- Rising Medical Solutions (Chicago, IL)
- …in stakeholder communication regarding program objectives, outcomes, and revisions. Requirements + Registered Nurse ( RN ) with an active and unencumbered ... Rising Medical Solutions seeks a Medical Review Unit Director for our Workers Compensation based products and services. This role is ideal for a seasoned… more
- CVS Health (Boise, ID)
- …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and… 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
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review Full Time Days...management system Follows the payor dispute processes utilizing secondary medical review , peer to peer and payor ... based on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication and documentation of clinical data to… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 250715-5612FP-001 Location New Haven, CT Date Opened 7/22/2025 12:00:00 AM Salary $78,480 - ... View Benefits (https://www.jobapscloud.com/CT/jobs/?b=Benefits) + + + + Introduction Are you a Registered Nurse looking for an opportunity to make a difference… 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
- 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
- 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
- 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
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