A company is looking for a Clinical Review Nurse - Concurrent Review.Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriateness of careDocument findings and maintain member medical records in health management systemsCollaborate with healthcare providers and care management on discharge planning and referralsRequired 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 - Prior Authorization
Centene is currently seeking a Clinical Review Nurse - Prior Authorization to join our team. Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria. LPN - Licensed Practical Nurse - ...
Clinical Review Clinician New York Licensed
A company is looking for a Clinical Review Clinician - Appeals. ...
Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Prior Authorization to analyze prior authorization requests for medical necessity and appropriate levels of care. ...
Travel Registered Nurse ($2850-$3750/Week)
Vetted Health is actively hiring Travel Registered Nurses (RNs) for 13-week assignments across the United States. Minimum 1 year of Registered Nursing experience required. ...
Adult Day Center Registered Nurse
Florida Atlantic University is seeking an Adult Day Center Registered Nurse - Boca Raton, FL. Administers medications following guidelines and as ordered by a physician or an advanced registered nurse practitioner. Licensed as a registered nurse in accordance with Chapter 464, Florida Statues, or el...
Staff - Level II Registered Nurse (RN) - Infusion
University of Miami is seeking a Registered Nurse (RN) Infusion Level II for a nursing job in Hollywood, Florida. The University of Miami, Aventura Chemotherapy Infusion Clinic has an exciting opportunity for a CTU/Infusion/Oncology Registered Nurse 2. The incumbent will be a professional Registered...
Licensed Practical Nurse - Skilled Nursing Facility
In the Nurse Practice Act, the practice of practical nursing means the performance of selected acts, including the administration of treatments and medications, in the care of the ill, injured, or infirm and the promotion of wellness, maintenance of health, and prevention of illness of others under ...
Licensed Vocational Nurse - Remote
A company is looking for a Licensed Vocational Nurse or a Licensed Practical Nurse to join their Primary Care team. ...
Licensed Clinical Social Worker
A Licensed Clinical Social Worker (LCSW) contributes to AHF by bringing their expertise mental health lense in working with the diverse populations served in our medical centers. A Licensed Clinical Social Worker enhances the reputation of AHF by serving as a part of a multidisciplinary medial treat...