RN Telephonic Concurrent Review Nurse
HealthCare Support
Job Description Daily Responsibilities of Registered Nurse Concurrent Review; Telephonically review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through telephonic review to ensure medical necessity and appropriate level of care. Review and audit patient charts Act as clinical resources to referral staff and make appropriate referrals. Provide patient and provider education. Data enters assessments, authorizations and reviews into the system. Qualifications Requirements of Registered Nurse Concurrent Review; Current, active RN in the state of Florida 2+ years of clinical nursing experience Hours for this Position: Monday – Friday 8AM – 5:30PM; 100% office based Advantages of this Opportunity: Plenty of room for growth! Fortune 500 Company in Healthcare! Great Benefits, 3 weeks PTO, 401K Matching and more! Additional Information Interested in being considered? If you are interested in being considered for the position, please contact Ashley Greene at View phone number on click.appcast.io. #J-18808-Ljbffr
$26 - $33 per hour
...Identifying inpatient, observation, acute rehabilitation, skilled nursing facility and custodial admissions and discharges by utilizing... ..., active licensure to practice within the State of Florida • Concurrent review experience – 2 year minimum experience • Managed Care...SuggestedPrivate practice- ...emergent/urgent and continued stay reviews. Perform onsite review of... ...discharge planning team electronically, telephonically, or onsite to coordinate member... ...management as needed Qualifications RN, BSN preferred. 2+ years of clinical nursing experience in an acute care...SuggestedShift work
- ...interested Title: Clinical Care Reviewer Location : Doral, FL... ...Experience: • Current FL RN licensure • Registered Nurse graduated from an... ...and resources (systems, telephones, etc.) to appropriately support... ...role (Prior Authorization, Concurrent Review) • Submits...Suggested
- CLINICAL REVIEWER RN Location: Hollywood, FL. Who we are IHCS provides an Integrated Delivery... ...As a Utilization Management Nurse, you will ensure that home health care services... ...unnecessarily extensive home healthcare. Concurrent review of patient’s clinical information...SuggestedFull timeTemporary work
$71.2k - $115.7k
...duties include but are not limited to: Review and resolve complex processing issues... ...authorization requests Provides world class telephone customer service to plan members and/... ...management, home health and clinical RN - Registered Nurse - State Licensure and/or Compact State...SuggestedTemporary workPart timeWork experience placementInternshipSeasonal workWork at office$1,528 - $1,623 per week
...Registered Nurse (RN) | Utilization Review Location: Tallahassee, FL Agency: GQR Healthcare Pay: $1,528 to $1,623 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$1,528 - $1,623 per week
...Registered Nurse (RN) | Utilization Review Location: Tallahassee, FL Agency: GQR Healthcare Pay: $1,528 to $1,623 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work- ...Managed Medical Review Organization is seeking a Registered Nurse to join the team in a remote, home-office setting. The role emphasizes telephonic communication, patient data documentation, and clinical... ...-to-face patient contact. The RN will verify credentialing,...Remote workHome office
- MedWatch is seeking a Medical Review Specialist (RN) to conduct utilization review for hospital admissions and procedures. You will verify medical... ...case record. Ideal candidates have an Associate's degree in nursing (bachelor's preferred), an unrestricted RN license, and at...
