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
- ...healthcare staffing firm is seeking a Registered Nurse for Concurrent Review in Florida. The role involves telephonic review of inpatient admissions to ensure appropriate... ...and care levels. Candidates must have an active RN license in Florida and 2+ years of clinical...SuggestedFull timeWork at officeMonday to Friday
- ...Comprehensive paid training program What Will You Be Doing Concurrent review of patient’s clinical information for efficiency Ongoing review... ...review What Will You Come With State licensure as a LPN or RN Minimum 2 years of prior experience in Utilization Management...SuggestedFull timeTemporary work
- ...interested. Title: Clinical Care Reviewer Location: Doral, FL... ...and Experience Current FL RN licensure Registered Nurse graduated from an accredited... ...and resources (systems, telephones, etc.) to appropriately support... ...(Prior Authorization, Concurrent Review). Submits...Suggested
- ...Responsibilities As a Utilization Management Nurse, you will ensure that home... ...compliance. By continuously reviewing and auditing patient treatment... ...necessary and effective care. Concurrent review of patient’s clinical... ...State licensure as a LPN or RN. Minimum 2 years of prior...SuggestedTemporary work
- ...A healthcare services company is seeking a Clinical Care Reviewer based in Doral, FL. The role requires a current FL RN licensure and a minimum of 3 years of nursing experience, preferably in critical care settings such as ER or ICU. Candidates should have experience...Suggested
$73.86k - $96.02k
...this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization... ...Guidelines Specialist. Registered Nurse. Additional Qualifications RNs hired... ...their non-leadership role as an RN. However, they are required to complete...Local area- ...the Town of Florida, New York. The role requires state licensure as either an LPN or RN and a minimum of 2 years of experience in Utilization Management. Responsibilities include reviewing patient clinical information, coordinating with healthcare teams, and maintaining...Full time
$83.1k - $120.36k
...The Clinical Peer Reviewer (Phyiscal Therapy) Utilization Management (UM) plays a critical... .... This role partners closely with UM nurses, Appeals & Grievances, Network Management... ...Responsibilities Review complex prior authorization, concurrent review, and retrospective cases related...Work experience placement- ...TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote work
- ...Dawsonohana is looking for a Licensed Practical Nurse (LPN) to serve as a Temporary Case Reviewer. This role involves medical case management supporting the Army Reserve Medical Management Center (AR-MMC) in New York. Key responsibilities include collaborating with military...Temporary work
- ...DAWSON is seeking a Licensed Practical Nurse (LPN) for a Temporary Case Reviewer position. This role involves Medical Case Management for the Army Reserve Medical Management Center. Responsibilities include managing Soldier care plans, collaborating with military personnel...Temporary workFlexible hours
$73.86k - $96.02k
...Health Bethesda Hospital is looking for a Registered Nurse to conduct clinical financial resource utilization reviews. In this role, you will coordinate with healthcare... ...have an Associates degree in Nursing and required RN certifications. Strong analytical and...$26.41 - $51.49 per hour
...Healthcare in California, MO is seeking a Clinical Member Services Reviewer. The role includes assessing clinical service requests, ensuring... ...for healthcare delivery. The ideal candidate has an active RN license and at least 2 years of experience in hospital or managed...Hourly pay$26.41 - $51.49 per hour
...Florida Job Summary: Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice....Hourly payWork experience placementWork at officeRemote work- ...Elevance Health is seeking a Telephonic Clinical Nurse Coordinator for a hybrid position in New York. This role involves collaborating with healthcare... ..., at least three years of clinical experience, and a valid RN license. This position emphasizes care management and...Work at officeFlexible hours2 days per week1 day per week
- ...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 areaRemote workShift work
- ...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 Supervise...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,... ...Diploma, Associate, or Bachelor’s School of Nursing, or vocational nursing Date set for...Full timePart timeRemote workMonday to FridayShift workWeekend work
- ...A healthcare management firm is seeking a qualified Licensed Practical Nurse in New York to assist with reviewing patient charts and ensuring accurate patient records. Responsibilities include submitting Review Visit Logs, adhering to operational guidelines, and communicating...
- ...A healthcare organization is seeking a Licensed Practical Nurse to review patient charts and ensure accuracy in patient records. This role involves communicating with supervisors and attending educational meetings to deliver high-quality care. The ideal candidate will...
- ...A healthcare services company seeks a Medical Records Reviewer to ensure efficient utilization of healthcare resources. The role involves reviewing clinical records, maintaining documentation for utilization reviews, and collaborating with healthcare professionals. Candidates...
- ...Medical Records Reviewer – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare...Work at officeFlexible hours
- ...A healthcare service company is seeking a Medical Records Reviewer in the Town of Florida, NY. In this role, you will ensure the proper use of healthcare resources by reviewing and processing medical records for payor authorization. You will collaborate with various healthcare...
- ...evaluate the medical appropriateness of services. This role requires at least 6 years of clinical practice and 1 year of utilization review experience in a health insurance setting. Key responsibilities include conducting medical reviews, making clinical determinations,...
$80k - $90k
...Hiring Range: $80-90k### **Key Responsibilities*** Performs clinical reviews on medical records to maintain subject matter expertise.*... ...ability to adapt in a changing environment.**Required and Preferred Qualifications*** Active unrestricted RN license #J-18808-Ljbffr...Remote workFlexible hours- ...The Dialysis Charge Nurse position is for our Viera Clinic, located at 8041 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940. The RN Charge Nurse is responsible for overseeing nursing services... ...hours. Complete and document monthly review of patient medication profiles....Local areaShift work
- ...Family Nurse Practitioner/ Physician Assistant - Clermont A career at Community Health... ...tasks on time (jelly-beans, EHR processes, telephone encounters, locking charts, payroll sheets... ...are being provided. Assist in the review of primary care protocols and patient education...Work at officeFlexible hours
- ...Broughton Group is looking for a motivated Utilization Review Nurse to join their team in New York, supporting national health plans. The role involves performing clinical reviews to determine medical necessity, working independently, and meeting deadlines. The ideal...
- ...Supervisor, Clinical Review Nurse Location: Any TurningPoint is an innovative healthcare services and technology organization that is committed... ...Requirements An active and unrestricted Registered Nurse (RN) Associate’s Degree is required. Bachelor of Science in Nursing...Full time
- ...TurningPoint Healthcare Solutions is hiring a Supervisor, Clinical Review Nurse in New York. This full-time role involves overseeing... ...and leading a clinical team. Candidates should possess an active RN license, a minimum of five years of clinical experience, and supervisory...Full time
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