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Clinical Review Nurse jobs

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CLINICAL REVIEW NURSE I - MEDICARE PART B (US)

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

CompanyElevance Health
AddressAtlanta, GA
CategoryInformation Technology
Date Posted 2 weeks ago See detail

Clinical Review Nurse I - Medicare Part B (US)

Elevance Health

Atlanta, GA

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

2 weeks ago seen See more...

Clinical Review Nurse - Prior Authorization

Bcforward

Indianapolis, IN

Clinical Review Nurse - Prior AuthorizationBC Forward is looking for Clinical Review Nurse - Prior Authorization (Remote Work) Position Title: Clinical Review Nurse - Prior Authorization (Remote Work) Locations: Remote IN (Local t...

2 months ago seen See more...

Clinical | Travel:Registered Nurse (RN) / Medical Surgical - Contract - Nights New

Healthtrust

Roswell, NM

Perform plan of care intervention, including medication administration, specimen collection, clinical treatments, and other medical care, documenting care given. Monitor, records, and communicate patient condition as appropriate t...

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Clinical | Travel:Registered Nurse (RN) / ICU - Contract - Nights New

Healthtrust

Bullhead City, AZ

Perform plan of care intervention, including medication administration, specimen collection, clinical treatments, and other medical care, documenting care given. Monitor, records, and communicate patient condition as appropriate t...

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Registered Nurse Clinical Denials & Appeals Reviewer

Administrative Regional Training Cntr

Buffalo, NY

$36.19 - $54.29 an hour

Registered Nurse with a current New York State license Bachelor of Science Nursing degree Holds, or will obtain within one (1) year of hire, one of the following (or similar) credentials: Certified Documentation Specialist, Certif...

7 days ago seen See more...

Clinical Nurse Review - II

Progressive Technology Solutions

Owings Mills, MD

$35 - $39 an hour

8 hour shift. Owings Mills, MD 21117: Relocate before starting work (Required)....

2 weeks ago seen See more...

Clinical Nurse Specialist RN, Critical Care, Sign On Bonus External New

Kaiser Permanente

Los Angeles, CA

Develops area of specialty competency criteria for outcome monitoring of the staff. Assists in interviewing staff and provides input into evaluations regarding clinical competence, participating in the creation, implementation, an...

5 hours ago seen See more...

Clinical Nursing Director - Adult Services New

Kaiser Permanente

Sacramento, CA

Collaborates with CNO and other medical center management in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction. With TPMG partner, direct...

5 hours ago seen See more...

Clinic Nurse RN - (Clinic Admin) New

Sullivan County Community Hospital

Sullivan, IN

Duties include preparing patient for provider visit, gathering information, assisting providers with procedures, answering the phone, making appointments, registering patients, performing laboratory procedures and giving injection...

20 hours ago seen See more...

Utilization Review Nurse, RN

Uf Health Central Florida

Leesburg, FL

Professional certification in CM preferred. Associate's degree required. Current Florida nursing license required. Must be able to read, write in, speak and understand English. Experience: Minimum of 5 years of clinical experience...

24 hours ago seen See more...

Clinical Nurse (RN) Float Pool/ PER Diem

Christus Health

Santa Fe, NM

Current knowledge and skills appropriate to age/type of patient population served. Knowledgeable and sensitive to patients rights in the delivery of care. Communicates in a clear concise manner appropriate to the developmental ag...

2 days ago seen See more...

RN Clinic Nurse

Plymouth Harbor On Sarasota Bay

Sarasota, FL

$29.16 - $35.12 an hour

Establish and coordinate in conjunction with the Director of Nursing of Home Care the implementation of written policies and procedures in cooperation with the Sr. Vice President of Health Services. Supervises all activities of th...

2 days ago seen See more...

Family Nurse Practitioner – Rural Health Clinic Setting New

Necnic Group

Lubbock, TX

Independently manage patient care, treating routine, acute, and chronic illnesses, minor injuries, and providing true ER coverage. See an estimated 18-20 patients per day, ensuring comprehensive and compassionate healthcare delive...

8 hours ago seen See more...

Clinical Registered Nurse (RN) Coordinator, Outpatient Oncology

University Of Maryland Medical System

Glen Burnie, MD

Shift Schedule: Full-Time/DayMonday Friday 8:00AM 4:30PMLocation: Baltimore Washington Medical CenterGeneral SummaryThe Clinical Coordinator is a professional leader who serves in a blended role of leadership and bedside nurse...

