Utilization Review Nurse - RN
A company is looking for a Utilization Review Nurse for remote work.Key ResponsibilitiesReview electronic medical records for emergency admissions and assess medical necessity using InterQual or MCG criteriaEngage in telephonic discussions with emergency department physicians regarding documentation and admission statusEnter clinical review information into the system for insurance authorization transmissionRequired QualificationsCurrent RN licensureAt least 3 years of clinical experience in an acute care setting (emergency room, critical care, or medical / surgical nursing)A minimum of 2 years of utilization management experience in acute admission and concurrent reviewsIntermediate experience with InterQual and / or MCG criteria within the last two yearsProficiency in medical record review in an electronic medical record (EMR) system
Preservice Review Nurse RN - Remote
Collaborate with applicable internal stakeholders as needed to drive the clinical coverage review process (e. RN) in the applicable state, as indicated in the function description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade l...
Remote Preservice Review Nurse RN
A company is looking for a Preservice Review Nurse RN to review medical necessity requests and manage case documentation. ...
Utilization Review Nurse
We're hiring a Utilization Review Registered Nurse to join our Clinical Review team. As the Utilization Nurse you will perform frequent case reviews, check medical records and speak with care providers regarding treatment. Active, unrestricted RN licensure from the United States OR, active compa...
Utilization Review Nurse
A company is looking for a Utilization Review Registered Nurse to join their Clinical Review team. ...
Preservice Review Nurse RN - Remote
CPS_Review Existing Clinical DocumentationReview/interpret clinical/medical records submitted from provider (e. RN) in the applicable state, as indicated in the function description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade...
Medical Review Nurse Analyst - RN
A company is looking for a Medical Review Nurse Analyst RN to review medical documentation submitted to Medicare. ...
Utilization Review Case Mgr Non-RN
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness.One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater pros...
Travel Registered Nurse - Utilization Review - Relocation to Memphis, TN
Do you thrive in a dynamic, fast-paced environment and enjoy the flexibility of travel nursing? If so, we have an exciting opportunity for you! We are seeking a dedicated Travel RN specializing in Utilization Review to join our team. Are you an experienced Registered Nurse (RN) with a passion for en...
Behavioral Health RN - Utilization Review
Behavioral Health RN - Utilization Review - FULLY REMOTE POSITION. Arizona RN or Compact Multistate RN License. Arizona RN or Compact Multistate RN License. MUST HAVE ARIZONA OR COMPACT RN LICENSE. ...
Utilization Review Case Mgr Non-RN
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness.One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater pros...