Clinical Review Nurse - Concurrent Review
Spectraforce Technologies Inc
Title:
Clinical Review Nurse- Concurrent Reviews
Location:
Remote- KY or Compact state license
Duration:
6 months with possible extension or conversion
Schedule:
Tues- Sat 8-5pm EST
This is an every Saturday position and manager is open to 4-10 hour shifts
Job Summary:
My team does concurrent reviews for KY Medicaid's inpatient medical stays. This is a position to help with the Marketplace and Medicaid line of business due to volume. The team is small and tight knit. It is a busy market. There is potential for upcoming hiring needs depending on how the medical leaves play out.
Candidate Requirements
Required: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience.
Preferred: BSN
Required: LPN
Preferred: RN
Years of experience required: 2-4 years of related experience.
Disqualifiers: no UM background- must be tech savvy
Additional qualities to look for: ICU, Med-surge, Acute Care experience preferred.
Top 3 must-have hard skills stack-ranked by importance
- Extensive clinical background.
- Technologically Savvy
- Must be able to multi-task.
Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Clinical Review Nurse - Concurrent Review in Louisville, KY vacancy
- ...Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse for concurrent reviews related to KY Medicaid inpatient stays. The position supports Marketplace and Medicaid lines with a small, busy team in a remote-capable setup requiring KY or compact state licensure...SuggestedRemote workShift work
Spectraforce Technologies, Inc.
Louisville, KY14 hours ago $36 - $39 per hour
...Immediate need for a talented Clinical - Clinical Review Nurse - Concurrent Review. This is a 06+ Months Contract opportunity with long-term potential and is located in Louisville, KY (Onsite) . Please review the job description below and contact me ASAP if you are...SuggestedFull timeContract workLocal areaImmediate startPyramid Consulting Healthcare
Louisville, KY1 day ago$36 - $39 per hour
...Job Description Immediate need for a talented Clinical - Clinical Review Nurse - Concurrent Review. This is a 06+ Months Contract opportunity with long-term potential and is located in Louisville, KY (Onsite) . Please review the job description below and contact...SuggestedContract workLocal areaImmediate startPyramid Consulting Healthcare
Louisville, KY12 days ago- ...Clinical Review Nurse I Sign on Bonus: $3500. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports...SuggestedFull timeTemporary workWork at officeLocal areaRelocation packageMonday to Friday1 day per week
- ...Clinical Review Nurse I Wellpoint Federal, a subsidiary of Elevance Health, brings deep industry expertise and healthcare service capabilities to support federal programs. The organization delivers solutions across claims administration, data, and care delivery to help...SuggestedFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hours1 day per week
- ...provider—we're your trusted partner in innovation. Medical Review Nurse (Temporary Contract, Remote) Compensation rate: $32.5K/$31.25/... ...School of Nursing. Required Experience: Two years of clinical experience plus two years of experience with utilization/medical...Remote jobContract workTemporary workFor contractorsLive inWork at officeWork from homeHome officeMonday to Friday
Broadway Ventures
Louisville, KY28 days ago - ...UofL Health is seeking a Utilization Review RN to support utilization management activities, including admission and concurrent reviews, payor communications, and care coordination. The role requires RN licensure in Kentucky and experience in case management or utilization...
UofL Health, Inc.
Louisville, KY4 days ago - ...Utilization Review RN About UofL Health: UofL Health is a fully... ...membersphysicians, surgeons, nurses, pharmacists and other highly... ...but not limited to making clinical recommendations regarding medical... ...conducts admission and concurrent reviews including observation...Work at office
- ...UofL Health is seeking a Utilization Review RN at the Frazier Rehab Institute - UMC in Louisville, KY. The role focuses on conducting utilization management activities, ensuring medical necessity for admission and continued stay, and coordinating with physicians and payors...
UofL Health
Louisville, KY2 days ago - ...UofL Health is seeking a Utilization Review RN to support the Utilization Management process. You will assess medical necessity for admissions and ongoing stays, review patient records against payer guidelines, and communicate decisions to physicians and case managers...
