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  • Clinical PT Peer Reviewer - Utilization & Outcomes

    A healthcare organization is seeking a Clinical Peer Reviewer to ensure appropriate utilization of Physical Therapy services and compliance with regulations. The role involves reviewing authorization cases, collaborating with medical teams, and promoting member-centered... 
    Suggested

    Healthfirst

    Wisconsin
    3 days ago

  • Remote RN: Medical Review & Claims Specialist

    $29.05 - $67.97 per hour

    Molina Healthcare in Madison, WI is seeking a Medical Review Nurse to conduct in-depth medical claims review ensuring alignment with...  ...will have at least 2 years of nursing experience, including utilization review. Responsibilities include preparing and presenting cases... 
    Suggested
    Remote job
    Hourly pay

    Molina Healthcare

    Madison, WI
    2 days ago

  • Utilization Review Nurse- Remote

    $41 - $45.5 per hour

     ...License Required: Active, unrestricted RN License Must have MCG/InterQual experience...  ...clinical assessments, health education, and utilization management. Key Responsibilities:...  ...prospective, concurrent, and retrospective reviews for inpatient, rehab, referrals, and select... 
    Suggested
    Remote job

    Mindlance

    Wisconsin
    5 days ago

  • Utilization Review Specialist

    $25 - $28 per hour

    Burkwood Treatment Center is seeking a Full Time Utilization Review Specialist and Aftercare Coordinator. Hourly Rate: $25.00 - $28.00 Purpose...  .../Designations/Certifications Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-i within the state where the facility provides... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Local area

    Acadia Healthcare

    Hudson, WI
    5 days ago

  • Nurse Reviewer Associate- Remote

    $70k - $80k

     ...Nurse Reviewer Associate- Remote Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception...  ...criteria, coverage policies, and utilization and practice guidelines as defined by the...  ...guidelines and complete required CEUs to maintain RN licensure. Attend training and scheduled... 
    Suggested
    Full time
    Contract work
    Remote work
    Work from home
    Flexible hours

    Gainwell Technologies

    Wausau, WI
    5 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) TX

    1 month ago Be among the first 25 applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Surgeons... 
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    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street

    Wausau, WI
    2 days ago

  • Physician Reviewer - Orthopedic Spine (Utilization Review)

     ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are...  ...license and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    Wausau, WI
    2 days ago

  • Senior Mental Health Counselor (Utilization Review and Intake Specialist) - LTE

    $30.32 - $42.11 per hour

     ...Waukesha County's Department of Health & Human Services is recruiting for a talented LTE Senior Mental Health Counselor. The Utilization Review and Intake Specialist is one of the first points of contact for patients at the Waukesha County Mental Health Center and Crisis... 
    Suggested
    Full time
    Casual work
    Work at office
    Local area
    Visa sponsorship
    Work visa

    Waukesha County Human Resources

    Waukesha, WI
    2 days ago

  • Utilization Review Specialist & Aftercare Coordinator

    A healthcare facility in Hudson, Wisconsin, is seeking a Full-Time Utilization Review Specialist and Aftercare Coordinator to monitor service utilization and optimize patient care reimbursements. The role involves acting as a liaison with managed care organizations, conducting... 
    Suggested
    Hourly pay
    Full time

    Acadia Healthcare

    Hudson, WI
    5 days ago

  • Surgical Registered Nurse (RN) - Immediate Hiring

     ...Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And...  ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed... 
    Suggested
    Immediate start

    Yale New Haven Health

    Madison, WI
    4 hours ago

  • Physician Clinical Reviewer- Pediatric Neurology- REMOTE

    $90.87 - $154.33 per hour

     ...the future of pharmacy with us. Job Title Physician Clinical Reviewer- Pediatric Neurology- REMOTE Responsibilities Reviews cases in...  ...Initial Clinical Reviewers as needed to discuss cases and problems. Utilizes medical/clinical review guidelines and parameters to assure... 
    Suggested
    Remote job
    Work at office
    Local area
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Madison, WI
    2 days ago

  • RN Admissions Coordinator - Utilization Management

    $34.01 - $58.5 per hour

     ...planning for Eureka Swing Bed patients. Utilizes the five components of case management: assessment...  ...Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and...  ...Collaborates with charge nurse daily to review all available beds, pending discharges,... 
    Suggested
    Work experience placement
    Local area
    Monday to Friday
    Shift work

    Carle Health

    Eureka, Winnebago County, WI
    1 day ago

  • Registered Nurse (RN) - HVC Heart Failure Nurse

     ...Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And...  ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed... 
    Suggested
    Temporary work
    Flexible hours

    Yale New Haven Health

    Danbury, WI
    1 day ago

  • Cardiothoracic Surgery Physician Assistant (New Graduates Review Requirements)

     ...strong surgical first assist practice experience or new/recent graduates with dedicated rotations in cardiothoracic surgery will be reviewed. An attraction to the operating room is a must. Minimum Requirements: Certified Physician Assistant ACLS and BLS... 
    Suggested
    Local area
    Night shift

    SSM Health

    Madison, WI
    2 days ago

  • Registered Nurse (RN) - Cath Lab

    $2,533 per month

     ...Profession Registered Nurse (RN) Specialty Cath Lab Job...  ...certification Roles & Responsibilities: - Utilize the nursing process and critical thinking...  ...performance improvement activities and support peer review opportunities. Client Details... 
    Suggested
    Weekly pay
    Contract work
    Local area
    Shift work

