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Full-Time Concurrent Review Nurse jobs

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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 a month 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...

a month ago seen See more...

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/...

2 months ago seen See more...

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...

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...

6 days ago seen See more...

Nurse Reviewer I - Chicago, United States - Elevance Health

Elevance Health

United States

Type: Full time. Date Posted: Apr 17, 202. Anticipated End Date: May 17, 2024. Reference: JR113707. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical neces...

2 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...

3 weeks 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...

3 weeks ago seen See more...

Preservice Review Nurse RN - Remote

Unitedhealth Group

Cypress, CA

Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Identifies solutions to non-standard req...

a month ago seen See more...

Utilization Review Nurse (RN)

Managed Resources, Inc

Remote

$38 - $42 an hour

401(k). 401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Life insurance. Paid time off. Referral program. Vision insurance. Pet Insurance. Monthly I...

a month ago seen See more...

Fraud and Abuse Review Nurse

Gainwell Technologies Llc

Kansas, United States

$61,500 - $87,900 a year

Ability to interact with customers and agencies to interpret Medicaid coverage. Strong written/oral communication skills. Ability to read, understands, and interprets complex regulatory and procedural documents. Extensive PC skill...

a month ago seen See more...

Utilization Review Nurse

American Health Plans Llc

Franklin, TN

$57.9K - $73.4K a year

Affordable Medical/Dental/Vision insurance options. Generous paid time-off program and paid holidays for full time staff. TeleDoc 24/7/365 access to doctors. Optional short- and long-term disability plans. Employee Assistance Plan...

a month ago seen See more...

OASIS/Clinical Record Review Nurse

Safrest

New York, NY

Monday through Friday (hybrid inBrooklyn). Benefits: PTO, 401(k) with a 5% match, FSA, and more! Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulatio...

2 months ago seen See more...

Utilization Review Nurse

Theoria Medical

Novi, MI

$80,000 - $85,000 a year

Monday-Friday 8am to 5pm. Remote. This is a full-time, remote position. Utilization management. Clinical quality management. Care coordination/Case management. ACO Alignment activities. Review patient medical records and documenta...

2 months ago seen See more...

Professional Review Nurse

Corvel

Remote - Oregon, United States

Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager. Collect supporting data and analyze information to make decisions regardi...

2 months ago seen See more...

LVN - Inpatient Utilization Review Nurse - SRS Copley - Days - FT

Sharp Healthcare

San Diego, CA

$74.8K - $94.7K a year

3 Years experience in the acute patient care, Home Health and/or SNF setting. 2 Years Utilization/Case Management experience, preferably in a Managed Care setting. California Licensed Vocational Nurse (LVN) - CA Board of Vocationa...

2 months ago seen See more...

Utilization Review Nurse (40 Hour)

State Of Connecticut

Hartford, CT

Work Unit: Inpatient Unit. Work Schedule: Monday - Friday. Work Hours: Full-time, 40 Hours per week. Work Shift: First shift, 8:00 a.m. - 4:30 p.m. Location: 500 Vine St, Hartford, CT. A Platinum Healthcare Plan, the nation's best...

2 months ago seen See more...

Utilization Review Nurse - Case Management

Kern Medical

Bakersfield, CA

$41.32 - $65.10 an hour

New Hire Bonus: $6,000.00. New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. Shift Differential Pay: 10% of base pay for hours worked from 7:00 PM to 7:30 AM, with two (2) ho...

2 months ago seen See more...

LPN Preservice Review Nurse - PST - Remote

Optum

Seattle, WA

$19.47 - $38.08 an hour

Understand and follow standardized processes for managing add or change requests and implementing requests in the letter generation system. Create and review denial letters to determine compliance with contractual and regulatory r...

2 months ago seen See more...

Clinical Review Nurse

Novitas

United States

$51.1K - $64.7K a year

Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire. Short- and long-term disability benefits. 401(k) plan with company match and immediate vesting. Free teleh...

2 months ago seen See more...

UTILIZATION REVIEW NURSE - CASE MANAGEMENT

North Oaks Health System

Hammond, LA

Physical Effort RequiredStrength: SedentaryPush: occasionallyPull: occasionallyCarry: occasionallyLift: occasionallySit: frequentlyStand: frequentlyWalk: frequentlyResponsibilities:Monitors and facilitates initial and continued st...

2 months ago seen See more...

Utilization Review Nurse

Hamaspik Choice

Spring Valley, NY

$39 - $40 an hour

Temporarily due to COVID-19. Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. Monday to Friday. Clinical Review: 1 year (Required). RN (Required). Spring Valley, NY: Relocate before starting wor...

2 months ago seen See more...

Prior Authorization/Utilization Review Nurse

Indian Health Care Resource Center

Tulsa, OK

$65,000 a year

JOB SUMMARYThe Prior Authorization/Utilization Review Nurse is responsible for carefully recording information regarding patient care on the back end of the clinic and doctor's office visits in hopes of keeping healthcare costs lo...

2 months ago seen See more...

Registered Nurse OASIS/Utilization Review Home Health - Lehi, UT

Impact Healthcare Llc

Lehi, UT

Taking inbound calls to review clinical assessments completed upon admission, recertification, evaluation, change of condition, and transfers. Review key OASIS data items and provide education on accurate data collection, utilizat...

a month 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...

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...

a month ago seen See more...

Nurse Case Manager/Utilization Review Nurse I

State Of Vermont

Burlington, VT

80% State paid medical premium and a dental plan at no cost for employees and their families. Work/Life balance: 11 paid holidays each year and a generous leave plan. State Paid Family and Medical Leave Insurance (FMLI). Two ways...

a month ago seen See more...

Registered Nurse / RN Utilization Review

Lovelace Medical Center

Albuquerque, NM

$64.1K - $81.1K a year

Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more. Lovelace Health System includes s...

a month ago seen See more...

Registered Nurse Utilization Review -- Utilization Review -- General Hospital

Camc Health System

Charleston, WV

$61.3K - $77.6K a year

Efficiently coordinate patient needs to assure high quality patient care, reduce length of stay and resource utilization and ensure reimbursement drawing on a broad clinical and systems management knowledge base.Responsibilities...

a month ago seen See more...

Nurse Reviewer - Remote Oklahoma

Gainwell Technologies Llc

Lahoma, OK

$49,200 - $70,300 a year

Reviews and interprets medical records and compares against criteria to determine appropriateness and reasonableness of care; apply critical thinking and decision making skills to determine if the medical record documentation supp...

2 months ago seen See more...

LVN DSD Utilization Review, Skilled Nursing

Community Medical Centers Of Fresno, Ca

Fresno, CA

Join a Forbes Top 10 CA Employer! Direct impact on quality patient care. Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas). Free Continuing Education and certification including BLS, ACLS...

2 months ago seen See more...

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What are the top cities open Full-Time Concurrent Review Nurse jobs?

There are open Full-Time Concurrent Review Nurse jobs in several cities including Austin, Springfield, Oregon City, Rancho Cucamonga, Sacramento, French Camp, Orange, Dallas, Little Rock, Scotts Valley, Oklahoma City, Jacksonville, Portland, Merced, San Antonio,

What companies are hiring for Full-Time Concurrent Review Nurse jobs?

The top companies hiring now for Full-Time Concurrent Review Nurse jobs are CVS Health - 3.2, Guidewell, SAN JOAQUIN COUNTY HEALTH COMMISSION,

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