- Eisai, Inc (Nutley, NJ)
- …& Business Agility, Healthcare Environment Dynamics, Inquiry Resolution, Literature Evaluation, Medical Information Writing Skills, Medical Review , ... accuracy of Eisai's materials; this may include assisting with review of Eisai's advertising and promotional and/or medical...Advanced healthcare degree or Biomedical training and education (RPh, RN , PharmD) up to 2 years of relevant… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... and dissemination across CSPV stakeholders for impact assessment. Participates in the review and management of monthly, quarterly, and ad hoc PVRI reports received… more
- Rising Medical Solutions (Chicago, IL)
- …in stakeholder communication regarding program objectives, outcomes, and revisions. Requirements + Registered Nurse ( RN ) with an active and unencumbered ... Rising Medical Solutions seeks a Medical Review Unit Director for our Workers Compensation based products and services. This role is ideal for a seasoned… more
- CVS Health (Boise, ID)
- …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing ... **Essential Duties & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review … more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 250715-5612FP-001 Location New Haven, CT Date Opened 7/22/2025 12:00:00 AM Salary $78,480 - ... View Benefits (https://www.jobapscloud.com/CT/jobs/?b=Benefits) + + + + Introduction Are you a Registered Nurse looking for an opportunity to make a difference… more
- Vighter Medical Group (Jacksonville, FL)
- Flight Registered Nurse ( RN ), Jacksonville, FL...detainees being repatriated to their countries of origin. The RN will review medical records to ... - Jacksonville, FL Position Type Full Time Education Level Registered Nurse ( RN ) Salary Range...Customs Enforcement. Healthcare is delivered in accordance with approved medical protocols and in compliance with Department of Homeland… more
- Houston Methodist (Sugar Land, TX)
- …the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Henry Ford Health System (Grand Blanc, MI)
- Registered Nurse - Medical ...tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with ... will be considered the official job description. Education/Experience Requirements + Licensed Registered Nurse credentialed from the Michigan Board of Nursing… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... concurrent medical record review for medical ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- HCA Healthcare (Blacksburg, VA)
- …you to apply for our Registered Nurse RN Cardiac Medical Unit opening. We review all applications. Qualified candidates will be contacted by a ... **Description** **Introduction** Do you have the career opportunities as a Registered Nurse RN Cardiac Medical Unit you want in your current role? We… more
- State of Colorado (Golden, CO)
- Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center - Golden Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5019028) Apply Registered Nurse I, RN I...practice. Obtains laboratory and other diagnostic procedures ordered by medical providers, review results and notify provider… more
- Helio Health Inc. (Gloversville, NY)
- …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aFull-Timebasis for ourFulton Co Comprehensive ... Outpatient Program. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- Nuvance Health (Danbury, CT)
- …Review experience(or a certification ACMA, MCG, Interqual) Required : CT Registered Nurse License Working Conditions: Manual: significant manual skills/motor ... per month Summary: The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team,...and case does not meet criteria per first level medical necessity review , discuss case with the… more
- Helio Health Inc. (Syracuse, NY)
- …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aPer-Diembasis for ourOutpatient Program. The ... preference for those available to work4:00pm - 7:30pm. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- HCA Healthcare (Blacksburg, VA)
- …you to apply for our Registered Nurse RN Cardiac Medical Unit PRN opening. We review all applications. Qualified candidates will be contacted for ... **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse RN Cardiac Medical Unit you want with your current employer? We have… more
- Children's Mercy Kansas City (Kansas City, MO)
- …experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire ... of patients, including patient statusing processes, ongoing monitoring of medical necessity review functions utilizing InterQual and/or...+ One of the following: Licensed RN - Kansas, Registered Nurse … more
- ACHIEVE (Binghamton, NY)
- Registered Nurse RN Binghamton,...to individuals and staff as requested + Maintain and review medical and health information on assigned ... NY (http://maps.google.com/maps?q=Binghamton+NY+USA+13905) Apply Description Registered Nurse 40 hours per week - Full Time Starting...but are not limited to: JOB KNOWLEDGE: + Complete RN evaluations and provided needed medical care… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted… more
- HCA Healthcare (Inverness, FL)
- …encourage you to apply for our RN Registered Nurse Medical Neuro Tele opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** Do you have the career opportunities as a Registered Nurse that you want in your...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
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