    Comanche County Memorial Hospital

    Janesville, WI
    4 days ago

  • Registered Nurse - Outpatient Oncology Team RN

    $35.5 - $53.25 per hour

     ...Information: Outpatient oncology clinic Team RN role. 0730-1700. Monday - Friday scheduling,...  ...physicians with telephone triage, results review, care coordination, etc. Pay Range $35.50 - $53.25 Utilizing the nursing process, provides ongoing care according... 
    Full time
    Temporary work
    Monday to Friday
    Flexible hours
    Shift work

    Advocate Aurora Health

    Milwaukee, WI
    5 days ago

  • Registered Nurse (RN) - Dialysis - FT Days | Wausau Rehab

    $3,000 per month

     ...addition to our PAMily! Please take a moment to review the job opportunity and reach out to a...  ...Registered Nurse is responsible for utilizing the nursing process while delivering, directing...  ...by physicians. Qualifications ~ RN License in the state you are applying... 
    Full time
    Currently hiring
    Local area

    PAM Health Rehabilitation Hospital of Orange City

    Wausau, WI
    3 days ago

  • Dialysis Clinical Manager Registered Nurse - RN

     ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD...  ...clinic financials including efficient utilization of supplies or equipment and regular profits...  ...of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE... 

    Fresenius Medical Care

    Milwaukee, WI
    2 days ago

  • Medical-Surgical Registered Nurse (Med-Surg RN)

     ...Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And...  ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed... 

    Yale New Haven Health

    Danbury, WI
    4 days ago

  • Utilization Management Specialist RN

    $24 - $38 per hour

     ...0 - $38.50 Union Position: No Department Details Join the Health Plan Utilization Management team and leverage your RN expertise to conduct medical necessity reviews to ensure members receive appropriate high-quality care. Core Hours: Monday through... 
    Full time
    Local area
    Monday to Friday
    Shift work

    Sanford Health

    Marshfield, WI
    12 days ago

  • Travel Nurse RN - Emergency Room (ER) / Trauma in Lake Geneva, WI

     ...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Lake Geneva...  ...Trauma RN in Lake Geneva, Wisconsin, 53147! Utilizes the nursing process and collaborates with...  ...activities and decisions and peer review process About United Health Care Staffing... 
    Weekly pay
    Contract work
    Local area
    Immediate start
    Shift work
    Weekend work
    Day shift

    TravelNurseSource

    Lake Geneva, WI
    4 hours ago

  • Surgical Clinical Reviewer

    $58k - $78k

     ...Job Title: Surgical Clinical Reviewer Location: Cooperman Barnabas Medical Ctr Department Name: Department of Surgery Req #...  ...postoperative data components for the Program through the effective utilization of the hospital medical record systems. ~ Attends weekly... 
    Full time
    Temporary work
    Work experience placement
    Local area
    Remote work
    Flexible hours
    Shift work

    Cooperman Barnabas Medical Center

    Madison, WI
    5 days ago

  • Travel Nurse RN - Cardiac Cath Lab - $2,752 per week

    $2,752 per week

     ...Junxion Med Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job...  .... - **Skills/Qualifications:** Utilizes the nursing process and critical thinking...  ...development and continuous learning; Supports peer review and feedback; Manages complex situations;... 
    Hourly pay
    Weekly pay
    Permanent employment
    Contract work
    Temporary work
    For contractors
    Immediate start
    Flexible hours
    Shift work
    Rotating shift

    Junxion Med Staffing

    Janesville, WI
    3 days ago

  • Surgical ICU Registered Nurse

     ...Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And...  ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed... 

    Yale New Haven Health

    Madison, WI
    4 hours ago

  • Travel Nurse RN - Neonatal Intensive Care Unit - $2,314 per week in Madison, WI

    $2,314 per week

     ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Madison, WI...  ...Compliance RTO Requirements : Manager will review/approve during candidate review process....  ...our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing... 
    Permanent employment
    Contract work
    Temporary work
    Local area
    Monday to Friday
    Shift work
    Night shift
    Weekend work
    Day shift

    TravelNurseSource

    Madison, WI
    4 hours ago

  • Surgical Nurse (RN) / OR Surgical RN

     ...System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic...  ...Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis,... 

    Yale New Haven Health

    Madison, WI
    4 hours ago

  • Registered Nurse (RN) - OR - Operating Room - $34-52 per hour

    $34 - $52 per hour

     ...UW Health is seeking a Registered Nurse (RN) OR - Operating Room for a nursing job in...  ...a centralized and standardized process to review the procedure file, surgeons’ preference cards...  ...with perioperative leadership. Utilize data analysis skills to identify opportunities... 
    Hourly pay
    Full time
    Work experience placement
    Monday to Friday
    Shift work
    Day shift

    UW Health

    Madison, WI
    3 days ago

  • Registered Nurse (RN) - Surgical ICU

     ...Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And...  ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed... 

    Yale New Haven Health

    Madison, WI
    4 hours ago

  • RN Emergency Room Nurse

     ...We are looking for an experienced ER RN for this position. We require Active WI...  ...ESSENTIAL DUTIES AND RESPONSIBILITIES • Utilizes the nursing process and collaborates with...  ...activities and decisions and peer review process. Specialty: Nursing... 
    Contract work
    Shift work

    We Care Staffing

    Janesville, WI
    3 days ago

  • Travel Nurse RN - ED - Emergency Department - $2,470 per week

    $2,470 per week

     ...LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing...  ...ESSENTIAL DUTIES AND RESPONSIBILITIES · Utilizes the nursing process and collaborates with...  ...activities and decisions and peer review process. Shift Information: Night-Shift... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work
    Night shift

    LanceSoft

    Janesville, WI
    4 days ago