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Licensed Practical Nurse: OASAS Outpatient Clinic

The Neighborhood Center

Utica, NY

$24 - $27 an hour

$24.00 - $27.00. 37.5-hour work week. M F, between the hours of 8:30 am 6 pm (some flexibility required to attend evening events). 27 paid days off in year 1 (vacation & holidays), plus paid sick time! 4% flat 401k contributio...

2 days ago seen See more...

REGISTERED NURSE-Clinic

Methodist Hospitals

Merrillville, IN

Obtains patient consent for care and ensures patient conficentiality, gathers medical history, information on chief complaints, vital signs, and health risk factors and assesses disease conditions. Provides patient care based on p...

2 days ago seen See more...

Registered Nurse- Risk Manager Clinical Reviewer

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...

4 weeks ago seen See more...

Registered Nurse Clinical Reviewer PRN

Corpus Christi Medical Center Bay Area

Corpus Christi, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

2 months ago seen See more...

Clinic Nurse - Primary Care (Beaverton Clinic / 36 Hr / Days)

Kaiser Permanente

Beaverton, OR

Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, conven...

2 days ago seen See more...

Clinical Nurse Specialist, RN

Kaiser Permanente

San Diego, CA

Develops area of specialty competency criteria for outcome monitoring of the staff. Assists in interviewing staff and provides input into evaluations regarding clinical competence, participating in the creation, implementation, an...

2 days ago seen See more...

Clinical Nursing Director - Adult Services

Kaiser Permanente

Santa Clara, CA

Collaborates with CNO and other medical center management in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction. With TPMG partner, direct...

2 days ago seen See more...

Clinic Nurse - Dermatology (Sunnybrook / OnCall)

Kaiser Permanente

Clackamas, OR

Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, conven...

3 days ago seen See more...

Clinical Nurse Coordinator Med Surg

North Suburban Medical Center

Thornton, CO

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

3 days ago seen See more...

Clinical Nurse or Certified Medical Assistant - Ankeny Med Prairie Trail

Unitypoint Health

Ankeny, IA

Room patients and obtain vital signs. Assist provider with patient examination, treatment and minor surgical procedures. May perform specimen collection, phlebotomy and specimen analysis. Medication and/or vaccine administration....

4 days ago seen See more...

Clinical Nurse Coordinator Medical Surgical Ortho

Centerpoint Medical Center

Independence, MO

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

5 days ago seen See more...

MHPAEA Clinical Reviewer

Willis Towers Watson

Olin, NC

Prepare NQTL carrier data requests on behalf of each client. Coordinate with Project Manager regarding sending requests, timing, status, and follow-up. Attend internal and client kick off meeting with QTL/NQTL team. Monitor carri...

5 days ago seen See more...

Clinical Nurse-SpineCenter-8C-Mount Sinai Hospital-FT/Days

Mount Sinai

United States

Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and appro...

5 days ago seen

Clinical Nurse Navigator-Days (Not Remote)

University Hospitals

Ohio, United States

DescriptionProvides virtual clinical care to patients within the recognized scope of practice for the profession and professional licensure requirementsProvides clinical triage and clinical support using established protocols duri...

5 days ago seen See more...

CO Clinical Nurse

Johns Hopkins University

Baltimore, MD

$64,000 - $112,200 a year

Monitor and follow-up on diagnostic test results, prescriptions, medical equipment, insurance requirements and documentation needs for patients for the 500+ patients in the ILD program. Telephone triage for patient problems and re...

5 days ago seen See more...

CNA Clinical Nursing Adjunct Faculty

Rock Valley College

Rockford, IL

$75.3K - $95.4K a year

Flexibility in work schedule is necessary. Interest in serving a diverse student population is essential. Current RN license. Clinical course instruction: Two years Clinical Nursing experience in caring for the elderly or chronica...

5 days ago seen See more...

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What should I search to find Clinical Review Nurse jobs?

People who searched for Clinical Review Nurse jobs also searched for Nursing Supervisor, Registered Nurse Virtual, Clinical Lab Scientist, Clinical Team Lead, Clinical Lab, Private Duty Registered Nurse, Nurses Aide, Clinical Nurse Manager, Nursing Home, Registered Nurse Home Health, Clinical Quality, Licensed Practical Nurse Medical Surgical, Clinical Instructor, Register Nurse, Registered Nurse Inpatient, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What are the top cities open Clinical Review Nurse jobs?

There are open Clinical Review Nurse jobs in several cities including New York, Chicago, Houston, Dallas, Salt Lake City, Phoenix, Portland, Indianapolis, Marrero, Iselin, Harrisburg, South Jordan, Harrisburg, Atlanta, Waterloo,

What companies are hiring for Clinical Review Nurse jobs?

The top companies hiring now for Clinical Review Nurse jobs are Novitas - 2.7,

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