RN Utilization & Clinical Review Specialist
Wollborg Michelson Recruiting
Wollborg Michelson Recruiting is seeking a Utilization Review Nurse in Little Rock, Arkansas. This role involves conducting and monitoring clinical review cases to ensure the appropriateness of medical services. Candidates should have an active RN license and at least four years of clinical nursing experience, preferably in critical care. Strong critical thinking and communication skills are essential. The position promotes evidence-based decisions to support patient safety and compliance within healthcare standards. #J-18808-Ljbffr
$73k - $75k
...Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely, evidence-based utilization... ...and works with claim examiners as needed to provide clinical information to resolve issues. Maintains a score of 90% or...SuggestedWork at officeFlexible hours- ...Utilization Review Nurse Job Summary The Utilization Review Nurse conducts and monitors clinical review cases to ensure the medical necessity and appropriateness of inpatient and outpatient... ...Active, unencumbered Registered Nurse (RN) license in the state where duties are...SuggestedWork at office
$31.68 - $62.32 per hour
...Maximus is seeking a Health Specialist in Little Rock, Arkansas. The role involves providing advanced clinical inquiry responses to health-related inquiries from various professionals... ...a Bachelor’s Degree in Nursing and current RN license, along with 2-4 years of relevant...SuggestedTemporary work$91.6k - $151.1k
...Clinical Specialist The Clinical Specialist is a resource for the execution of the Medication Delivery Solutions value-added clinical business strategy. The role implements clinical programs and initiatives that differentiate the MDS product portfolio based on improved...SuggestedDaily paidTemporary workWork at officeRemote workFlexible hours$91.6k - $151.1k
...A leading medical technology company is seeking a Clinical Specialist to enhance Medication Delivery Solutions through implementing clinical programs and training. The ideal candidate will have a Bachelor's degree in Nursing, extensive clinical experience including infusion...Suggested- ...of education, research, and clinical programs that encourages and... ...documentation and questions you should review before applying for the... ...Clinical Billing Specialist is responsible for timely and... ...accounting skills and be able to utilize a calculator and systems functionality...Contract workWork at officeVisa sponsorshipShift workDay shift
- ...talented healthcare professionals in clinical and non-clinical positions with some of... ...Description We are aggressively seeking RN Concurrent Review Nurses and RN Case Managers for a... ..., telephonically Educate providers on utilization and medical management processes Qualifications...Private practiceImmediate startFlexible hours
- ...Job Title Utilization Management: Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgery; documenting all relevant and specific information; and screens...Work at office
$71.1k - $97.8k
...part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support... ...hold Compact Registered Nurse (RN) license in your state of... ...utilization management/utilization review for a health plan or acute care setting...Bi-weekly payFull timeTemporary workApprenticeshipRemote workHome office$71.1k - $97.8k
...A prominent health care organization is seeking a Utilization Management Registered Nurse to utilize clinical skills in coordinating and documenting medical services. This remote position requires a Compact RN license and over a year of clinical experience. Responsibilities...Remote work- ...combination of education, research, and clinical programs that encourages and... ...and questions you should review before applying for the... ...as an educator/instructor or RN experience ~ Registered Nurse... ...orientation and ongoing education, utilizing educational principles which...Work at officeVisa sponsorshipShift work
- ...technology, data-driven insights, and deep clinical expertise, we partner with physicians... ...Medtronic Neurovascular ( As a Clinical Specialist, Neurovascular you will have... ...In addition, your driving record will be reviewed and will be considered as part of your application...H1bWork at officeLocal areaFlexible hoursNight shift
- ...of education, research, and clinical programs that encourages and... ...documentation and questions you should review before applying for the... ...| NRSL Ambulatory Clinical Specialists Department's Website:... ...Charge Nurse, Team Lead, Resource RN or RN IV-level at UAMS or similar...Work at officeVisa sponsorshipShift workDay shift
- ...of education, research, and clinical programs that encourages and... ...documentation and questions you should review before applying for the... ...| NRSL Ambulatory Clinical Specialists Department's Website:... ...Charge Nurse, Team Lead, Resource RN or RN IV-level at UAMS or similar...Work at officeVisa sponsorshipShift work
