- System One (Baltimore, MD)
- Job Title: Clinical Medical Review Nurse Location: Baltimore, MD 21224 Type: Contract, 5 mos with chance of extension Compensation: Based on experience ... plus occassional travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule:… more
- Molina Healthcare (Rio Rancho, NM)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted 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
- UCLA Health (Los Angeles, CA)
- …for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...protocols and national clinical guidelines (eg, InterQual, Milliman) in review decisions. + Coordinates escalations to medical … more
- Elevance Health (Nashville, TN)
- …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 ** **Hours: 8am-5pm EST**...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 ... candidates!** 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 (Manchester, NH)
- …encourage you to apply for our PRN Cardiac Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted for ... **F200** Introduction Do you have the PRN career opportunities as a(an) PRN Cardiac Medical Surgical Registered Nurse you want with your current employer? We… more
- HCA Healthcare (Manchester, NH)
- …path, we encourage you to apply for our Cardiac Medical Registered Nurse RN opening. We review all applications. Qualified candidates will be contacted ... Do you have the career opportunities as a Cardiac Medical Registered Nurse RN you want in...physical and psychosocial status based on interview, examination and review of clinical data.** **Assesses potential for crisis situations… more
- STG International (Rockville, MD)
- STGi is currently seeking a Registered Nurse -Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct ... with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case... Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse… more
- Abbott (Kansas City, MO)
- …a schedule of **Monday-Friday, 8:00 AM - 5:00 PM** . The position of Clinical Review Nurse is within our Toxicology division located at our **Kansas City, MO** ... site within Workplace Solutions. In this role, the **Clinical Review Nurse ** is responsible for accuracy and...employers, and employee/drivers to obtain necessary corrections and/or additional medical documentation. + Review medical … more
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