Clinical Review Nurse

Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse is responsible for analyzing all prior authorization requests to determine the medical necessity of services and appropriate levels of care in accordance with national standards, contractual requirements, and member benefit coverage. The role involves providing recommendations...

Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse is responsible for analyzing all prior authorization requests to determine the medical necessity of services and appropriate levels of care in accordance with national standards, contractual requirements, and member benefit coverage. The role involves providing recommendations...

Come join our team and make a difference as we blaze the way into the future of medical discovery through world-class clinical research. At Pinnacle Clinical Research, we are committed to driving innovation and advancing medical knowledge. Through our rigorous research studies, we strive to unlock breakthroughs that have the potential to transform patient...

Come join our team and make a difference as we blaze the way into the future of medical discovery through world-class clinical research. At Pinnacle Clinical Research, we are committed to driving innovation and advancing medical knowledge. Through our rigorous research studies, we strive to unlock breakthroughs that have the potential to transform patient...

This is a contract position starting on January 6th, 2025 and going until April 30th, 2025 The position is fully remote. The pay is $40/hour for RN's. The pay is $37/hour for LPN/LVN. Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information...

This is a contract position starting on January 6th, 2025 and going until April 30th, 2025The position is fully remote. The pay is $40/hour for RN's. The pay is $37/hour for LPN/LVN.Review NurseSUMMARY DESCRIPTION:The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set...

This is a contracted position that will start 01/02/2024 to 05/16/2025.Fully RemoteA RN or LPN/LVN responsible for annual patient chart inspection/audit. Audits are conducted to ensure that providers (MDs) accepting insurance are in compliance with standards of patient care set forth by the insurance company. Experience with medical record review...

Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence-based treatment guidelines. Duties: Perform an evaluation of the medical data for utilization review...

Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence-based treatment guidelines. Duties: Perform an evaluation of the medical data for utilization review...

Neurologist Medical Review StreamLocation US-TX-DallasJob ID 300105Pos. Category Medical - Medical Review - URPos. Type ContractOverviewAre you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced...

Hours of Work : 8:00 to 4:30 Days Of Week : M-F Work Shift : 8X5 Day (United States of America) Job Description : Your Job: The Registered Nurse will be responsible for providing primary care to patients, including assessment, treatment, care planning and medical care evaluation. Your Job Requirements: * Graduate of Nursing training from an...

Hours of Work :8:00 to 4:30Days Of Week :M-FWork Shift :8X5 Day (United States of America)Job Description :Your Job:The Registered Nurse will be responsible for providing primary care to patients, including assessment, treatment, care planning and medical care evaluation.Your Job Requirements:•Graduate of Nursing training from an accredited school of...

Highland Springs by Erickson Senior Living Join our team as the Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager will also facilitate, precept,...

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a...

Clinical Manager, RNLocation: Highland Springs by Erickson Senior Living Join our team as the Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager...

Clinical Manager, RNLocation: Highland Springs by Erickson Senior Living Join our team as the Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager...

Clinical Manager, RNLocation: Highland Springs by Erickson Senior Living Join our team as the Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. The Clinical Manager...

Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Healthcare Documentation Reviewer to support our Home Infusion Specialty Pharmacy Remotely (USA). Join us in Simplifying Complex Care! MA/LPN/Pharmacy Technician experience preferred, but not required. Soleo Health Perks:Competitive Wages401(k) with a MatchReferral BonusPaid Time OffGreat...

Hours of Work : 8:00 to 4:30 Days Of Week : M-F Work Shift : 8X5 Day (United States of America) Job Description : Your Job: The Registered Nurse will be responsible for providing primary care to patients, including assessment, treatment, care planning and medical care evaluation. Your Job Requirements: • Graduate of Nursing training from an accredited...

Hours of Work : 8:30 to 5:00 Days Of Week : M-F Work Shift : 8X5 Day (United States of America) Job Description : Your Job: The Registered Nurse will be responsible for providing primary care to patients, including assessment, treatment, care planning and medical care evaluation. Your Job Requirements: •Graduate of Nursing training from an accredited...