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May 08 RN or LVN Concurrent Review Case Manager Job Yoh Temecula, CA

or Licensed Vocational Nurse Concurrent Review Case Manager to join our client in ... 2-4 years of experience as a Concurrent Review Case Manager in a managed care setting... 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 ... the physician for additional review. If the RN identifies concerns while onsite, the... more

More Job Postings from the Web
May 30 Fraud Nurse Reviewer General Dynamics Information Technology Towson, MD

members and/or providers, conducting onsite and desk audits, calculating ... Performs proactive data analysis and record review by applying his/her knowledge of coding... more

May 25 RN Onsite Utilization Review Nurse Humana Huntsville, AL

Role: RN Utilization Review Nurse Assignment: Medicare Location: Huntsville, AL Are you a ... screening criteria Conduct admission review, post-discharge calls and discharge... more

May 23 Utilization Review Lead Xerox Cheyenne, WY

supervising and coordinating the utilization review responsibilities including prior ... Clinical accreditation as an RN, or other healthcare professional. more

May 18 RN - Utilization Review Nurse - Managed Care Nurse Resolutions Seattle, WA

* Performs onsite and/or telephonic review of acute and subacute services ... review, utilization management, concurrent review, medical review, HEDIS, CCM, CPUR,... more

May 16 RN - Onsite Review Nurse Humana Dunwoody, GA

Role: RN - Onsite Review Nurse Assignment: Medicare Location: Atlanta, GA Are you a fit? ... Capsule This is an Onsite Utilization Review Role supporting Acute Care Facilities... more

May 15 Utilization Review Nurse Cancer Treatment Centers of America (ctca) Atlanta, GA

and physical therapy department and onsite residential accommodations for ... EDUCATION/EXPERIENCE Current Georgia RN Licensure BSN in Nursing preferred 3 years clinica... more

May 01 Concurrent Review RN Job Yoh Richmond, CA

- Conduct onsite concurrent review of inpatient and SNF utilization for ... and families - Perform timely retrospective review, and identify challenges to efficient... more

Apr 27 Onsite Utilization Managment RN - Work from home and onsite UnitedHealth Group Houston, TX

Utilization Mgmt RN in Houston - Work onsite and from home! Get better informed to ... Perform utilization management, utilization review, and/or concurrent review on-site at... more

Apr 20 Onsite Review RN Humana Peoria, IL

Title: Onsite Review RN Location: US-Illinois-Peoria Role: Onsite Review RN Assignment: ... Role Essentials RN /LPN with a current and valid license in the state in which they are pr... more

Apr 20 Onsite Review RN - Chicago area Humana Oak Brook, IL

Title: Onsite Review RN - Chicago area Location: US-Illinois-Oak Brook Role: Onsite Review ... Role Essentials * RN /LPN with a current and valid license in the state in which they are... more

Apr 20 Onsite Review RN for Froedert Memorial Hospital and Elmbrook Memorial Hospital Humana Waukesha, WI

Role: Onsite Review RN Assignment: Senior Segment Location: Waukesha, WI (Milwaukee area) ... Qualifications Role Essentials RN /LPN with a current and valid license in the state in wh... more

Mar 28 Utilization Review Lead Affiliated Computer Services Cheyenne, WY

supervising and coordinating the utilization review responsibilities including prior ... Clinical accreditation as an RN, or other healthcare professional. more

Mar 15 Inpatient Care Manager, RN - Onsite/Telephonic Support UnitedHealth Group Tacoma, WA

utilization review, or concurrent review (on-site or telephonic inpatient care ... * Performing utilization and concurrent review of inpatient cases using Milliman... more

Mar 05 Worksite - Onsite Nurse Case Manager (Goodyear) Concentra Fayetteville, NC

services, concurrent review, retrospective review, development of discharge plans, ... Required Skills Required Experience EDUCATION/CREDENTIALS: Licensed RN in accordance with... more

Feb 14 Onsite Concurrent Review Nurse On Assignment Healthcare Staffing California

care. Responsibilities include: ? Conduct onsite concurrent review of inpatient ... clinical criteria and complete retrospective review ? Collaborate with HMO, medical staff,... more

Feb 01 Utilization Review Nurse Cancer Treatment Centers of America of the Southeast (ctca) Atlanta, GA

and physical therapy department and onsite residential accommodations for ... EDUCATION/EXPERIENCE Current Georgia RN Licensure BSN in Nursing preferred 3 years clinica... more

Feb 01 RN Onsite Review Humana Chattanooga, TN

Role: Clinical Innovations / Clinical Advisor, RN Assignment: Medicare Location: Chattanoo ... and discharge planning * Will be assigned Onsite review in Cleveland area but will be... more

Jan 05 Onsite Care Manager Kelly Services San Bernardino, CA

companies, and healthcare personnel. Works onsite at customer location. ESSENTIAL DUTIES ... Certification/License * Must have current RN license in good standing required... more

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