- Actalent (Portland, OR)
- Job Title: Clinical Review Nurse - Prior Authorization Location: Remote (this position is looking for east coast nurses who would be willing to help out the ... 8:00 AM-5:00 PM PST (occasional weekend/holiday rotation) Position Summary The Clinical Review Nurse will conduct medical necessity reviews for prior… more
- Actalent (Portland, OR)
- …of Nursing or Bachelor's degree in Nursing. + 2-4 years of related experience in clinical review or prior authorization. + LPN - Licensed Practical Nurse ... Job Title: Medical Authorization Review Specialist Job Description We are seeking a...cost-effective medical care. Responsibilities + Perform medical necessity and clinical reviews of authorization requests to determine the medical… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Centene Corporation (Baton Rouge, LA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Munson Healthcare (Traverse City, MI)
- …using very specific timelines, assessments and evaluations. Tasks and processes of a clinical research nurse : + Review /screen new and established patients ... areas including neurology, cardiology, cardiothoracic surgery among others. A clinical nurse provides patient care. A research... trials + Approach providers about the studies for review + Facilitate the informed consent process and ensure… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... regulations. This role involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient… more
- UCLA Health (Los Angeles, CA)
- … documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...benefit coverage. + Applies UCLA Health protocols and national clinical guidelines (eg, InterQual, Milliman) in review … more
- HCA Healthcare (Savannah, GA)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... have Cardiovascular experience. Do you have the career opportunities as a ** Clinical Research Nurse ** you want with your current employer? We have an exciting… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Float Pool Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Float Pool Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (Houston, TX)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Houston...or other data collection tools by careful source document review ; monitors data for missing or implausible data +… more
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