- 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 ... travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / ...measures (including HEDIS). Navigate EMR systems to retrieve and review records. Qualifications + Licensure: RN (required)… more
- Molina Healthcare (Rio Rancho, NM)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal… 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 ... II: Two (2) years of experience as a registered nurse , of which one year must...may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN … 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
- 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 ... Do you have the career opportunities as a Cardiac Medical Registered Nurse RN...physical and psychosocial status based on interview, examination and review of clinical data.** **Assesses potential for crisis situations… more
- Penn Medicine (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...their NCLEX within 60 days of starting in their RN role.A graduate registered nurse … more
- HCA Healthcare (San Antonio, TX)
- …you to apply for our Registered Nurse Medical Surgical RN opening. We promptly review all applications. Highly qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Medical Surgical RN you want with your current employer? We have… more
- HCA Healthcare (San Antonio, TX)
- …you to apply for our Registered Nurse Medical Surgical RN opening. We promptly review all applications. Highly qualified candidates will be contacted ... We care like family! Jump-start your career as a(an) Registered Nurse Medical Surgical RN today with Methodist Hospital Stone Oak. **Benefits** Methodist… more
- HCA Healthcare (Richmond, VA)
- …you to apply for our Registered Nurse RN Medical Neuro Telemetry opening. We promptly review all applications. Highly qualified candidates will ... of each individual is recognized. Submit your application for the opportunity below: Registered Nurse RN Medical Neuro TelemetryChippenham Hospital *May… more
- HCA Healthcare (Richmond, VA)
- …apply for our Inpatient Medical Surgical Registered Nurse RN PRN opening. Our team will promptly review your application. Highly qualified candidates ... in their positions. Join our Team as a(an) Inpatient Medical Surgical Registered Nurse RN PRN and access programs to assist with every stage of… more
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