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Keywords: Clinical Review Nurse - Concurrent Review, Location: USA

Page: 11

Registered Nurse (RN), Case Manager PRN

Nurse (RN), Clinical Case Manager PRN/Days Schedule: Monday-Friday 7:30a-4:00p/8:00a-4:30p Your experience matters... & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines...

Company: LifePoint Health
Location: Hickory, NC
Posted Date: 15 Sep 2025

Registered Nurse, Care Coordinator, Per Diem

and concurrent reviews as assigned. Performs inpatient reviews in accordance with payer requirements utilizing clinical criteria sets... as a registered nurse. Experience/Skills: Required: 1. Three (3) years clinical experience in discharge planning or case...

Location: USA
Posted Date: 14 Sep 2025

Registered Nurse - Case Management

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Company: Prime Healthcare
Location: Bristol, PA
Posted Date: 13 Sep 2025

Registered Nurse

Job Description Use established medical policy and guidelines to perform prospective, concurrent, and retrospective... medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length...

Company: LanceSoft
Location: Michigan
Posted Date: 10 Sep 2025

Registered Nurse, RN- Case Manager

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Posted Date: 06 Sep 2025

Registered Nurse, RN- Case Manager

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Company: Prime Healthcare
Location: Inglewood, CA
Posted Date: 06 Sep 2025

Registered Nurse, RN- Case Manager

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Company: Prime Healthcare
Location: Inglewood, CA
Posted Date: 06 Sep 2025

Registered Nurse, RN- Case Manager

of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review..., EXPERIENCE, TRAINING 1. A current California State Registered Nurse (RN) license is required. 2. Five years acute care...

Posted Date: 05 Sep 2025

Registered Nurse, Care Coordinator, Per Diem

clinical and financial criteria. 2. Performs admission and concurrent reviews as assigned. Performs inpatient reviews... of screening tools, direct patient and family communication, medical record review, and discussions with other care givers...

Location: USA
Posted Date: 31 Aug 2025

Registered Nurse - CDI

Job Summary: Job Title: Registered Nurse Clinical Documentation Integrity (CDI) Specialist Location: Lt. Col. Luke...: The Registered Nurse CDI Specialist will serve as the Clinical Documentation Integrity Registered Nurse Advisor (CDI RNA...

Company: Aptive
Location: Memphis, TN
Posted Date: 18 Aug 2025

Utilization Management Nurse - U.S. Air Force Academy

clinical information for concurrent reviews. As part of the UMRN program, conduct ongoing availability, monitoring... identified as having the need for inpatient/outpatient precertification. ESSENTIAL DUTIES & RESPONSIBILITIES Review...

Posted Date: 15 Aug 2025
Salary: $35.02 per hour

Field Nurse Case Manager Hospice

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...

Posted Date: 15 Aug 2025

RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote (Must be a Colorado Resident)

determination decisions within defined protocols based on review of the service requests, clinical and non-clinical data, Member... procedures to members, providers and facilities. Essential Functions: Performs clinical review of inpatient or outpatient...

Company: Denver Health
Location: Colorado
Posted Date: 09 Aug 2025
Salary: $69900 - 108300 per year

Integrated Transitional Care Nurse, RN (Temporary Assignment)

per evidenced based criteria, appropriateness of service and level of care, either through Telephonic review, clinical documentation... or retrospective review process include referring cases that require clinical consultation with the medical director in a timely manner...

Posted Date: 08 Aug 2025
Salary: $43.87 per hour

Nurse Clinician - Utilization Management - 60% - Downtown Campus

The University of Iowa Healthcare Downtown Campus, is looking for a Nurse Clinician to functions as a clinical nurse... expert and clinical coordinator acting as nurse liaison to physicians, patients and administration. The role will partner...

Location: Iowa City, IA
Posted Date: 08 Aug 2025

Registered Nurse Case Manager Contingent Days

case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers to support... activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c...

Company: Tenet Healthcare
Location: Detroit, MI
Posted Date: 06 Aug 2025

Trauma Nurse

Position Overview The Trauma Resource Nurse (TRN) has responsibility for concurrent trauma performance improvement... accurate, concurrent clinical data abstraction and entry into the trauma registry. The TRN maintains clinical credentials...

Posted Date: 26 Jul 2025
Salary: $40.7 - 61.05 per hour

Trauma Nurse

Position Overview The Trauma Resource Nurse (TRN) has responsibility for concurrent trauma performance improvement... accurate, concurrent clinical data abstraction and entry into the trauma registry. The TRN maintains clinical credentials...

Posted Date: 26 Jul 2025
Salary: $40.7 - 61.05 per hour

Registered Nurse (RN) Case Manager 1

Job Category: Nursing Job Description: Inova Alexandria Hospital is looking for a dedicated Registered Nurse Case... Balance: offering paid time off, paid parental leave, and flexible work schedules Registered Nurse (RN) Case Manager...

Location: Alexandria, VA
Posted Date: 20 Jul 2025

Registered Nurse Case Manager Full Time Days

Job Category: Support/Clinical Degree Level: Associate's Degree/College Diploma (±13 years...'s responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review...

Company: Tenet Healthcare
Location: El Paso, TX
Posted Date: 08 Oct 2025