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Contract Concurrent Review Nurse jobs

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REGISTERED NURSE CLINICAL DENIALS & APPEALS REVIEWER

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...

CompanyAdministrative Regional Training Cntr
AddressBuffalo, NY
CategoryEducation/Training
Salary$36.19 - $54.29 an hour
Job typeFull-time
Date Posted 2 days ago See detail

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...

2 days ago seen See more...

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...

Chart Reviewer Registered Nurse

Unizon Taskforce Technology

Bronx, NY

$60 - $70 an hour

Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress reports, Discharge reports including c...

5 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)....

a week ago seen See more...

Registered Nurse - Utilization Review Coordinator

Exeter Hospital

Exeter, NH

$71.6K - $90.7K a year

1-3 years experience RN license - NH or other Compact State. Utilization Management Certified within 1 year of hire. Reviews all admissions and provides clinical information to third party payors as required by contracts. Maintain...

2 weeks ago seen See more...

Medical Review Nurse

Provider Resources, Inc.

Fargo, ND

$51.7K - $65.4K a year

Understand and represent PRI?s mission, vision, and values to all internal and external customers. Engage clients in appropriate communication that manages client expectations and builds a collaborative relationship with the clien...

3 weeks ago seen See more...

Physician, Inpatient Concurrent Review (PART-TIME) (REMOTE) (UR exp. not req'd)

Corrohealth

Texas, United States

CorroHealth offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire whi...

a month 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 Review Nurse I (US)

Elevance Health

Waukesha, WI

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 months 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 - Utilization Review

Ascension

Jacksonville, FL

Department: Utilization Management Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm Hospital: Ascension St. Vincents Riverside Location: Jacksonville, FL Review admissions and service requests within assigned unit for pr...

a month ago seen See more...

REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED)

A-Line Staffing Solutions

Atlanta, GA

Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...

a month ago seen See more...

Registered Nurse-Review Analys

Veerteq Solutions Inc.

Detroit, MI

Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal...

2 months ago seen See more...

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