RN Clinical Care Reviewer: Medical Necessity Expert
Broughton Group
Broughton Group is seeking a Senior Registered Nurse in Des Moines, Iowa to perform medical necessity reviews for inpatient and outpatient services. The successful candidate will work closely with members and providers, applying clinical knowledge and nursing experience to assess requests and ensure appropriate services are authorized. This position requires a registered nurse with 3 or more years of relevant experience and excellent communication skills. The ability to prioritize tasks and advocate for member needs is essential. #J-18808-Ljbffr Broughton Group
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the RN Clinical Care Reviewer: Medical Necessity Expert in Des Moines, IA vacancy
- A leading staffing firm is seeking a Clinical Care Reviewer to conduct thorough medical necessity reviews under the supervision of a unit supervisor. The role requires a Registered Nurse with at least 3 years of experience in a clinical setting, focusing on ensuring that...Medical
- Integrated Resources, Inc. is seeking a Clinical Care Reviewer to perform medical necessity reviews as directed by the unit Supervisor. The role involves using clinical knowledge to evaluate service requests and ensure compliance with medical management guidelines. This...Medical
- A leading staffing firm is seeking a Clinical Care Reviewer UM for a three-month position with potential for extension. The role involves conducting medical necessity reviews and requires a Registered Nurse license along with excellent communication and problem-solving...Medical
- ...Clinical Care Reviewer RN Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient...Medical
Careers Integrated Resources Inc
Des Moines, IA5 days ago - ...Clinical Care Reviewer UM (RN/LPN) Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected... ...Clinical Care Reviewer is responsible for completing medical necessity reviews. ~ Using clinical knowledge and nursing...MedicalWork at office
Careers Integrated Resources Inc
Des Moines, IA4 days ago - ...divh2Clinical Care Reviewer UM (RN/LPN)/h2pIntegrated Resources, Inc is a premier staffing firm... ...areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and... ...Reviewer is responsible for completing medical necessity reviews./li/ululliUsing clinical knowledge...MedicalWork at office
- ...Clinical Care Reviewer Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional... ...the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience,...Medical
Careers Integrated Resources Inc
Des Moines, IA4 days ago - ...your updated profile if interested Clinical Care Reviewer Interview type: Phone + face 2 face... ...related clinical setting Active Iowa RN license or LPN UM Experience / Waiver... ...requests for services required to meet medical necessity criteria to include reviewing pre-...MedicalWork from home
- ...Offering a Limited-Time $20,000 RN Sign-On Bonus! UnityPoint... ...patient census—ensuring exceptional care continues without interruption. The IRT serves 17 adult Medical/Surgical inpatient units... ...experience diverse units, sharpen their clinical skills, and make a measurable...MedicalDaily paidFull timeTemporary workPart timeRelocationRelocation packageShift workNight shiftWeekend work
UnityPoint Health
Des Moines, IA5 days ago - ...Technologist to assist in the operation room, ensuring high standards of patient care. Responsibilities include equipment management, maintaining a sterile field, and effective communication with medical staff and patients. A High School diploma or GED is required, along with...Medical
- Focus Staff is seeking a Travel L&D RN for an assignment in Des Moines, Iowa. This 13-week position involves providing exceptional support and care to expectant mothers and their families in the Labor and Delivery unit. The successful candidate will have a valid RN license...
- UnityPoint Health in Des Moines is seeking a compassionate Registered Nurse (RN) for their cardiology team. This full-time position involves patient triage, care coordination, and education on cardiovascular conditions. The ideal candidate will hold a current Iowa RN license...Full timeRelocation package
$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/... .... • Registered Nurse (RN). License must be active and unrestricted...MedicalHourly payWork experience placementWork at officeMolina Healthcare
Des Moines, IA1 day ago$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines... ...experience. Registered Nurse (RN). License must be active and...MedicalHourly payWork experience placementWork at office$1,913 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Des Moines, IA Agency:... ...ASAP About the Position Job Title: RN Medical/Surgical/Telemetry Profession: RN... ...The nurse will be responsible for providing care across various medical-surgical floors. Shifts...MedicalFull timeContract workImmediate startShift workAfternoon shiftCynet Health
Des Moines, IA1 day ago$1,859 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Des Moines, IA Agency: Advantis Medical Staffing Pay: $1,859 per week Shift Information: Nights - 3... ...where we set the gold standard in clinician care. As a Joint-Commission-certified agency, we...MedicalFull timeContract workImmediate startShift workNight shiftAdvantis Medical Staffing
Des Moines, IA7 hours ago$2,127 per week
...Registered Nurse (RN) | Neuro ICU Location: Des Moines, IA Agency: Magnet Medical Pay: $2,127 per week Shift Information: Days - 3 days x 12 hours... ...Responsible for the delivery of direct patient care using the nursing process and as defined by the...MedicalFull timeContract workWork experience placementShift workMagnet Medical
