- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review Work Environment + This is a 100% remote position + The schedule is Tuesday to Saturday, 10 AM to 7 ... review , case management, and concurrent review . Job Description The Clinical Review Nurse will perform concurrent reviews to assess the member's… more
- Children's Mercy Kansas City (Kansas City, MO)
- …can improve the lives of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, ... from admission through hospital stay to discharge. Adeptly uses evidence based clinical practice guidelines to determine the appropriate level of care and the… more
- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review (West Coast) Job Description We are seeking a dedicated Clinical Review Nurse to perform ... with at least 2 years in acute care. + Strong skills in clinical review , utilization management, and concurrent review . + Self-starter with excellent time… more
- Elevance Health (Louisville, KY)
- ** Clinical Review Nurse I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... for Medicare and Medicaid Services to transform federal health programs. The ** Clinical Review Nurse ** is responsible for reviewing and making medical… more
- Medical Mutual of Ohio (OH)
- …provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or otherwise ... pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Appeal & Claim Review Nurse II_ **Location:** _Ohio_ **Requisition ID:** _2500127_ more
- Actalent (Porterville, CA)
- Remote Concurrent Review Nurse Job Description We are seeking a dedicated Concurrent Review Nurse to perform concurrent reviews, assess members' overall ... interdepartmental teams on projects within utilization management as part of the clinical review team + Partners and works with Medical Affairs and/or Medical… more
- Centene Corporation (Sacramento, CA)
- …with interdepartmental teams on projects within utilization management as part of the clinical review team + Partners and works with Medical Affairs and/or ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
- Centene Corporation (Olympia, WA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Actalent (Bakersfield, CA)
- …medical directors, and internal teams to support discharge planning + Document clinical findings and manage member records in health systems + Educate providers ... or Bachelor's degree in Nursing + 2-4 years of experience in concurrent review or utilization management + Strong communication skills, attention to detail, and tech… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... regulations. This role involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Float Pool Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Float Pool Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (Richmond, VA)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Research Nurse today with Chippenham Hospital....or other data collection tools by careful source document review ; monitors data for missing or implausible data** +… more
- HCA Healthcare (Englewood, CO)
- …next step in your career path, we encourage you to apply for our RN Clinical Nurse Coordinator opening. We review all applications. Qualified candidates will ... role. The typical candidate is hired below midpoint of the range. **ICU Clinical Nurse Coordinator** **_Up to $10K Sign On Bonus Available for ICU Experience_**… more
- R1 RCM (Chicago, IL)
- …position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical records and payer ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our hospital… more
- HCA Healthcare (Myrtle Beach, SC)
- …step in your career path, we encourage you to apply for our RN Medsurg Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... up to 15k!** Do you have the career opportunities as a **RN Medsurg Clinical Nurse Coordinator** you want in your current role? We invest in what matters most… more
- HCA Healthcare (Savannah, GA)
- …step in your career path, we encourage you to apply for our RN Pediatric Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a **RN Pediatric Clinical Nurse Coordinator (Neuro)** you want in your current role? We invest in… more
- HCA Healthcare (Gainesville, FL)
- …your next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator you want in your current role? We invest in what matters… more
- HCA Healthcare (Austin, TX)
- …in your career path, we encourage you to apply for our Cardiac Telemetry Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Cardiac Telemetry Clinical Nurse Coordinator you want in your current role? We invest in what… more
- HCA Healthcare (Overland Park, KS)
- …compelling, we encourage you to apply for our Clinical Registered Nurse opening. We promptly review all applications. Highly qualified candidates will ... about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_._** We are seeking a Clinical Registered Nurse for our team to… more