- ...compliance. Qualifications Education & Experience: Registered Nurse (RN) with a current Florida license required. Three (3) years of critical... ...surgical nursing experience, or Three (3) years of utilization review, case management, or third-party payer experience....Full timeMonday to Friday
- ...guidelines. Monitors the utilization of resources of all patients reviewed. Working with clients, family and friend support networks and... ...NICU preferred. Required Licenses/Certifications: Current Florida RN Licensure BLS Certification. Must possess a solid clinical...Full timeWork experience placementDay shift
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerTallahassee, Florida, United StatesPosition ID: P-762916Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 2Start date: 2026-10-05$2,111.00/week (estimated...Weekly payShift workDay shift
- ...services will be delivered to patients through telephonic engagement. Essential Duties &... ...not limited to, Comprehensive Medication Reviews, Targeted Interventions, Adherence Monitoring... ...Qualifications & Education Active Florida Registered (RN, LPN, NP) Requires three (3) years prior...Full timeWork at office
$1,590 - $1,739 per week
...Registered Nurse (RN) | Oncology Location: Tallahassee, FL Agency: Host Healthcare Pay: $1,590 to $1,739 per week Shift... ...was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...Full timeContract workLocal areaImmediate startShift work$1,590 - $1,739 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Tallahassee, FL Agency: Host Healthcare Pay: $1,590 to $1,... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the...Full timeContract workLocal areaImmediate startShift workNight shift$1,916 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Tallahassee, FL Agency: Atlas MedStaff Pay: $1,916 per week... ...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 workNight shiftWeekend work- ...Off and Paid Sick Leave Summary Statement The Clinical Review Nurse is responsible for reviewing and making medical determinations... ...Licenses, Registrations ~ Valid unrestricted Registered Nurse (RN) license Preferred Qualifications ~ Bachelor of Science...Permanent employmentTemporary workWork at officeLocal areaImmediate startRemote work
$23 - $27 per hour
...Scope: The Medical Review Coordinator will perform her/his duties in accordance with MedWatch procedures, MedWatch review standards, URAC... ...Licensure/Certification Requirements: ~ Licensed Practical Nurse (current unrestricted, in state of practice) Experience:...Hourly payHome office- ...Novitas Solutions, Inc. seeks a Clinical Review Nurse to review and substantiate medical determinations for health claims. You will assess medical necessity, service levels, and appropriateness of care under national and local policies, including cases requiring prior...Local areaRemote work
- ...purpose of this position is to provide direct nursing care to the residents and to supervise... ...electronic health record(EHR). Receive telephone orders from physicians and transcribe as... ...the right to refuse treatment. Review complaints and grievances made by the resident...Full timeWork at officeLocal areaShift work
- ...to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise... ...Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) required Comprehensive knowledge of general nursing theory and...Local area
- You will perform frequent case reviews, check medical records and... ...Required Skills Active, unrestricted RN licensure from the United... ...RN license as defined by the Nurse Licensure Compact (NLC) Associate... ...experience conducting concurrent or inpatient reviews for a managed...
- ...Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and medical necessity within an NCQA-...Remote work
- ...Interviews donors and performs medical history reviews to obtain necessary information to... ...requiredQualifications: Graduation from a paramedic, nursing, physician assistant, chiropractic,... ...state licensure or certification as an RN, MD or DO in the state you are applying...Local area
- Weekend Baylor Program RN's/LPN's ($10,000 sign on bonus) Join... ...area. We are hiring Registered Nurses (RN) and Licensed Practical Nurses... ...vital signs and medication review Administer medication as... ...appropriately, using written, telephone, and in‑person communication...Full timeRemote workRelocation packageFlexible hoursShift workWeekend workAfternoon shift
- ...tasks including vital signs and medication review Administer medication as prescribed by... ...communicate effectively in writing, by telephone, and in person contacts. Supervise LPNs... ..., Associate, or Bachelor’s School of Nursing, or vocational nursing Date set for NCLEX...Full timePart timeRemote workMonday to FridayShift workWeekend work
$122.91k - $188.02k
...Healthfirst is seeking a Medical Peer Reviewer in the Town of Florida, NY, to consult on medical necessity within utilization management. This vital role involves reviewing authorization requests and ensuring compliance with Healthfirst's regulations. The ideal candidate...- ...education to improve your skills. As a Registered Nurse at Tallahassee Outpatient Surgery Center,... ...need: Associate Degree in Nursing or RN Diploma or Higher degree in Nursing... ...Surgery Center opening. Our team will promptly review your application. Highly qualified...Temporary workFlexible hours
- ...Physician, Physician Assistant (PA, PA-C), or Nurse Practitioner (NP, FNP) in support of... ...FUNCTIONS 1. Patient discharge - includes a review of written discharge instructions with... ...patient or party responsible. 2. Answer telephone calls per department standards relaying...Full timeAll shiftsRotating shiftAfternoon shift
- ...health centers, that patients love. Job Summary: The Nurse Practitioner functions as a collaborative member... ...tasks on time (jelly-beans, EHR processes, telephone encounters, locking charts, payroll sheets, etc.). Review incoming reports (labs, x-rays, EKG's, etc.), sign...Work at officeFlexible hours
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