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Registered Nurse Utilization Review - Case Management - PRN

 ...Description Summary: The RN Utilization Review II is responsible for determining the...  ...for services. The RN Utilization Review Nurse collaborates as necessary with other members...  ...specialized services meet the unique medical needs of children, from Pediatric and Neonatal... 
Relief

CHRISTUS Health

San Antonio, TX
2 days ago

Travel Nurse RN - Utilization Review - $2,724 per week

 ...Description General Healthcare Resources is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania....  ...: 8 hours, days ~ Employment Type: Travel ~ Perks: Medical, dental, vision, 401k available.\nM-F 8am-4:30pm, no... 
Holiday work
Travel
Shift work

General Healthcare Resources

Sellersville, PA
4 days ago

Local Contract Nurse RN - Utilization Review - $64-65 per hour

 ...General Healthcare Resources is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Sellersville, Pennsylvania...  ..., days ~ Employment Type: Local Contract ~ Perks: Medical, dental, vision, 401k available.\nM-F 8am-4:30pm, no... 
Hourly pay
Holiday work
Contract work
Local area
Shift work

General Healthcare Resources

Sellersville, PA
3 days ago

Utilization Review Nurse

 ...management Experience, Inpatient Utilization Management review · Must have Critical Care Or Medical Surgical · Must have 1 Year of Utilization...  ...Skills : · Med/surg · MCG · Milliman · Utilization review Education: Associate degree in Nursing... 

US Tech Solutions, Inc.

Atlanta, GA
7 days ago

Concurrent Review Nurse

 ...Concurrent Review Nurse openings with a major health insurance / managed care company in the  Tacoma WA 98402  area! Starting ASAP!! Apply...  ...services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations Complete... 
Hourly pay
Temporary work
Remote job
Work at office
Immediate start
Work alone
Monday friday

A-Line Staffing Solutions

Tacoma, WA
7 days ago

Utilization Review Nurse

 ...Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Clinical Review team. Oscar is the first health...  ...As a Utilization/Clinical Review Nurse, you will determine the medical appropriateness of inpatient and/or Outpatient services by reviewing... 
Holiday work
Full time
Remote job
Island

Oscar Health

Phoenix, AZ
12 days ago

Utilization Review Nurse (RN)

 ...Job Description Victor Valley Global Medical Center Victorville, CA * Coordinates and reviews all medical records, as assigned to caseload * Actively participates...  ...in Social Work, behavioral or mental health, nursing or other related health field preferred * 3 to 5 years... 
Contract work
Field

KPC GLOBAL MEDICAL CENTERS INC

Corona, CA
10 days ago

Utilization Review Nurse

 ...Job Description Ocean Beach Hospital and Medical Clinics is seeking a full-time Utilization Review Nurse! Build your career with us! We believe in collaborative mentorship in a family feel atmosphere. We are a mission driven non-profit, where we provide compassionate... 
Holiday work
Full time
Temporary work
Eap

Ocean Beach Hospital and Medical Clinics

Ilwaco, WA
22 days ago

Registered Nurse (RN) - Utilization Review

 ...South City Hospital. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis,...  ...and vision insurance. STATEMENT OF PURPOSE: The Utilization review nurse works with a high degree of independence to ensure that... 
Hourly pay
Full time
Part time
Work at office
Training
Field

South City Hospital

Saint Louis, MO
12 days ago

(Registered Nurse) Utilization Review Coordinator/Full-Time

 ...Description Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate...  ...indicators. Assists with retrospective reviews and medical necessity denials per communication... 
Full time
Work at office
Unit
Rotating shift

CHRISTUS Health

Santa Fe, NM
4 days ago

Professional Review Nurse

The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized to... 
Full time
Flexible hours

CorVel Corporation

Saint Paul, MN
2 days ago

Utilization Review Nurse -(RN) Per Diem

 ...Description Kern Medical   has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center...  ...125,000 clinic patients a year.   Position: Utilization Review Nurse - Case Management - Shift Compensation: The estimated pay... 
Work at office
Training
Local area
Unit
Shift work

Kern County Hospital Authority

Shafter, CA
12 hours ago

Utilization Review Registered Nurse_Case Management_Weekends Only

 ...Only Day shift Fri, Sat, Sun, Mon 7 am-530 pm Utilization Review Nurse Case Management for the Revenue Cycle Center in Norfolk,...  ...way with the patients, family, and members of the medical team to provide patients with the resources they need and help... 
Full time
Work at office
Shift work
Weekend work
Day shift

Sentara Health

Norfolk, VA
2 days ago

Travel Nurse RN - Utilization Review - $1,829 per week

 ...Job Description Tact Staff is seeking a travel nurse RN Utilization Review for a travel nursing job in Lewes, Delaware. Job Description &...  ...8 Hours Assignment Length: weeks Benefits: TACT Medical Staffing offers Day 1 Medical Insurance, Dental, Vision, Travel... 
Permanent employment
Full time
Part time
Travel
Shift work
Afternoon shift

Tact Staff

Lewes, DE
7 days ago

Utilization Management Review Nurse

 ...Responsibilities The Utilization Management Nurse will utilize clinical knowledge, communication skills, and analytical...  ...care and treatment. ~ Perform acute concurrent front-end reviews to determine medical necessity. Must be willing to comply with the... 
Remote job

Accounting Now

Tampa, FL
17 days ago

Registered Nurse (RN) - Medical Staff Peer Review

Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified Medical Staff Peer Review like you to join our Texas Health family.Position Highlights:Work location: Southwest Fort Worth HospitalWork environment... 
Full time

Texas Health Resources

Fort Worth, TX
more than 2 months ago

Medical Case Manager/Utilization Review Nurse

 ...Description Due to growth and expansion, CMSI, an independent medical management and wellness company seeks qualified personnel for...  ...position: Job title: Medical Case Manager/Utilization Review Nurse Position Description: Provides comprehensive medical management... 
Work at office
Unit
Home office
Flexible hours

Case Management Specialists, Inc.

Hartland, WI
23 days ago

Quality Review Nurse, RN (Medicare Home Health)

 ...Job Description QUALITY REVIEW NURSE - REGISTERED NURSE, RN Love Where You Work! Trilogy Home Healthcare is an exciting place to be right...  ...are eligible for our full benefits package to include: Medical/Dental Vision Insurance, Medical GAP Insurance, Life Insurance... 
Full time

Trilogy Home Healthcare Port Saint Lucie

Port Saint Lucie, FL
a month ago

Medical Abstraction - HEDIS Utilization Review Nurse

 ...Job Description Are you an RN or LPN who's up for a new challenge? Come join AMA Medical Group as our new full-time Medical Abstraction - HEDIS Utilization Review Nurse You'll get to flex your medical abstraction skills and use your nursing expertise to make sure we... 
Holiday work
Full time
Training
Online
Eap
Flexible hours

AMA Medical Group

Dunedin, FL
6 days ago