A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate member care.
Key ResponsibilitiesConduct concurrent reviews to assess member health and appropriate level of careCollaborate with healthcare providers and document findings in health management systemsProvide education to providers on utilization processes and assist with discharge planningRequired QualificationsGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, with 2+ years in acute careLicensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) requiredKnowledge of Medicare and Medicaid regulations preferredFamiliarity with utilization management processes preferred
Clinical Review Nurse - NY Licensed
A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate member care. ...
Licensed Clinical Review Therapist
A company is looking for a Clinical Review Therapist - Physical Health. ...
Clinical Review Nurse
A company is looking for a Clinical Review Nurse responsible for reviewing health claims and making medical determinations. ...
Registered Nurse RN Medical Cardiology Full Time Nights
Licensure: Current Licensure as a Registered Nurse RN in Connecticut. This is to say that 9-9 nurses are exposed to a great variety of patient populations beyond cardiac. This unit has expert level charge nurses who are available as a clinical resource to all staff, new and old, and who ensure the u...
RN Case Manager
Keywords: Case Management; Case Manager; Registered Nurse; RN; BSN; Connecticut; utilization management. As a Registered Nurse RN Case Manager - Emergency Department, you will serve as a driver of a collaborative, process which coordinates, monitors, and plans health care services throughout the pat...
Registered Nurse (RN)
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nu...
Registered Nurse (RN)
Make as high as $82 an hour as a Registered Nurse (RN) in West Hartford, CT (and surrounding areas), as a W2 employee with the freedom to set your own schedule. BenefitsRegistered Nurse (RN) hourly pay range: $50-$82 (25% higher than average)Choose the facilities and shifts that best fit your needs ...
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 Social Work Care Manager (LCSW) - Inpatient Psychiatry
Under the Direction of the Inpatient Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities on a 17 bed Adult unit. Two years with behavioral health...
Registered Nurse (RN)
Valid state license as a Registered Nurse (RN). As a Registered Nurse, you'll play a pivotal role in ensuring the health, comfort, and overall well-being of our residents. Overseeing and guiding Licensed Practical Nurses (LPNs) and Certified Nurse Assistants (CNAs) in delivering quality care. If...