Utilization Review RN
A company is looking for a Utilization Review Registered Nurse for a remote position.Key Responsibilities : Complete medical necessity reviews and level of care reviews using clinical judgment and guidelinesObtain necessary information to assess a member's clinical condition and apply evidence-based guidelinesRefer members for further care engagement when necessary and ensure compliance with laws and regulationsRequired Qualifications : Active, unrestricted RN licensure in a specific state or compact multistate unrestricted RN license1+ year of utilization review experience in a managed care setting2+ years of clinical experience, including 1+ year in an acute care setting1+ years experience with medical decision support toolsAbility to obtain additional state licenses as needed
Utilization Review Appeals RN
A company is looking for a Utilization Review Appeals Registered Nurse. ...
Travel Nurse RN - Case Manager, Utilization Review - $2,603 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Houston, Texas. Posted job title: Case Management (Utilization Review). Paid, Private, Fully Furnished, Pet-Friendly Housing. What do we do? Medical Solutions is one of the nation’s larg...
Utilization Review RN
Key Responsibilities:Complete medical necessity reviews and level of care reviews using clinical judgment and guidelinesObtain necessary information to assess a member's clinical condition and apply evidence-based guidelinesRefer members for further care engagement when necessary and ensure complian...
Travel Case Management (Utilization Review) RN (Registered Nurse) in Houston, TX - 709943
Are you ready to choose your next adventure in care? We’re seeking a hardworking, hard-playing RN (Registered Nurse) to fill a Case Management (Utilization Review) opening in Houston, TX. ...
Utilization Review Nurse RN
Key Responsibilities:Provide assessment and review for medical necessity of treatment requests and plansReview outpatient and inpatient requests for medical appropriateness and necessityPrepare patients for discharge and ensure smooth transition to next level of careQualifications:Current RN license...
RN Utilization Review OPIS - Relocate to Naples, FL
The RN Utilization Review coordinates care for OPIS patients who are high cost, complex, and at risk. NCH is an independent, locally governed non-profit delivering premier comprehensive care. It will also require reviewing third party reimbursements and billing procedures to assure hospital’s abilit...
Utilization Management Review Nurse - Ohio
A company is looking for a Utilization Management Review Nurse. ...
Travel Nurse RN - Case Manager, Pediatrics - $2,376 per week
RNnetwork is seeking a travel nurse RN Case Manager, Pediatrics for a travel nursing job in Houston, Texas. Posted job title: RN - Case Manager - Days - Houston -. You can call RNnetwork anytime, day or night for 24/7 access to an RNnetwork manager who will immediately take care of your needs. Hon...
Home Health RN Case Manager-Dayton, Tx
Responsibilities of the Home Health Registered Nurse (RN) Case Manager include:. Requirements of the Home Health Registered Nurse (RN) Case Manager. Benefits at Interim Healthcare for Case Managers. Interim HealthCare, one of the nation's leading providers of home care, is now seeking a Full Time Ho...
Registered Nurse - Night Shift - 7pm -7am - Behavioral Health
Registered Nurse (RN) Opportunity - Night Shift. West Oaks Hospital is seeking a dynamic and talented Registered Nurse (RN) to join our team of compassionate, dedicated professionals. Licensure and certification Required: Current Texas State Registered Nurse licensure. The RN will provide direct pat...