- 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 ... & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing ... **Essential Duties & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review … more
- AdventHealth (Ocala, FL)
- …The Coordinator Professional Practice Evaluation is responsible for facilitating the medical staff Peer Review , Ongoing Professional Practice Evaluation (OPPE) ... This includes the analysis of events that require peer review and the examination of medical records...excel formulas including vila cups BLS, preferred. Current Florida RN License This facility is an equal opportunity employer… more
- Vighter Medical Group (Jacksonville, FL)
- Flight Registered Nurse ( RN ), Jacksonville, FL...detainees being repatriated to their countries of origin. The RN will review medical records to ... - Jacksonville, FL Position Type Full Time Education Level Registered Nurse ( RN ) Salary Range...Customs Enforcement. Healthcare is delivered in accordance with approved medical protocols and in compliance with Department of Homeland… more
- Houston Methodist (Sugar Land, TX)
- …the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Henry Ford Health System (Grand Blanc, MI)
- Registered Nurse - Medical ...tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with ... will be considered the official job description. Education/Experience Requirements + Licensed Registered Nurse credentialed from the Michigan Board of Nursing… more
- HCA Healthcare (Blacksburg, VA)
- …you to apply for our Registered Nurse RN Cardiac Medical Unit opening. We review all applications. Qualified candidates will be contacted by a ... **Description** **Introduction** Do you have the career opportunities as a Registered Nurse RN Cardiac Medical Unit you want in your current role? We… more
- State of Colorado (Golden, CO)
- Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center - Golden Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5008113) Apply Registered Nurse I, RN I...practice. Obtains laboratory and other diagnostic procedures ordered by medical providers, review results and notify provider… more
- Nuvance Health (Danbury, CT)
- …Review experience(or a certification ACMA, MCG, Interqual) Required : CT Registered Nurse License Working Conditions: Manual: significant manual skills/motor ... per month Summary: The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team,...and case does not meet criteria per first level medical necessity review , discuss case with the… more
Related Job Searches:
Medical,
Medical Review,
Medical Review Nurse RN,
Medical Review RN Certified,
Medical Review RN Per,
Online RN Medical Review,
RN,
RN Medical,
RN Review,
Review