- ...Position Overview The Associate Clinical Specialist independently provides customer support of Fujifilm’s ES equipment in the Endoscopy... ...equipment and type of training needed by customers to effectively utilize the technology. Ability to provide expert guidance,...Work at officeLocal areaRemote workFlexible hours
- ...leading healthcare staffing firm is seeking an experienced RN Concurrent Review Nurse for a Fortune 500 Healthcare organization. In this role... ...graduates from an accredited nursing school, with over 2 years of clinical experience, including ICU. This position offers flexible...Flexible hours
- ...combination of education, research, and clinical programs that encourages and supports teamwork... ...documentation and questions you should review before applying for the opening. To... ...Duties: The Senior Clinical Billing Specialist is an area expert, works under general...Contract workWork at officeVisa sponsorshipShift workDay shift
- ...Parexel FSP is hiring multiple Clinical Supply Support Specialist Services .The position will be office based in Warren, New Jersey. Clinical Supply... ...UAT activities IP / Ancillary Supplies Compatibility Review Receive and triage request, forward to FDG for review...Work experience placementInternshipWork at office
- ...Summary The Registered Nurse (RN) provides patient-centered care... ...care based on established clinical protocols and physician/provider... ...appropriate care team members. Utilizes knowledge of human growth and... ...Participates in audits, chart reviews, and compliance checks to ensure...ReliefNight shift
- ...RN Emergency Department $ 20,000 Sign On Bonus! Johnson, AR, United... ...care based on established clinical protocols and physician/provider... ...care team members. Utilizes knowledge of human growth and... ...Participates in audits, chart reviews, and compliance checks to ensure...Full timeLocal areaRelocation packageFlexible hoursShift workNight shift
- ...Summary Assists in the daily clinical operations of the Preop/PACU in... ...orderly and safe environment. RN will be responsible for contacting... ...patients to obtain and review medical histories, lab/imaging... ...time appropriately. Ability to utilize resources in a timely, organized...
- ...combination of education, research, and clinical programs that encourages and... ...and questions you should review before applying for the... ...education on complex conditions. The RN I will work with the... ...Care (POC) per clinic standards utilizing assessment data. Evaluates...Temporary workFixed term contractReliefWork at officeVisa sponsorshipShift workWeekend work
- ...026 Type of Position: Clinical Staff - Nursing Job Type:... ...documentation and questions you should review before applying for the... ...provide direct patient care as a RN in Prep and Recovery and or... ...per department/unit standards utilizing assessment data. Evaluates...Work at officeVisa sponsorshipShift workDay shift
- ...policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. Clerical... ...Enters all treatment data into the designated clinical application accurately and in a timely manner. Reviews health care record for completeness and ensures...Immediate startFlexible hours
- ...combination of education, research, and clinical programs that encourages and... ...and questions you should review before applying for the... ...Fulltime This position will be utilized to fill multiple positions... ...Master's in Nursing. ~ Valid RN License, ~1 year of Registered...Full timeWork at officeVisa sponsorshipShift workNight shift
- ...Summary The Registered Nurse (RN) provides patient-centered care... ...care based on established clinical protocols and physician/provider... ...appropriate care team members. Utilizes knowledge of human growth and... ...Participates in audits, chart reviews, and compliance checks to ensure...Relocation packageNight shift
$71.1k - $97.8k
...A healthcare organization is looking for a Utilization Management Registered Nurse to coordinate medical services and... ...benefit administration. This role requires a Compact RN license and at least one year of clinical experience in a healthcare setting. You will ensure members...Remote work- ...allergies, and relevant social factors. # Reviews diagnostic studies and identifies... ...or provider follow-up. # Communicates clinical findings, concerns, and readiness updates... ...organizational and regulatory standards. # Utilizes the electronic health record effectively...Work at office
- ...combination of education, research, and clinical programs that encourages and... ...and questions you should review before applying for the... ...positions. The Registered Nurse (RN) in the Psychiatric Research... ...per department/unit standards utilizing assessment data. Evaluates...Work at officeVisa sponsorshipShift work
- ...026 Type of Position: Clinical Staff - Nursing Job Type:... ...documentation and questions you should review before applying for the... ...Duties: The Registered Nurse (RN) provides direct patient care... ...nurse, the nursing process is utilized in the provision of care. The...Work at officeVisa sponsorshipShift workDay shift
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