...
Utilization Management Nurse Advocate (Remote)
This is a US based remote position. Nurse Advocate on a group of products that represent pioneering advances in the field of molecular diagnostics. The Nurse Advocate reports to the Director of Prior Authorizations and will serve as a key thought partner for the Vice President and Managers, as well ...
Utilization Management Case Manager - PA RN
A company is looking for a Case Manager - Utilization Management. ...
Quality Assurance & Clinical Services Manager, RN
The Quality Assurance and Clinical Services Manager will work closely with the VP of Quality Assurance & Clinical Services and the Quality Assurance team. The Quality Assurance and Clinical Services Manager has clinical expertise and is familiar with the field talent practices and procedures. Th...
Hospice Case Manager- RN
We are looking for an experienced RN Case Manager to join our growing hospice team! . We provide extraordinary learning and earning opportunities for RNs. We provide extraordinary learning and earning opportunities for RNs. Full Time and Part Time Hospice Case Managers. ...
Clinical Supervisor (BCBA)
The Center for Learning and Autism Support Services, Inc. Provide individualized field training for all staff, including mentoring Clinical Assistants to support career advancement. Reasons the Center for Learning and Autism Support Services, Inc. The Center for Learning and Autism Support Serv...