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REGISTERED NURSE - UTILIZATION REVIEW COORDINATOR

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...

CompanyExeter Hospital
AddressExeter, NH
CategoryEducation/Training
Salary$71.6K - $90.7K a year
Job typePer diem
Date Posted just now See detail

Registered Nurse - Utilization Review Coordinator New

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...

Registered Nurse-Case Manager-Remote New

Hireops Staffing, Llc

Skokie, IL

$45 - $52 an hour

Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtai...

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...

Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)

Vesta Healthcare

Remote

$145,000 - $165,000 a year

Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...

Fully Remote Assistant Director of Nursing Homecare

Caring Bees Healthcare

Remote

From $80,000 a year

Medical insurance (only covered for Massachusetts residents). Dental Insurance. Vision Insurance. Life Insurance. Disability Insurance. Accidental Insurance. Paid Time Off. Sick Time. 401k 3% Match. In the absence of the Director...

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...

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...

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...

Registered Nurse RN Arizona Long Term Care Case Manager Remote

Banner Health

Tucson, AZ

$33.08 - $55.13 an hour

Primary City/State:Arizona, ArizonaDepartment Name:Work Shift:DayJob Category:Clinical CareYou have a place in the health care industry. These recognitions reflect Banner Health's investment in team members' professional developme...

Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote - Now Hiring

Rula Health

Tucson, AZ

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Access Care- UMC--Registered Nurse-36 Hours-Midnights-Remote Work-Detroit

Henry Ford Health

Detroit, MI

Under minimal supervision, reviews and screens the recommended admission cases at Henry Ford Health Network emergency rooms. Combines clinical and regulatory knowledge and skill to reduce significant financial risk and exposure du...

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...

Remote Licensed Psychiatric Nurse Practitioner

Headway

Phoenix, AZ

$147.00 - $205.00 per hour

Accept insurance hassle-free by credentialing you with the nations largest networks and handling the billing and admin paperwork for you.. Maintain a flexible schedule by deciding how many clients you see through Headway, so that...

Psychiatric Mental Health Nurse Practitioner - Remote (1099 Independent Contractor)

Rula Health

Las Vegas, NV

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Book Cover Reviewer For Books, Series, And Geeks | Remote | Part Time

Venice Review

Remote

$375 a week

Work from Home. Flexible working hours. Relaxed atmosphere. You have a passion For Books and can express your opinions clearly and convincingly. You have a device (television, notebook) that can stream the media. We will provide t...

Movie Poster Reviewer For Movies, Series, And Geeks | Remote | Part Time

Venice Review

Remote

$375 a week

Work from Home. Flexible working hours. Relaxed atmosphere. You have a passion For Movies and can express your opinions clearly and convincingly. You have a device (television, notebook) that can stream the media. We will provide...

Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote - Now Hiring

Rula Health

Greensboro, NC

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Remote Family Nurse Practitioner (Field visits required)

Molina Healthcare

West Sacramento, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric. Perform comprehensive evaluations including history and physical exams for gaps in ca...

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...

Psychiatric Mental Health Nurse Practitioner - Remote (1099 Independent Contractor) - Now Hiring

Rula Health

Albuquerque, NM

$120.00 to $240.00 hourly

2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...

Remote Family Nurse Practitioner FNP (field visits required)

Molina Healthcare

Sacramento, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric.. Perform comprehensive evaluations including history and physical exams for gaps in c...

Psychiatric Nurse Practitioner for Remote Telepsychiatry - FT - REMOTE

Spark Mental Health Centers

Scottsdale, AZ

Spark will provide insurance credentialing services. Change your schedule availability as desired with reasonable notice. Supervision is available, if needed. Spark is based in Arizona, but operates in many States. Spark is well f...

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...

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...

Nurse Reviewer I (NCLEX)

Elevance Health

San Juan, PR

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 r...

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...

Remote Nurse Educator

Inizio Engage

Remote

$34 an hour

Competitive compensation. Excellent Benefits accrued time off, medical, dental, vision, 401k, disability & life insurance, employee discounts/promotions. Competitive environment with company wide recognition, contests and covete...

Join our Envision Trials team as a Remote Nursing Assistant!

Envision Trials Llc

Remote

$50,000 - $80,000 a year

Supply patients to participate in our clinical studies. Perform regular follow-ups and maintain accurate records of patient data. Collaborate closely with the multidisciplinary team to ensure the success of the study. Nursing Assi...

Remote Nurse Manager

Shield Health

Tennessee, United States

Outbound calls to new and established patients. Text conversations and interactions with new and established patients. Monitor and report changes in patient symptoms or behavior. Communicate with collaborating physicians or specia...

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...