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$51.43 - $79.84 per hour
...Description Care Manager RN @ Swedish Medical Center Full time 1 FTE Day shift Fantastic benefits and compensation... ...to focus on what really matters - our patients. The Utilization Review (UR) Nurse has a strong clinical background blended with a...SuggestedFull timeWork at officeLocal areaShift workDay shift$46.3 - $91.32 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedFull timeLocal areaShift work- ...Overview Calling all Registered Nurses (RN) and Social Workers (BSW or MSW)!... ...Research Pathways Eligible ~ Annual Merit Review and Merit Increases ~ Employee Assistance... ...implement and coordinate discharge plans utilizing available and appropriate community resources...SuggestedFlexible hoursWeekend work
$28.37 - $37 per hour
...Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer RN - PRN to join our growing team. Job Summary: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction...SuggestedContract workReliefWork at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shift$46.3 - $91.32 per hour
Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and...SuggestedFull timeLocal areaShift work- ...The Supervisor for Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management... ...illness prevention and patient care delivery to each task, clinical review and or quality improvement project. Responsible for success...SuggestedFull timeLocal areaShift work
- ...comprehensive, cost-effective, and quality healthcare services for residents of the District of Columbia. The position serves as a Utilization Review Specialist that organizes, implements, and evaluates health care utilization review and utilization control activities...SuggestedPermanent employmentWork at officeMonday to Friday
$2,950 per week
...Prime Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job... ...Cath Lab Salary information and unbiased reviews from leading Travel Nurse Agencies... ...our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing...SuggestedPermanent employmentTemporary workShift work$115k
...Living Join our team as the Nurse Manager, RN also known as the Clinical Manager! The... ...Ulcers, Medication Errors, Restraint Utilization, Re-hospitalization, Anti-psychotic utilization... ...all required training and competency reviews are completed according to federal, state...SuggestedWork at officeLocal areaImmediate startRelocation packageMonday to FridayFlexible hoursDay shift- ...Clinical Member Services Reviewer Provides support for clinical member services review... ...promote the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...and experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedWork at office
- Job Description Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role is a full-time on-site position with remote/hybrid options as applicable. The Utilization Review Physician Advisor (Advisor)...SuggestedFull timeRemote work
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will... ...duties as assigned Qualifications Active RN license (WA; must be in good standing) 2-...SuggestedContract workRemote work
- ...Job Description Prime Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Arlington, Virginia.... ...perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent...SuggestedPermanent employmentTemporary workShift work
$90.9k - $151.42k
...collaborative governance. Ensures effective utilization of the interdisciplinary model of care (... ...ongoing communication with leaders to review programs provide feedback discuss new developments... ...Licenses and Certifications RN - Registered Nurse - State Licensure and/...SuggestedDaily paidRelocationShift workNight shiftWeekend workAfternoon shift- Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians providing a caseload customized to your schedule. The physician panel consists of independent contractors...SuggestedFor contractorsRemote work
- ...employees. About the Role: Lead Clinical Reviewer DC Medicaid Contract The Clinical Review... ...Sciences, or a related clinical field. Active RN licensure. Minimum of 5 years of clinical... .... Skills: The Clinical Reviewer Lead utilizes strong clinical knowledge and analytical...Contract workRemote work
- ...the highest quality standards for well being. Ensures proper utilization of the Resident Care Plan by all team members. Ensures... ...corrective actions in a timely manner. Researches, documents and reviews all incidents of abuse, neglect and misappropriation of funds;...Work at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift
$57.85k - $104.58k
...and standards; verify that corrective actions are implemented Review site-specific Health and Safety Plans (HASPs) for construction... ...HAZCOM standard A technical background in various process, utility, industrial and or mechanical systems and an understanding of associated...Permanent employmentFor contractorsWork at officeLocal areaImmediate startFlexible hours$28 - $33 per hour
...Acentra Health is looking for a Clinical Reviewer (SCA) to join our growing team. Job Summary The purpose of this position is to utilize clinical expertise during beneficiary interaction... ...Qualifications Active unrestricted LPN, RN or, Social Worker or other applicable...Remote jobContract workWork at officeLocal areaFlexible hours$115 per hour
...solutions in the public sector. Job Summary Acentra Health is seeking a Dental Medical Reviewer - PRN (Remote U.S.) Job Summary: The Dental Physician Reviewer will oversee utilization review/management activities to include peer review, utilization review, fair hearings...Remote jobContract workReliefWork at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift- ...looking for a dedicated Registered Nurse (RN) Cardiovascular Intermediate Care to join... ...coordinates unit activities as needed Utilizes standards, guidelines and pathways for... ...anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating...Full timeRelocation packageFlexible hoursShift workNight shiftWeekend work
$37.33 - $61.81 per hour
...Description Registered Nurse (RN), Days, Cardiac/Telemetry Med Surg, Mon-Fri 7:... ...Resolves patient problems and needs by utilizing multidisciplinary team strategies. Maintains... ...knowledge by attending educational workshops; reviewing professional publications; establishing...Contract workWork at officeImmediate start- ...looking for a dedicated Registered Nurse (RN) Cardiac Telemetry to join the team. This... ...unit activities as needed Utilizes standards, guidelines and pathways for care... ...anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating...Full timeRelocation packageFlexible hoursNight shiftRotating shiftDay shift
- ...on critical care units. The department utilizes a multi-disciplinary approach to care,... ...Children's National supports the development of RN relationships within the community;... ...practice. ~ Demonstrate professional review of peers through timely participation in...Full timeWork experience placementRelocation packageRotating shift
- ...specializes in assisting with minimally invasive procedures that utilize imaging techniques such as fluoroscopy, CT scans, and... ...instruments, and supplies are available and functioning. \n ~ Review patient information, medical history, and previous imaging studies...Zero hours contractImmediate startShift work
$130 - $140 per hour
Overview Medical Consultant Reviewer On-Call (District of Columbia) Psychiatry - Adolescence Preferred Join to apply for the Medical... ...based medicine, and other resources to render timely decisions on utilization reviews. Provide appropriate and timely subject matter...Hourly payPart time$40 - $41 per hour
...Registered Nurse (RN) - Intermediate Care Join to apply for the Registered Nurse... ...coordinates unit activities as needed Utilizes standards, guidelines and pathways for care... ...BSN completion date 3.) Submit a review of transcripts from the school indicating...Full timePart timeRemote workRelocation packageFlexible hoursShift workNight shiftWeekend work$87.32k - $157.29k
...KNOWLEDGE OF THE HEALTHCARE ENVIRONMENT: Utilizes approaches and strategies that support and... ...surveys and regulatory and compliance reviews from local regional and national entities... ...preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/...Local areaRelocation$100.59k - $190.34k
...ongoing communication with associates to review programs discuss new developments and exchange... ...delivery and outcomes. Ensures effective utilization of the interdisciplinary model of care (... ...Licenses and Certifications RN - Registered Nurse - State Licensure and/...RelocationShift work- ...on critical care units. The department utilizes a multi-disciplinary approach to care,... ...practice. CNMC supports the development of RN relationships within the community; specifically... .... ~ Demonstrate professional review of peers through timely participation in...Work experience placementReliefShift workRotating shift



