This is not a remote or work-from-home position. This position requires you to sit on-site at our Lincolnton, NC branch location. The RN... education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization...
RN – Adolescent Behavioral Health A bonus of up to $9,000 is available for those who qualify! Ask us about the..., or behavioral issues. In our Adolescent Crisis Stabilization Unit, the RN will collaborate with a multidisciplinary team to assess...
This is not a remote or work-from-home position. This position requires you to sit on-site at our Washington, NC branch location. The RN... education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization...
education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization... Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. Analyzes situations...
patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions... to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence...
patients. The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions... to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence...
Imagine360 is currently seeking a Benefit Review RN to join the team! The Benefit Review Nurse RN is responsible... for providing benefit review/ utilization review and processing the independent physician review request for individuals under the...
Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES...: * Immediately respond to all Bluestone Intak email, faxes and phone calls. Review all referrals for clinical appropriateness...
Job Title: Medical Review Nurse (RN) Address: Jacksonville, FL Job Description Perform medical reviews to assess..., LTAC, and rehab settings for benefit determination and medical necessity. Participate in weekly case review meetings...
, payers, Care Coordinators and other stakeholders regarding review outcomes. Collaborates with facility RN Care Coordinators... general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review...
regarding review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care. Engages the second... experience RN: AZ or Compact License Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used...
you to apply – even if your experience doesn’t match every requirement. About the role The Pre-Certification Review Nurse – Pharmacy is responsible... in utilization management reviews. The Pre-Certification Review Nurse – Pharmacy will work and collaborate with a multi-disciplinary...
you to apply - even if your experience doesn't match every requirement. About the role The Pre-Certification Review Nurse - Pharmacy is responsible... in utilization management reviews. The Pre-Certification Review Nurse - Pharmacy will work and collaborate with a multi-disciplinary...
Our Client, a Mutual Insurance Holding company, is looking for a Medical Review Nurse (RN) for their Remote location... to determine benefit coverage and medical necessity Review cases and potential denials with the Medical Directors Research...
Job Title: Medical Review Nurse (RN) Address: Jacksonville, FL Job Description Review and authorize referral... staff to determine benefit coverage and medical necessity Collaborate with Medical Directors on potential denials and case...
Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC..., utilization review, managed care organization quality review, and quality assurance for programs serving individuals...
Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC..., utilization review, managed care organization quality review, and quality assurance for programs serving individuals...
Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC..., utilization review, managed care organization quality review, and quality assurance for programs serving individuals...
Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC..., utilization review, managed care organization quality review, and quality assurance for programs serving individuals...
Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC..., utilization review, managed care organization quality review, and quality assurance for programs serving individuals...