- Centene Corporation (Little Rock, AR)
- …national organization offering competitive benefits including a fresh perspective on workplace flexibility. Clinical Review Nurse - Concurrent Review & ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Practical Nurse - State Licensure required. + RN - Registered Nurse Licensure,… 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, ... through hospital stay to discharge. Adeptly uses evidence based clinical practice guidelines to determine the appropriate level of...a previous role + One of the following: Licensed RN - MO, Registered Nurse … more
- Actalent (San Antonio, TX)
- Job Title: Clinical Review NurseJob Description: The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical ... management, and discharge planning. + Proficiency with InterQual. + Active Compact RN License. + Utilization Management/Concurrent Review experience. + ICU/ER… more
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure required Pay Range: ... 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 (Phoenix, AZ)
- …resolution and logs of actions and/or decisions are appropriately documented + Performs clinical review of outcomes including creating and editing denial letters ... with Federal, State, and NCQA standards + Investigates denials through comprehensive review of clinical documentation, clinical criteria/guidelines, and… more
- Actalent (Miami, FL)
- Urgent Hiring for "Remote Clinical Review Nurses" Job Description: + Review approximately 20 cases a day for medical necessity. + Advocate for and protect ... cases. Qualifications: + 2+ years of utilization management, concurrent review , prior authorization, utilization review , case management,...planning is must + ICU/ER experience Preferred + Active RN Compact License is Must If you are… more
- Beth Israel Lahey Health (Burlington, MA)
- …degree in Science. **Licensure, Certification, Registration:** Currently licensed as a Registered Nurse in the State of Massachusetts **Skills, Knowledge ... CV Service line manager and the Medical Director of the Clinical Service, the Cardio Serv Clin Rev Nurse works to ensure all database forms are accounted for,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …_development,_ and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible ... for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must...Review process in its entirety. + The UR RN Preceptor will have expert clinical skills… more
- Children's Mercy Kansas City (Kansas City, MO)
- …resolve issues. The High-Risk Nurse Lead is an expert at the roles of Clinical Review Nurse Care Manager and Care Coordination Case Manager and provides ... administrative processes and data related to medical necessity denials, clinical appeals, long length of stay rounds, and clinically/financially...a previous role + One of the following: Licensed RN - MO, Registered Nurse … more
- HCA Healthcare (Overland Park, KS)
- …this opportunity compelling, we encourage you to apply for our Clinical Registered Nurse opening. We promptly review all applications. Highly qualified ... about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_._** We are seeking a Clinical Registered Nurse for our… more
- Penn State Health (Hershey, PA)
- …for Job Applicants PDF for more detailed steps for assistance._ **Union:** Non Bargained **Position** RN Registered Nurse Clinical Staff Leader - VARIED ... Corey Cunningham at ###@pennstatehealth.psu.edu (//###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Registered Nurse Clinical Staff Leader will… more
- HCA Healthcare (Richmond, VA)
- …we encourage you to apply for our Clinical Support Resource Registered Nurse RN opening. We review all applications. Qualified candidates will be ... career opportunities as a ** Clinical Support Resource Registered Nurse RN ** you want...nursing skills, patient care, policies, processes, and equipment. + Review of care with new nurse graduate… more
- HCA Healthcare (Kansas City, MO)
- …growth, we encourage you to apply for our Registered Nurse RN Psych Senior Adult opening. We promptly review all applications. Highly qualified ... growth, we encourage you to apply for our Registered Nurse RN Psych Senior Adult opening. We promptly review all applications. Highly qualified… more
- Penn State Health (Hershey, PA)
- …status, and family medical or genetic information._ **Union:** Non Bargained IND567 \#LI-TB1 **Position** RN Registered Nurse Clinical Staff Leader - ... Corey Cunningham at ###@pennstatehealth.psu.edu (//###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Registered Nurse Clinical Staff Leader will… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment ... prohibiting discrimination and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case… more
- Penn State Health (Camp Hill, PA)
- …sexual orientation, veteran status, and family medical or genetic information._ _\#LI-JD1_ **Position** RN Registered Nurse Clinical Staff Leader ... Samantha Leiss at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Registered Nurse Clinical Staff Leader will… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager* Fulltime Days ** *Your experience matters* At Frye Regional Medical Center, we are driven by a profound ... prohibiting discrimination and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case… more
- SSM Health (Bridgeton, MO)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... of changes in condition. + Participates in the development, review and evaluation of multidisciplinary treatment plans as per...Or + Registered Nurse ( RN ) Issued by… more
- HCA Healthcare (Conroe, TX)
- …Houston Healthcare Conroe we support our colleagues in their positions. Join our Team as a Registered Nurse RN Mother Baby PRN and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse RN Mother Baby...Clinical Coordinator for the OB/ GYN Unit the Registered Nurse is responsible for professional nursing… more
- HCA Healthcare (Aurora, CO)
- …in your career path, we encourage you to apply for our ICU Registered Nurse RN opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a(an) ICU Registered Nurse RN you want...nursing process. Your role must possess strong assessment and clinical skills to oversee and care for patients with… more