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May 25 Utilization Review Nurse Affinity Health Plan New York, NY

New Yorkers, needs a Utilization Review Nurse who will conduct reviews of current ... Perform utilization management, utilization review, or concurrent review (on-site at a... more

May 24 Registered Nurse (Utilization Review) VN-0610-I-Iii United States Department of Veterans Affairs Gainesville, FL

available for an experienced Registered Nurse (Utilization Review) for the ... of the RUR (Registered Utilization Review) Nurse include: * Pre-certification,... more

May 24 Clinical Review Nurse Home Health Brookdale Senior Living Chicago, IL

a Registered Nurse with Home Health Clinical Review / QA Experience Training or Clinical ... through education and electronic review of clinical processes. Training and... more

May 20 Safety Review Specialist Baxter International Deerfield, IL

?Perform initial safety review and triage of adverse events to determine seriousness, ... with oversight from more senior Safety Review team members ?Working knowledge of the... more

May 14 Licensed Practical Nurse (Homeless Pact) United States Department of Veterans Affairs Phoenix, AZ

PSB is a peer review process. The PSB will review your individual qualifications, ... need only a general review by a registered nurse (RN) or physician (MD/DO) for... more

May 11 Case Manager/Concurrent Review RN Community Health Center Network/alameda Health Con San Leandro, CA

service organizations. Proactively conduct on-site concurrent and retro reviews of ... * Assist UM Manager in the periodic review and update of UM/Case Management policy and pro... more

Apr 11 Clinical Reviewer II University of Massachusetts - Medical School Worcester, MA

of a multi/inter-disciplinary team Conduct on-site intake and reassessments to determine clinical eligibility and medical necessity for assigned program and health care services... more

Feb 24 RN/LPN Case Manager I-Concurrent Review Nurse Resolutions South Carolina

? Review admissions through on-site and telephonic review to ensure ... ? Review and audit patient charts through on-site hospital visits. ? Act as clinical... more

Oct 25 Field Utilization Review Nurse Nurse Resolutions Louisville, KY

or incomplete diagnosis, Quality of Care and Review of UB92 or UB04. The RN will review ... Fax www.nurseresolutions.com utilization review, retrospective review,... more

More Job Postings from the Web
May 29 Medical Review Nurse Team Lead HMS Miramar, FL

Precept new medical review nurses and provides training to medical review nurses as reques ... in same or similar arena as Medical Review Nurse work. Licenses/Certifications:... more

May 17 On-site Utilization Review Nurse Humana Orlando, FL

Review Nurse Location: US-FL-Orlando Role: On-site Utilization Review Nurse ... Capsule This is an on-site utilization review role going on-site to local acute care... more

May 17 Facility Site Reviewer RN Kaiser Permanente Oakland, CA

As a surveyor for the Medi-Cal Facility Site Review process, this position will ... Regional Master Trainer and Regional Site Review Trainer to develop and give training... more

May 16 Utilization Manager RN - inpatient concurrent review Job AMERIGROUP Atlanta, GA

Responsibilities: - Performs on-site and/or telephonic review of acute and subacute servic ... license - Certified Professional Utilization Review (as required by Plan) - Certified Case... more

May 15 POS On-Site Review Specialist Blue Cross Blue Shield of Illinois Austin, TX

Management Divisions. This position conducts on-site reviews and assessments, reviews ... facilities. JOB REQUIREMENTS: 1) Registered Nurse (RN) with valid, current license in the... more

May 02 Nurse Reviewer II, Provider Review University of Massachusetts Medical School at Worcester North Quincy, MA

* Review clinical documentation to determine medical necessity and program/regulatory comp ... organization(s) as needed * Participate in on-site visits/reviews of MassHealth... more

May 02 Nurse Reviewer II University of Massachusetts Medical School North Quincy, MA

Review clinical documentation to determine medical necessity and program/regulatory compli ... organization(s) as needed Participate in on-site visits/reviews of MassHealth... more

Apr 18 Sr Utilization Mgmt Nurse- Concurrent Review-Work from home, located UnitedHealth Group Tucson, AZ

utilization review, or concurrent review (on-site or telephonic inpatient care ... as needed Basic Requirements: * Registered nurse with a current unrestricted license in... more

Apr 06 San Fran Utilization Review RN - Managed Care Carenational Healthcare Services San Francisco, CA

utilization review, or concurrent review (on-site or telephonic inpatient care ... effectively meet their needs. The UM Review Nurse will evaluate the options and services... more

Mar 19 Utilization Review Coordinator - Registered Nurse John C. Lincoln Hospitals Phoenix, AZ

monthly departmental meeting including case review presentations. Demonstrates knowledge ... using criteria defined by JCL Utilization Review Committee Plan. Completes review at... more

Jan 04 Concurrent Review On-Site Care Manager Insperity Denver, CO

Review On-Site Care Manager Registered Nurse Review appropriate utilization of ... Responsibilities: Review concurrent and retrospective inpatient and/or sub acute admission... more

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