Des Moines, IA5 days ago$1,913 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Des Moines... ...Job Title: RN Profession: Medical / Surgical / Telemetry Specialty... ...providing high-quality nursing care to patients. The nurse must demonstrate strong clinical skills and the ability to adapt...MedicalFull timeContract workImmediate startShift workNight shiftWeekend workCynet Health
Des Moines, IA1 day ago$2,109 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Des... ...the Position Job Title: RN Medical / Surgical / Telemetry Profession... ...specialty. Position involves caring for patients in a resource... ...essential. Must demonstrate clinical competence and the ability to...MedicalFull timeContract workShift workNight shiftWeekend workCynet Health
Des Moines, IA9 days ago$2,109 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Des Moines, IA Agency:... ...6 About the Position Job Title: RN Medical/Surgical Profession: RN Medical/Surgical... ...involves providing comprehensive nursing care to medical and surgical patients. Team collaboration...MedicalFull timeContract workShift workNight shiftWeekend workCynet Health
Des Moines, IA9 days ago$2,578 per week
...Registered Nurse (RN) | Labor & Delivery Location: Des Moines, IA Agency: Advantis Medical Staffing Pay: $2,578 per week Shift Information: Nights - 3 days... ...where we set the gold standard in clinician care. As a Joint-Commission-certified agency, we...MedicalFull timeContract workImmediate startShift workNight shiftAdvantis Medical Staffing
Des Moines, IA7 hours ago$1,913 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Des Moines, IA Agency:... ...ASAP About the Position Job Title: RN Medical/Surgical/Telemetry Profession: RN... ...will be responsible for providing nursing care to patients in a variety of medical/surgical...MedicalFull timeContract workImmediate startShift workNight shiftCynet Health
Des Moines, IA1 day ago$1,965 per week
...Registered Nurse (RN) | Telemetry Location: Des Moines, IA Agency: GQR Healthcare... ...-known health system seeking experienced Medical/Surgical/Telemetry providers to add to... ...are passionate about providing exceptional care and looking to explore a rewarding career...MedicalFull timeContract workImmediate startShift workNight shiftGQR Healthcare
Des Moines, IA10 days ago- ...Registered Nurse (RN) | Medical-Surgical Location: Des Moines, IA Agency: Malone Healthcare Pay: Competitive weekly pay (inquire... ...on experience and qualifications. As a Med/Surg RN, you'll care for patients with a wide range of health conditions in a...MedicalWeekly payFull timeContract workSummer workImmediate startShift work
Malone Healthcare
Des Moines, IA10 days ago $2,658 per week
...Registered Nurse (RN) | Labor & Delivery Location: West Des... ...Moines, IA Agency: Advantis Medical Staffing Pay: $2,658 per... ...gold standard in clinician care. As a Joint-Commission-certified... ...-level service from our expert recruiters. You can choose to...MedicalFull timeContract workImmediate startShift workNight shiftTravelNurseSource
West Des Moines, IA3 days ago$2,658 per week
...Registered Nurse (RN) | Labor & Delivery Location: West Des Moines, IA Agency: Advantis Medical Staffing Pay: $2,658 per week Shift Information: Nights - 3... ...where we set the gold standard in clinician care. As a Joint-Commission-certified agency, we...MedicalFull timeContract workImmediate startShift workNight shiftAdvantis Medical Staffing
West Des Moines, IA3 days ago- ...Registered Nurse (RN) | Psych Location: Des Moines, IA Agency: SkyBridge Healthcare... ...nationwide in the areas of Nursing, Acute Care, Allied Health, Therapy, Laboratory &... ...weekly tax-free stipend, travel assistance, medical/dental/vision, 401K, and dedicated support...MedicalWeekly payFull timeContract workImmediate start
TravelNurseSource
Des Moines, IA9 days ago $1,724 - $1,991 per week
...Registered Nurse (RN) | Medical-Surgical Location: Des Moines, IA Agency: National Staffing Solutions Pay: $1,724 to $1,991... ...Pay Range: $1724.09 - $1991.12 Work Setting: Short Term Acute Care Hospital Anticipated Duration of Assignment: 26 Weeks...MedicalFull timeContract workTemporary workShift workNight shiftNational Staffing Solutions
Des Moines, IA7 hours ago$1,564 - $1,806 per week
...Registered Nurse (RN) | Medical-Surgical Location: Des Moines, IA Agency: National Staffing Solutions Pay: $1,564 to $1,806... ...Pay Range: $1563.71 - $1805.90 Work Setting: Short Term Acute Care Hospital Anticipated Duration of Assignment: 13 Weeks...MedicalFull timeContract workTemporary workShift workNight shiftNational Staffing Solutions
Des Moines, IA2 hours ago$3,097 per week
...Registered Nurse (RN) | Telemetry Location: Des Moines, IA Agency: Care Career Pay: $3,097 per week Shift Information: Nights - 4 days x 12 hours... ...danger. Telemetry nurses utilize sophisticated medical equipment to monitor the vital signs of patients...MedicalFull timeContract workImmediate startShift workNight shiftCare Career
Des Moines, IA9 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Clinical Care Reviewer: Medical Necessity Expert. Be the first to apply!
Related searches
- registered nurse night shift Des Moines, IA
- entry level rn Des Moines, IA
- wound care rn registered nurse Des Moines, IA
- med surg rn Des Moines, IA
- dermatology rn Des Moines, IA
- agency rn Des Moines, IA
- operating room rn Des Moines, IA
- full-time registered nurse rn Des Moines, IA
- contract rn Des Moines, IA
- part time rn Des Moines, IA