- Sourcing Square US (Dayton, OH)
- …(Required)3+ years documented successful precepting, mentoring, nursing education to nurse practitioners, or specialized medical education nursing students. ... Us: Come reimagine care with us! We're on a mission to change the way medical care is delivered around the country.By supplying home-based medical care to… more
- Sourcing Square US (Philadelphia, PA)
- …SUMMARY: Assists the denial management team by conducting a comprehensive analytical review of patient's medical records. Appeal Writer/ Reimbursement Analyst ... justification for the services to be paid. RESPONSIBILITIES/ACCOUNTABILITIES:Reviews patient medical records; utilize clinical, regulatory knowledge and skills to… more
- Healthcare Recruitment Counselors (Pittsburgh, PA)
- …office. Duties: Patient exams/consultations- orthopedic/musculoskeletal (HPI, physical exam, review pertinent medical records/imaging/reports) Evaluate Clinical ... Physician Assistant OR Nurse Practitioner Pittsburgh PA We are looking for...exam skills. About us: We are a busy multidisciplinary medical office in Pittsburgh. We specialize in the use… more
- Sourcing Square US (Cleveland, OH)
- …experience.3+ years documented successful precepting, mentoring, nursing education to nurse practitioners, or specialized medical education nursing students. ... Us: Come reimagine care with us! We're on a mission to change the way medical care is delivered around the country.By supplying home-based medical care to… more
- Molina Healthcare (Bowling Green, KY)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in… more
- Rising Medical Solutions (Chicago, IL)
- …too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark ... Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including...in acute care, surgery and/or orthopedic + Workers' Compensation medical bill review experience a major plus… more
- HCA Healthcare (Charleston, SC)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** Do you have the career opportunities as a Medical Surgical Registered Nurse you want in...admissions, testing and discharges . You will maintain and review patients' records including posting tests and examination results… more
- HCA Healthcare (Plano, TX)
- …path, we encourage you to apply for our Medical Oncology Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Registered Nurse / RN - Medical Oncology** **Shift: Full time - Nights** **Location: Medical City Plano Hospital** **Introduction** **Do… more
- Children's Hospital Boston (Boston, MA)
- …representative of the ED Psychiatry team, with the medical team and charge nurse to review and coordinate plans for patients boarding in the emergency ... 76115BRJob Posting Title:Psychiatric Nurse Practitioner, Emergency Department *$5,000 sign-onDepartment:Psychiatry and Behavioral Sciences… more
- Milford Regional Medical Center (Milford, MA)
- …our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC. The UR ... needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching... Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate,...clinical information and may also provide education on the medical review process. + The Contractor performing… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical ...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up… more
- LA Care Health Plan (Los Angeles, CA)
- Facility Site Review Nurse Specialist RN II Job... Specialist RN II conducts Full Scope Reviews, Site Review Surveys, Medical Record Review ... Category: Clinical Department: Facility Site Review Location: Los Angeles, CA, US, 90017 Position Type:...Review (FSR) Nurse...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- R1 RCM (Pittsburgh, PA)
- …analytics, AI, intelligent automation, and workflow orchestration. **Title: Utilization Review Nurse ** **Location: Hospital Client located in Pittsburgh, ... experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines...and some flexibility may be offered** As our **Utilization Review Nurse ** , you will help our… more
- Travelers Insurance Company (Buffalo, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range ... Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for prospective,… more
- Staffing Solutions Organization (Augusta, ME)
- Registered Nurse - Authorization Review Augusta, ME 04330, USA Req #964 Monday, July 29, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public ... of our clients and the people they serve. **Registered Nurse - Authorization Review Unit - MaineCare...a week onsite in Augusta.** **Position Duties:** + Manage medical Prior Authorizations (PA) as assigned by the PA… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested medical ... with clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review -** **Utilization Management--Sign on Bonus $2,500** **Location:… more
- Independent Health (Buffalo, NY)
- …and commitment to diversity and inclusion. **Overview** The Utilization Review Nurse performs clinical reviews to determine the medical necessity of ... Accountabilities** + Provide high quality, professional utilization management services: ( medical necessity review for Prior Authorization, pre-certification and… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** The Clinical Correspondence Review Nurse is responsible for performing quality reviews of written clinical determination ... on business needs.** **Remote position.** **Knowledge/Skills/Abilities** + Conducts quality review of the clinical determination letters generated for members,… more
