- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
- Elevance Health (San Juan, PR)
- …providing information technology and business operations services for health plans._ ** Nurse Reviewer I** **Location:** This role requires associates to ... but must be flexible according to business needs. The ** Nurse Reviewer I** is responsible for conducting...current unrestricted RN license from one of the 50 states of the United States … more
- HCA Healthcare (Houston, TX)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Clinical Reviewer to join our healthcare family. **Benefits** The Woman's ... their passion for patient care. Apply today for our Registered Nurse Clinical Reviewer opportunity. **Job Summary and Qualifications** We are seeking a… more
- HCA Healthcare (Conroe, TX)
- …next step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your...a regional, tertiary referral center, other hospitals rely on us when higher levels of acute care are necessary.… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …APN license to practice as an NP in a State, Territory or Commonwealth of the United States , or in the District of Columbia. Basic Board Certification - All APN ... Summary The Referral Coordinator Initiative (RCI) Nurse Practitioner is aligned under the Access and Scheduling Management Service and directly reports to the RCI… more
- SSM Health (MO)
- …Wisconsin Department of Safety and Professional Services **Work Shift:** Day Shift ( United States of America) **Job Type:** Employee **Department:** 8746010033 ... specialized mortality reviews. **Required Qualifications:** + Prior experience as a Second Level Reviewer + Two years in an acute care setting with two years… more
- SSM Health (MO)
- …Wisconsin Department of Safety and Professional Services **Work Shift:** Day Shift ( United States of America) **Job Type:** Employee **Department:** 8746010033 ... + Two years' in an acute care setting or relevant experience **Eligible Remote States :** Candidates are required to reside on one of SSM's approved States :… more
- Kelly Services (Plainsboro, NJ)
- **Pharmacovigilance QC Reviewer II** Location: Plainsboro, NJ Schedule: Hybrid role with at least 3 days/week onsite is expected Length 1 year Pay: 28:00 **Job ... Bachelor's degree, HCP degree is required eg, pharmacist or nurse ; advanced degree preferred * Experience Level: 3+ Years...promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related… more
- Catholic Health Initiatives (Lexington, KY)
- **Responsibilities** **JOB SUMMARY:** The Bariatric Clinical Reviewer plays a crucial role in ensuring departmental compliance with MBSAQIP Data Registry and other ... school of nursing required. BSN preferred. License/Certification: * Active, unencumbered Registered Nurse license * BLS required * ACLS required on telemetry units… more
- The Cigna Group (Sacramento, CA)
- …Registered Nurse (RN) license in state or territory of the United States . + Ideal candidate must reside in California **Preferred requirements:** ... **Job Description Summary** Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates appropriate… more
- US Tech Solutions (Plainsboro, NJ)
- …* Education Level: Minimum Bachelor's degree, HCP degree is required eg, pharmacist or nurse ; advanced degree preferred * Experience Level: Total of 8+ years -- 5+ ... Outlook, Excel, Word * Excellent written and verbal communication **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a… more
- ManpowerGroup (Columbia, SC)
- **Utilization Management Nurse / Social Worker (Contract Position)** **Location:** Remote (Must Train Onsite for 1-2 Weeks) - Must Reside Within 3 Hours of Client ... Format:** Microsoft Teams **Job Overview** We are seeking a **Utilization Management Nurse or Licensed Social Worker** to perform medical reviews and utilization… more
- Kelly Services (St. Louis, MO)
- …Healthcare Providers **(Physicians - MD, DO, Physician Assistants PA, or Nurse Practitioners NP)** to conduct one-time disability exams for Veterans. Veterans ... documentation + Get paid directly **Qualifications: ** + Active US state medical license in good standing/no sanctions +...promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related… more
- AmeriHealth Caritas (Philadelphia, PA)
- …health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** Under the direction of the unit ... Supervisor, the Clinical Care Reviewer - Shift Care is responsible for managing requests for...is presented to the Medical Director for medical necessity review . Upon approval of services, responsibilities include timely notification… more
- AmeriHealth Caritas (Dover, DE)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** Under the direction of a supervisor,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team....to all rights afforded by the Constitution of the United States . The Department of Human Resources… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …a State, Territory or Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates ... Summary As the regional Revenue Utilization Review (RUR) Nurse Manager the incumbent...various states and the Commonwealth of the United States . Responsibilities Plans and delegates work… more
- HCA Healthcare (Houston, TX)
- …you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to...one of the largest employers of nurses in the United States . Education is key to excellence!… more
- US Tech Solutions (Columbia, SC)
- …School of Nursing. + Required License/Certificate: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact ... multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech Solutions:** US Tech Solutions is a global staff… 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 Center, one... citizenship or the right to work in the United States . Career PathFinder: Resources to help… more