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CONCURRENT REVIEW NURSE (ACTIVE CA RN LICENSE)

100% remote role. Work Schedule: 8:00am 5:00pm Pacific Time. Ensures proper procedure and diagnosis codes are reviewed for submitted procedures/claims. Solicits support from SME's, leads, and managers as appropriate. Triages and...

CompanyZempleo Inc
AddressCalifornia, United States
CategoryInformation Technology
Salary$55 - $62 an hour
Job typeFull-time | Contract
Date Posted 3 weeks ago See detail

Concurrent Review Nurse (Active CA RN License)

Zempleo Inc

California, United States

$55 - $62 an hour

100% remote role. Work Schedule: 8:00am 5:00pm Pacific Time. Ensures proper procedure and diagnosis codes are reviewed for submitted procedures/claims. Solicits support from SME's, leads, and managers as appropriate. Triages and...

Concurrent Review Nurse (RN) Part-Time (.5)

Central California Alliance For Health

Merced, CA

Performing concurrent or post-service (retrospective) review of acute in-patient care services using established criteria. Participating in the Utilization Management (UM) Care Programs. Knowledge of:. Utilization Management, and/...

Concurrent Review Nurse

San Joaquin County Health Commission

Modesto, CA

$90,825 - $130,805 a year

Confirms member care plan with provider. Identifies care issues and collaborates with provider to resolve; escalates as necessary. Makes timely and appropriate recommendations regarding transfers, determination of level of care an...

RN Inpatient Concurrent Review

Commonspirit Health

Rancho Cordova, CA

Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service. Refer to Medical Directors for review depending on case findings.- Collaborate with various staff within provider...

RN Inpatient Concurrent Review

Dignity Health Medical Foundation

Rancho Cordova, CA

Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.Responsibilities***This position is hybrid work from home, in-office and onsite at the assigned hospital(s). Refer...

CDI Concurrent Review and Query Specialist WFH

Work From Home

Nashville, TN

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...

Clinical Review Nurse - Concurrent Review

Fidelis Care

Getzville, NY

$25.00 - $44.85 an hour

Performs Concurrent Reviews of member for appropriate care and setting to determine overall health and appropriate level of care Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of sta...