University Medical Center
Louisville, KY5 days ago $1,877 - $2,030 per week
...Registered Nurse (RN) | Endoscopy Location: Louisville, KY Agency: Host Healthcare... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore the... ...matching after 6 months · 24/7 support · Clinical support throughout your assignment 3116...Full timeContract workLocal areaImmediate startShift workTravelNurseSource
Louisville, KY1 day ago$2,152 per week
...Registered Nurse (RN) | Endoscopy Location: Louisville, KY Agency: Cynet Health... ...prioritizes, and implements the plan of care and reviews and revises the plan as indicated.... .... Monitors and documents response to clinical interventions. Facilitates, coordinates,...Full timeContract workShift workDay shiftCynet Health
Louisville, KY1 day ago$2,152 per week
...Registered Nurse (RN) | Endoscopy Location: Louisville, KY Agency: Cynet Health... ...prioritizes, and implements the plan of care and reviews and revises the plan as indicated.... .... Monitors and documents response to clinical interventions. Facilitates, coordinates,...Full timeContract workShift workDay shiftTravelNurseSource
Louisville, KY1 day ago- ...an advanced practice provider, either a nurse practitioner (NP) or physician assistant... ..., state, and federal agencies related to clinical services you provide Prescribing medications... ...laws. For further information, please review the Know Your Rights notice from the...Full timeWork experience placementLocal area
Truhealth
Louisville, KY2 days ago $2,484 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Cynet... ..., and implementing the plan of care and reviewing and revising the plan as needed. - Collaborating... ...Monitoring and documenting responses to clinical interventions. - Facilitating and...Full timeContract workShift workNight shiftDay shiftCynet Health
Louisville, KY1 day ago$2,306 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Atlas MedStaff Pay: $2,306 per week Shift Information... ...Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that...Hourly payFull timeContract workWork at officeRemote workShift workWeekend workTravelNurseSource
Louisville, KY1 day ago$2,302 - $2,481 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Host Healthcare... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore the... ...after 6 months · 24/7 support · Clinical support throughout your assignment 3108...Full timeContract workLocal areaImmediate startShift workTravelNurseSource
Louisville, KY1 day ago$2,484 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Cynet... ...-Have: Patient assessment, plan of care, clinical interventions, patient and family education... ...prioritizes, and implements the plan of care and reviews and revises the plan as indicated....Full timeContract workShift workDay shiftTravelNurseSource
Louisville, KY1 day ago$2,484 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Cynet... ...-Have: Patient assessment, plan of care, clinical interventions, patient and family education... ...prioritizes, and implements the plan of care and reviews and revises the plan as indicated....Full timeContract workShift workDay shiftCynet Health
Louisville, KY1 day ago$2,388 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Cynet... ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated.... ...Evaluation: Monitors and documents responses to clinical interventions. Education: Facilitates,...Full timeContract workShift workDay shiftTravelNurseSource
Louisville, KY1 day ago$2,734 per week
...Registered Nurse (RN) | Operating Room Location: Louisville, KY Agency: Cynet... ...-Have: Patient Assessment, Plan of Care, Clinical Interventions, Patient and Family Education... ...prioritizes, and implements the plan of care, reviews and revises the plan as indicated....Full timeContract workShift workDay shiftCynet Health
Louisville, KY1 day ago$28 - $30 per hour
...Website Content and Link Review Assistant $28 - $30 per hour Remote A website link should take a visitor where its wording says it will. This position checks assigned pages for links that fail open an unrelated page or point to outdated material. You will document...Hourly payFull timePart timeWork at officeRemote workHome office$103.07k
...Clinical Research Nurse II The primary function of a Clinical Research Nurse II (CRN) is to coordinate clinical research studies conducted... ...eligibility to include taking a current clinical history, reviewing patient records, assessing functional and physical status....Contract work$2,329 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Jeffersonville... ..., and implements the plan of care and reviews and revises the plan as indicated.... ...Evaluation: Monitors and documents response to clinical interventions. Education: Facilitates,...Full timeContract workShift workNight shiftTravelNurseSource
Jeffersonville, IN1 day ago$2,331 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Louisville... ...: BLS, ACLS, NIHSS Must-Have: Clinical interventions Patient and family education... ...prioritizes, and implements the plan of care, reviewing and revising the plan as indicated....Full timeContract workShift workNight shiftTravelNurseSource
Louisville, KY1 day ago$750 per month
...Registered Nurse (RN) - Cardiac Cath Lab Location: 1220 Missouri Avenue, Jeffersonville... ...one crucial item is an Engagement Letter review completed with your recruiter before... ...Hancock with employer matching. ~24/7 Clinical Support: Healthcare Professionals work 24...Full timeContract workImmediate startFlexible hoursShift workTravel Nurses Inc
Jeffersonville, IN4 days ago$2,321 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Louisville... ...and implementation of plan of care - Clinical interventions - Patient and family education... ..., and implements the plan of care and reviews and revises the plan as indicated. - Collaborates...Full timeContract workShift workNight shiftCynet Health
Louisville, KY1 day ago$22 - $28 per hour
...set up to support optimal patient care. Collaboration with both clinical and administrative team members will be essential to delivering... ...dental lab operations.Essential Duties and Responsibilities:Review patient medical histories, obtain vital signs, and accurately document...Work at officeShared Practices Group
Louisville, KY5 days ago$21 - $25 per hour
...Aesthetic Junior Nurse (RN) Skinfinity Spa - Louisville, KY In-Person Role | Independent... ...Skinfinity Spa is expanding our clinical team in Louisville and is looking for a licensed... ...Conduct client preparation, intake review, and treatment setup Assist senior providers...Hourly payFor contractorsMonday to FridayShift workDermave Spa
Louisville, KY4 days ago- ...credentialed physician, patient hospital primary nurse and others as indicated. Delivers... ...patient care on an as needed basis Review and comply with the Code of Business... ...direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and...Local areaShift workNight shift
Fresenius Medical Care
Louisville, KY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Review Nurse - Concurrent Review. Be the first to apply!
Related searches
- clinical resource nurse Louisville, KY
- clinical nurse Louisville, KY
- nurse practitioner wound care Louisville, KY
- remote nurse case manager Louisville, KY
- nurse manager long term care Louisville, KY
- nurse supervisor Louisville, KY
- assistant nurse manager Louisville, KY
- nurse director Louisville, KY
- neurosurgery nurse practitioner Louisville, KY
- nurse practitioner np Louisville, KY