- Molina Healthcare (Salt Lake City, UT)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in… more
- The County of Los Angeles (Los Angeles, CA)
- …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator, CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333)...needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review… more
- Elevance Health (Denver, CO)
- …unless an accommodation is granted as required by law._** The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... ** Medical Management Nurse ** **Work schedule: M-F...and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Trauma Medical Surgical Nurse opening. We promptly review all applications. Highly qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Trauma Medical Surgical Nurse you want with your current employer? We have an exciting… more
- HCA Healthcare (San Antonio, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Introduction** Do you have the career opportunities as a(an) Medical Surgical Registered Nurse you want in your current role? We invest in what… more
- HCA Healthcare (Austin, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Introduction** Do you have the career opportunities as a(an) Medical Surgical Registered Nurse you want in your current role? We invest in what… more
- HCA Healthcare (Manchester, NH)
- …we encourage you to apply for our PRN Ortho Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted for ... have the PRN career opportunities as a(an) PRN Ortho Medical Surgical Registered Nurse you want with...physical and psychosocial status based on interview, examination and review of clinical data. . Assesses potential for crisis… more
- HCA Healthcare (San Antonio, TX)
- …career path, we encourage you to apply for our Medical ICU Registered Nurse opening. We review all applications. Qualified candidates will be contacted by a ... **Description** **Introduction** Do you have the career opportunities as a Medical ICU Registered Nurse you want in your current role? We invest in what matters… more
- HCA Healthcare (Manchester, NH)
- …we encourage you to apply for our RN Ortho Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by a ... you have the career opportunities as a RN Ortho Medical Surgical Registered Nurse you want in...physical and psychosocial status based on interview, examination and review of clinical data.** **. Assesses potential for crisis… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The Quality and Patient Safety office (QPS) Peer Review Nurse completes and/or coordinates all aspects of the Peer Review Program. The incumbent ... consistent, timely, credible, comprehensive, useful, non-punitive, and balanced. Responsibilities Peer Review Nurse completes and/or coordinates all aspects of… more