Preservice Review Nurse jobs

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NURSE REVIEWER I

California. Washington. Nevada. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Condu...

CompanyElevance Health
AddressPALO ALTO, CA
CategoryEducation/Training
Date Posted 2 months ago See detail

Nurse Reviewer I

Elevance Health

PALO ALTO, CA

California. Washington. Nevada. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Condu...

Nurse Reviewer I

Elevance Health

DEERFIELD, IL

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Conducts initial medical necessity re...

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...

Registered Nurse (Review Analyst)

W3R Consulting Inc.

Grand Rapids, 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...

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...

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...