Talent.com
Multi-State Licensed Review Nurse
Multi-State Licensed Review NurseVirtualVocations • Florissant, Missouri, United States
Multi-State Licensed Review Nurse

Multi-State Licensed Review Nurse

VirtualVocations • Florissant, Missouri, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Preservice Review Nurse RN - Remote.

Key Responsibilities

Perform pre-service clinical coverage review of outpatient services

Review and interpret clinical / medical records and request additional documentation as needed

Ensure compliance with federal / state requirements and make medical determinations based on protocols

Required Qualifications

Current, unrestricted RN license in the state of residence

Ability to obtain multiple state nursing licenses

3+ years of recent RN experience

Computer proficiency, including data entry and navigation in a Windows environment

Dedicated workspace with access to high-speed internet

Create a job alert for this search

Review Nurse • Florissant, Missouri, United States

Related jobs
Medical HPSP

Medical HPSP

US Army • Alton, IL, United States
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 30+ days ago • Promoted
Registered Nurse Medicaid Reviewer

Registered Nurse Medicaid Reviewer

VirtualVocations • Saint Louis, Missouri, United States
Full-time
A company is looking for a Medicaid Medical Review Subject Matter Expert.Key Responsibilities Collaborate with Data Analysis and Program Integrity teams to conduct proactive studies meeting CMS r...Show more
Last updated: 6 days ago • Promoted
RN-Nurse Navigator (H)

RN-Nurse Navigator (H)

SSM Health • East Saint Louis, IL, US
Full-time
It's more than a career, it's a calling.MO-SSM Health SLUCare Academic Pavilion.Provides services as a patient navigator throughout the continuum of care. Job Responsibilities and Requirements : .Func...Show more
Last updated: 7 hours ago • Promoted • New!
Neurodevelopmental Nurse Navigator

Neurodevelopmental Nurse Navigator

SSM Health • Fairview Heights, IL, US
Full-time
It's more than a career, it's a calling.MO-SSM Health Cardinal Glennon Children's Hospital.Monday through Friday position, on main campus at Glennon, 0800-1630 with some flex, no weekends / nights / ho...Show more
Last updated: 7 hours ago • Promoted • New!
Patient Access Specialist

Patient Access Specialist

St. Lukes Hospital • Chesterfield, MO, US
Full-time
We are dedicated to providing exceptional care to every patient, every time.Lukes Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched servic...Show more
Last updated: 6 days ago • Promoted
Minnesota Licensed Utilization Review Nurse

Minnesota Licensed Utilization Review Nurse

VirtualVocations • Florissant, Missouri, United States
Full-time
A company is looking for a Utilization Review Nurse responsible for managing pre-claim prior authorization denials for pharmacy and medical benefits. Key Responsibilities Review and assess prior a...Show more
Last updated: 5 days ago • Promoted
Hospital Liaison

Hospital Liaison

Nexus at Alton • Alton, Illinois, United States, 62002
Full-time
Monthly admission bonus and car allowance!.Join us at the Nexus of care and compassion.Medical / dental / life / vision coverage. Hospital Liaison Responsibilities : .As a hospital liaison, you will identif...Show more
Last updated: 3 days ago
Charge Nurse-Nurse Navigator, Gastroenterology

Charge Nurse-Nurse Navigator, Gastroenterology

SSM Health • East Saint Louis, IL, US
Full-time
It's more than a career, it's a calling.MO-SSM Health Cardinal Glennon Children's Hospital.Department : Pediatric Nursing . Schedule : Full Time, Day Shift, 8a-4 : 30p.Sign On Bonus : $5,000 with two-yea...Show more
Last updated: 7 hours ago • Promoted • New!
Medical Secretary - Primary Care of St. Luke's

Medical Secretary - Primary Care of St. Luke's

St. Lukes Hospital • Chesterfield, MO, US
Full-time
We are dedicated to providing exceptional care to every patient, every time.Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched servi...Show more
Last updated: 5 days ago • Promoted
Reserve Clinical Psych

Reserve Clinical Psych

United States Army • Pacific, MO, US
Permanent
Use your specialized skills to help our Nation's heroes as a U.Army Clinical Psychologist If you are a professional in the field of psychology and want to combine your passion and skills with the d...Show more
Last updated: 15 days ago • Promoted
RN-Nurse Navigator, Gastroenterology

RN-Nurse Navigator, Gastroenterology

SSM Health • East Saint Louis, IL, US
Full-time
It's more than a career, it's a calling.MO-SSM Health Cardinal Glennon Children's Hospital.Provides services as a patient navigator throughout the continuum of care. Job Responsibilities and Require...Show more
Last updated: 7 hours ago • Promoted • New!
Practical Nursing Specialist

Practical Nursing Specialist

Bethesda Health • Alton, IL, US
Part-time
Bethesda Brings out the Best in Talented, Caring People!.At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy gr...Show more
Last updated: 7 hours ago • Promoted • New!
Nurse Navigator-Heart & Vascular EP - Days

Nurse Navigator-Heart & Vascular EP - Days

Mercy • Saint Louis, Missouri, United States
Full-time
Nurse Navigator – Mercy Clinics South : Heart & Vascular EP (.Full-Time | 40 hours / week | Day Shift | Monday–Friday.Exceptional Benefits Starting Day One : . Medical, dental, and vision through United...Show more
Last updated: 3 days ago • Promoted
Clinical Coordinator - Polysomnography (Non-Exempt)

Clinical Coordinator - Polysomnography (Non-Exempt)

Mercy • Festus, MO, US
Full-time
We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.Responsible fo...Show more
Last updated: 1 day ago • Promoted
Medical HPSP

Medical HPSP

United States Army • Chesterfield, MO, US
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 15 days ago • Promoted
Nurse Navigator-Specialty Full-Time / Days

Nurse Navigator-Specialty Full-Time / Days

Mercy • Saint Louis, Missouri, United States
Full-time
We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.The Nurse Navi...Show more
Last updated: 1 day ago • Promoted
Active Clinical Psych

Active Clinical Psych

United States Army • O Fallon, MO, US
Permanent
Use your specialized skills to help our Nation's heroes as a U.Army Clinical Psychologist If you are a professional in the field of psychology and want to combine your passion and skills with the d...Show more
Last updated: 3 days ago • Promoted
RN-Nurse Navigator (H) Hem / Onc

RN-Nurse Navigator (H) Hem / Onc

SSM Health • Fairview Heights, IL, US
Full-time
It's more than a career, it's a calling.MO-SSM Health Cardinal Glennon Children's Hospital.Provides services as a patient navigator throughout the continuum of care. Job Responsibilities and Require...Show more
Last updated: 7 hours ago • Promoted • New!