Itemization Review RN - Data Analytics & Compliance
CorVel Corporation
CorVel Corporation seeks an experienced RN to support medical billing accuracy in the Fort Worth area. The role involves reviewing data, documenting conclusions, and applying knowledge of surgical implants within CERIS systems, while maintaining HIPAA compliance and meeting department standards. You'll collaborate with Leadership and teams to solve problems, ensuring quality and timely results in a fast-paced environment. A valid RN license and OR/ICU/ER experience are required. #J-18808-Ljbffr CorVel Corporation
Vacancy posted 1 day ago
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CorVel
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## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time... ...to Medical Director and Triad Team in compliance with Department procedures and follows... ...organizational and time management skills. • Strong analytic, data management and PC skills. • Working...Shift work- Commence is seeking a Nurse Reviewer to perform complex medical record reviews of Medicare... ...accuracy and adherence to medical standards. An RN license and 2-4 years of clinical... ...required, with strong documentation skills and HIPAA compliance. #J-18808-Ljbffr Commence, LLCRemote job
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...with AI-powered platforms and analytics to help businesses innovate,... ...Description Performs utilization review of cases to determine if the... ..., as necessary, to ensure compliance with review timeframes.... ...business needs. Qualifications RN, LPN/LVN graduate from an accredited...Work at officeLocal areaRemote workMonday to Friday$2,883.5 per month
...Hospitals Corporation-Rikers Island Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19030015 Job Title RN - Utilization Review Weekly Pay $2883.5...Weekly payShift workTrinity Health
Elmhurst, NY1 day ago- ...Job Title: RN - Utilization Review (000298) Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects...
Compu-Vision Consulting
Elmhurst, NY1 day ago $2,940.02 per month
...HHC Correctional Health Services Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19018147 Job Title RN - Utilization Review (000298) Weekly Pay $2940.02...Weekly payShift workDay shiftTalent4Health
East Elmhurst, NY2 days ago$2,749.5 per month
...Offering Nursing Profession RN Specialty Case Manager... ...746 Job Title RN - Utilization Review (000298) Weekly Pay $2749.5... ...be shared with third parties for marketing. Standard messaging and data rates may apply.Weekly payShift workRikers Island Correctional Facility
East Elmhurst, NY5 days ago- ...Skills: ~1 year of non-acute utilization review experience - required ~ RN experience - preferred Certification: New York State RN License Primary Source Verification AHA BLS Shift: ~8:30 AM-5:00 PM ~42.50 houris/week...Shift work
ATD Technology LLC
East Elmhurst, NY1 day ago - ...RN - Utilization Review Number of Positions: 1 Remaining Positions: 1 Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for...
Compu-Vision Consulting
East Elmhurst, NY3 days ago $55 - $65 per hour
...Registered Nurse With Utilization Review Experience A healthcare organization is seeking... ...and requires an active New York State RN license. The ideal candidate will have experience... ...of review activities. Support compliance with organizational, regulatory, and payer...Hourly payContract workATRIA Consulting
East Elmhurst, NY4 days ago- ...Performs clinically orientated medical chart reviews and other administrative tasks to meet the... ...the utilization review committee Obtains data and statistics addressed in the hospital's... ...YOU TO OUR TEAM!! Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits...Hourly payDaily paidWork experience placement
Carson Valley Health
Brooklyn, NY1 day ago $110k
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Brooklyn, NY1 day ago- RN - Utilization Review Shift: Days Shifts Per Week: 5 Scheduled Hours: 40 Start Date: 09/14/2026 End Date: 11/07/2026 Duration: 8 Week(s) City: Elmhurst State: NY VOCA HealthcareShift work
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$85.28k - $132.18k
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...and qualifications needed for the Medical Review Nurse: Registered Nurse with a compact/... ...opportunities identified by the payment integrity analytical team; makes decisions and recommendations... ...and experience. Registered Nurse (RN). License must be active and unrestricted...Remote jobHourly payWork experience placementWork at officeMonday to Friday- ...Nurse to support home health patients. You will review OASIS assessments, ensure accurate ICD-10... ...and collaborate with clinical staff to maintain data integrity and regulatory compliance. Ideal candidates have a CA RN license, 1-2 years in home health, and strong communication...Daily paidRemote workFlexible hours
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...Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in New York City, New York. Job Description... ..., insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes...Permanent employmentTemporary workZero hours contractShift workPrime Staffing
Grand Central, NY2 days ago$77.02k - $117.58k
...of the Tampa Bay Times’ Top Workplaces. Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective... ...Certification Needed: Yes Minimum Licensure: Registered Nurse (RN) Minimum Licensure (Other): Knowledge of utilization management...Full timeWork at office
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