Search Results: 614,309 vacancies

 ...Concurrent Review RN Concurrent Review Nurse Job Description As a Concurrent Review Nurse, you will review requests for service authorizations to assist with the utilization of appropriate medical services. Your responsibilities will include reviewing various medical... 
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Actalent

Sunrise, FL
1 hour ago
Professional, Concurrent Review - RN 625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont, USA Req...  ...current/active New York State licensure required. BS in Nursing or Health Management is preferred. Minimum Experience: 3+... 
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MVP Health Care

Tarrytown, NY
23 days ago
Reporting to the Manager of Clinical Operations, the Concurrent Review & Care Transition Nurse is a registered nurse or licensed vocational nurse that is...  ...position is a hybrid set up. Candidate must have a current CA RN or LVN license. Salary: $58.40 to $64.24 per hour WHAT... 
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San Francisco Health Plan

San Francisco, CA
5 days ago
 ...flexibility. **Position Purpose:** Performs concurrent reviews, including determining member's overall...  ...Graduate from an Accredited School of Nursing or Bachelors degree in Nursing and 2 4...  .... **License/Certification:** + RN preferred State Licensure required or(compact... 
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Centene Corporation

Olympia, WA
4 days ago
The Concurrent Review Coordinator is responsible for working with a multi-disciplinary team, serving primarily in an administrative support...  ...management review and submit the data to the Concurrent Review nurse team for clinical decision-making. Maintain ongoing tracking... 
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San Francisco Health Plan

San Francisco, CA
5 days ago
 ...medical necessity/utilization review and other utilization management...  ...prior authorizations and/or concurrent review. Mentors and trains new...  ...Completion of an accredited (RN) -OR- an accredited (LVN) program...  .... Bachelor's Degree in nursing or health related field preferred... 
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Central Health

Austin, TX
3 days ago
 ...RN - Prior Authorization-Concurrent Prior Authorization/Concurrent Review RN Job Description We are seeking a registered nurse with at least 2 years of experience in Managed Care Prior Authorization or Concurrent Review. Clinical experience is highly desirable. The... 
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Actalent

Sunrise, FL
1 day ago
 ...about 6 months. The pay is $40/hour. RN or LPN. No travel. Remote position. Work...  ...position is responsible for performing concurrent review in accordance with accepted department criteria...  ...plan. JOB REQUIREMENTS: - Register Nurse (RN) or Licensed Practical Nurse (LPN)... 
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HireOps Staffing LLC

Albuquerque, NM
4 days ago
 ...UTILIZATION REVIEW NURSE (RN) ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Full-time - Day shift - 8:00am-4:...  ...Save Job Saved Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and... 
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LifeBridge Health

Randallstown, MD
4 days ago
 ...clients. The Utilization Management Nurse performs daily medical necessity reviews. This position reports to the...  ...Primary Responsibilities Performs concurrent utilization reviews (Acute, SNF, LTACH...  ...licensed Registered Nurse (RN) in good standing. Must retain active... 
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Brighton Health Plan Solutions, LLC

Chapel Hill, NC
22 days ago
 ...UTILIZATION REVIEW NURSE (RN) - PRN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~PRN - As Needed - 8:00am-4:30pm...  ...Save Job Saved Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource... 
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LifeBridge Health

Baltimore, MD
4 days ago
 ...Utilization Management RN Reviewer Join Cleveland Clinic's Martin North Hospital where...  ...which include admission review, concurrent review, retrospective chart review and...  ...* Graduate of an accredited school of nursing with licensure as a Registered Nurse (RN... 
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Cleveland Clinic

Stuart, FL
4 days ago
 ...Multistate Licensure: Quantum Health nurses must be willing and able to...  .... The Utilization Review Nurse reviews and processes...  ...Conduct initial clinical reviews, concurrent reviews and retrospective...  ...standing as a Registered Nurse (RN) in the state of Ohio... 
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quantum-health

Dublin, OH
1 day ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide... 
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Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
1 day ago
 ...UTILIZATION REVIEW NURSE (RN) - PRN Baltimore, MD SINAI HOSPITAL UTILIZATION REVIEW PRN - As Needed - 8:00am-4:30pm RN Other...  ...Posted: March 21, 2024 Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource... 
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LifeBridge Health

Baltimore, MD
13 days ago
 ...investing in the latest technology enabling nurses to work more efficiently. Are you...  ...application for Registered Nurse Clinical Reviewer position and spend more time at the bedside...  ...chart review and coordination; performs concurrent chart reviews & is proactive in working... 
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Rio Grande Regional Hospital

Mcallen, TX
8 days ago
 ...monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical necessity using...  ...review or discharge planning. - Clear and current CA RN license. Preferred Qualifications: - Concurrent review... 
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Dignity Health Medical Foundation

Rancho Cordova, CA
a month ago
 ...Center Victorville, CA Coordinates and reviews all medical records, as assigned to caseload...  ...: CA LVN license required. CA RN license preferred. Bachelor's or Master's...  ...Social Work, behavioral or mental health, nursing or other related health field preferred 3... 

KPC Global MSO

Corona, CA
5 days ago
 ...This role is responsible for the review of medical records for...  ...thinking. Collaborates with the Concurrent Denial RNs to determine the root...  .... Collaborates with facility RN Care Coordinators to ensure progression...  ...(2) years of acute hospital nursing experience or a Masters degree... 

Unavailable

Bremerton, WA
5 days ago
 ...appropriateness of admissions and continued stays, and documents findings based on Departmental standards. • While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department. • Identifies at-risk populations... 
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Albany Medical Center

Albany, NY
3 days ago