is accurately reflected. This is accomplished by performing prospective, concurrent and retrospective review of various types...: Performs prospective, concurrent and retrospective review of various types of patient medical records from multiple settings...
performance with regard to prior authorization, medical necessity determinations, concurrent review, retrospective review... minimal skill and clinical knowledge requirements to be successful in assigned role. Participate in current process review...
a clinical retrospective review of services previously provided to determine if the level of care and services provided were... administered with quality, cost efficiency, and are within compliance. Performs a clinical review of post-care services...
for inpatient review and directs communication with the facility to elicit clinical information and facilitate discharge planning... unrestricted Registered Nurse (RN) license in state or territory of the United States Ideal candidate must reside in Arizona...
determination. The Utilization Review RN conducts prospective, concurrent and retrospective utilization review for inpatient...The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent...
Review RN, you will provide health care services regarding admissions, case management, discharge planning and utilization...Details Department: Utilization Review Schedule: Full-time, 8-hour day shift, Monday-Friday, weekends and holidays...
: Registered Nurse (RN) Required Training: None. Essential Functions Utilizes in-depth knowledge of clinical workflows... education programs include family medicine and transitional year. Job Summary The Quality Review Specialist-RN provides...
Job Description: Utilization Review RN Full time 1 FTE Day Shift The Utilization Review (UR) Nurse... and government payers. The UR nurse is responsible for performing admission, concurrent and retrospective UR related reviews...
: Registered Nurse (RN) Required Training: None. Essential Functions Utilizes in-depth knowledge of clinical workflows... education programs include family medicine and transitional year. Job Summary The Quality Review Specialist-RN provides...
: Required  Licensure as a Registered Nurse (RN), Massachusetts Three years of recent clinical or utilization management experience...: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission...
, safe and professional practice. Benefits available for our Registered Nurse (RN) include: Tuition Assistance Career... Registered Nurse (RN) position before applying, please contact one of our nurse recruiters at (903) 416-4050...
, safe and professional practice. Benefits available for our Registered Nurse (RN) include: Tuition Assistance Career... Registered Nurse (RN) position before applying, please contact one of our nurse recruiters at (903) 416-4050...
performance with regard to prior authorization, medical necessity determinations, concurrent review, retrospective review... minimal skill and clinical knowledge requirements to be successful in assigned role. Participate in current process review...
for review and determination. Gathers clinical information to conduct continued stay utilization review activities with payers... on a daily basis. Performs concurrent and retrospective clinical reviews with various payers, utilizing the appropriate...
for review and determination. Gathers clinical information to conduct continued stay utilization review activities with payers... on a daily basis. Performs concurrent and retrospective clinical reviews with various payers, utilizing the appropriate...
Job Description: The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed... and interprets the implications of clinical status and the medical treatment plan with current federal regulations/guidelines thereby...
Job Description: Utilization review nurse is responsible for the day to day coordination of admission criteria as it..., Medicaid and other insurance payors. This team member will communicate with a variety of clinical discipline, commercial payers...
We are seeking a Utilization Review Nurse to join one of Houston’s largest Independent Physician Associations... Utilization Review Nurse must live in the Houston area. The Utilization Review Nurse is responsible for ensuring quality, cost...
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial.... Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently. Strong analytical...
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Review... Analyst for a contract opportunity with one of our largest clients located in Detroit, MI! Title: RN Review Analyst...