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Keywords: RN Clinical Review Nurse - Retrospective Review, Location: USA

Page: 1

RN / Neuro / Missouri / Permanent / Registered Nurse Quality Specialist Job

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...

Company: HCA.
Location: Kansas City, MO
Posted Date: 29 Jan 2025

Manager, Prior Authorization, UM Review, RN

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...

Posted Date: 29 Jan 2025

RN Clinical Review Nurse - Retrospective 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...

Company: Centene
Location: USA
Posted Date: 29 Jan 2025
Salary: $26.5 - 47.59 per hour

RN Utlization Management Clinical Review Analyst - Work from Home, Arizona or Colorado Area

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...

Company: Cigna
Location: Denver, CO
Posted Date: 29 Jan 2025

Registered Nurse (RN) - Utilization Review

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...

Location: Richmond, VA
Posted Date: 25 Jan 2025

Utilization Review RN

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...

Company: Ascension
Location: Austin, TX
Posted Date: 29 Jan 2025

Quality Review Specialist-RN

: 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...

Posted Date: 18 Jan 2025

Utilization Review RN

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...

Posted Date: 17 Jan 2025

Quality Review Specialist-RN

: 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...

Posted Date: 22 Dec 2024

Utilization Review RN

: 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...

Posted Date: 12 Dec 2024

QUALITY PEER REVIEW (RN)

, 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...

Location: Denison, TX
Posted Date: 07 Dec 2024

QUALITY PEER REVIEW (RN)

, 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...

Posted Date: 07 Dec 2024

Manager, Prior Authorization, UM Review, RN

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...

Posted Date: 29 Jan 2025

Utilization Review RN - FT - HPW

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...

Company: Capital Health
Location: Pennington, NJ
Posted Date: 24 Jan 2025

Utilization Review RN

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...

Company: Capital Health
Location: USA
Posted Date: 24 Jan 2025

RN - Utilization Review *DAYS

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...

Posted Date: 24 Jan 2025

RN Utilization Review II-WEO A/7a-7p Every Saturday & Sunday

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...

Location: Lynchburg, VA
Posted Date: 16 Jan 2025

Utilization Review Nurse

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...

Company: ROI Search Group
Location: Houston, TX
Posted Date: 29 Jan 2025

Registered Nurse Utilization Review, Care Coordination, Bethesda East, FT, 03P-1\:30A

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...

Posted Date: 23 Jan 2025
Salary: $72779.2 - 94612.96 per year

Registered Nurse-Review Analyst

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...

Posted Date: 23 Jan 2025