- Optum (San Juan, PR)
- …internal procedure to determine the viability of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews -75% ... Perform clinical review of professional (or facility) claims vs. medical records...roles you may be interested in. Required Qualifications: Registered Nurse (RN), Coding Certificate or Nursing Licensure, for example:… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse , a sharp case manager, or a behavioral health ... impact behind the scenes, this is your moment. As a Clinical Care Reviewer , you'll evaluate inpatient, outpatient, pediatric, or behavioral health services to ensure… more
- HCA Healthcare (Wichita, KS)
- …step in your career path, we encourage you to apply for our Registered Nurse Postpartum opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a(an) Registered Nurse Postpartum you want in your current role? We...as defined by Wesley Medical Center and the Kansas Nurse Practice Act. Collaborates with other professional disciplines to… more
- VNA of the Treasure Coast (Vero Beach, FL)
- …records for accuracy and completeness on a ongoing basis Collaborate with QAPI nurse and home health educator regarding review findings and training needs ... Several local and national discounts The VNA is seeking a part time Quality Reviewer . This position supports the efforts of VNATC Home Health in managing quality of… more
- Geisinger (Mountain Top, PA)
- Job Title: Nurse Practitioner or Physician Assistant Skilled Nursing Facility Location: Mountain Top, Pennsylvania Job Category: Physician Assistant, Nurse ... Job Summary The Geisinger Skilled Nursing Program is seeking an experienced Nurse Practitioner or Physician Assistant to rotate between Mountain Top Rehabilitation &… more
- Novo Nordisk Inc. (Charlotte, NC)
- …hospital faculty, medical students, residents, interns as well as attending physicians, nurse practitioners and pharmacy personnel about the use of Novo Nordisk's ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Novo Nordisk Inc. (Kissimmee, FL)
- …the DCS I maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical customers ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit (TPP)… more
- Geisinger (Wilkes Barre, PA)
- Job Title: Nurse Practitioner or Physician Assistant Skilled Nursing Facilty Per Diem Location: Wilkes-Barre, Pennsylvania Job Category: Physician Assistant, ... Nurse Practitioner, Advanced Practice Schedule: Per Diem Work Type:...a 4:30p Responsibilities include: Communicate with SNF staff and review patient reports Treat acute needs, admissions, discharges, etc.… more
- Geisinger (Danville, PA)
- Job Title: Physician Assistant/ Nurse Practitioner Neurosurgery Location: Danville, Pennsylvania Job Category: Nurse Practitioner, Physician Assistant, Advanced ... Job Summary Geisinger's Neuroscience Institute is seeking an physician assistant or nurse practitioner to join the Neurosurgery team at Geisinger Medical Center in… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit reimbursement… more
- Geisinger (Scranton, PA)
- Job Title: CRNA Certified Registered Nurse Anesthetist PASNAP Location: Scranton, Pennsylvania Job Category: CRNA, Advanced Practice Schedule: Rotation Work Type: ... peri and post anesthesia. Conducts thorough preop evaluation of patient including chart review . Organizes OR room with equipment monitors and drugs needed for the… more
- Geisinger (Wilkes Barre, PA)
- Job Title: Certified Registered Nurse Anesthetist Location: Wilkes-Barre, Pennsylvania Job Category: CRNA, Advanced Practice Schedule: Days Work Type: Full time ... and post anesthesia. Conducts thorough preop evaluation of patient including chart review . Instills confidence in patient. Organizes OR room with equipment monitors… more
- Medical Solutions (Omaha, NE)
- Ready to Plant Roots? This Permanent Case Management (Utilization Review )/RN (Registered Nurse ) Position in White Plains, NY Has Your Name on It! A top-tier ... facility is looking for a dedicated Case Management (Utilization Review )/RN (Registered Nurse ) to join their team. If you've been craving the stability to stay… more
- Berkshire Hathaway Homestate Companies (Omaha, NE)
- WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an ... and attorneys. Act as a medical resource in regards to utilization review to Claims Support Nurse , Bill Review , and Claims department. Foster a positive and… more
- Cooper University Hospital (Camden, NJ)
- …Room nursing. 2 or more years of experience in medical record review , coding or health care auditing. Education Requirements Graduate of Accredited Registered ... Nurse program License/Certification Requirements Current New Jersey Registered Nurse License Special Requirements Proficiency in Microsoft Excel, Word and Power… more
- Center Light - Uniondale - Long Island (Uniondale, NY)
- …Profession RN Specialty Utilization Review Job ID 27808114 Job Title Clinica Review Nurse Weekly Pay $2500.0 Shift Details Scheduled Hours 40 Job Order ... Details Start Date 07/17/2025 End Date 10/16/2025 Duration 13 Week(s) Client Details City Uniondale State NY Zip Code 11556 more
- Novo Nordisk Inc. (Boston, MA)
- …hospital faculty, medical students, residents, interns as well as attending physicians, nurse practitioners and pharmacy personnel about the use of Novo Nordisk's ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... our current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS) Reports to:… more
- Memorial Woodland Village (Diamondhead, MS)
- Memorial Woodland Village LICENSED PRACTICAL NURSE (LPN) PAY: New/competitive wage scale for the LPN's with tuition reimbursement opportunities 12 houe Nifhr Ahidr ... accordingly. Schedule assignments and duties for CNAs. Take and review reports at the beginning of each shift for...residents' conditions Licensure Requirements Must be a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in… more
