Utilization Review Registered Nurse

Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for...

Utilization Review and Regulatory Compliance CoordinatorLIFE (Living Independence for the Elderly) is a program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. At an Albright LIFE location, you’ll work with a team of health care professionals providing exceptional, coordinated...

Utilization Review and Regulatory Compliance CoordinatorLIFE (Living Independence for the Elderly) is a program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. At an Albright LIFE location, you’ll work with a team of health care professionals providing exceptional, coordinated...

Job DescriptionJob DescriptionCompany DescriptionLIFE (Living Independence for the Elderly) is a program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility.  At an Albright LIFE location, you’ll work with a team of health care professionals providing exceptional, coordinated services...

Coordinator of Utilization Review and Compliance StandardsAlbright LIFE is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, promoting independence and well-being. As part of the Albright LIFE team, you will collaborate with a diverse group of healthcare professionals to deliver exceptional, coordinated...

Healthcare Utilization and Compliance CoordinatorAlbright LIFE is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, thereby avoiding the need for nursing homes or similar facilities. At Albright LIFE, you will collaborate with a team of healthcare experts to deliver exceptional, coordinated services daily,...

Position OverviewThe Regulatory Compliance and Utilization Review Specialist at Albright LIFE is tasked with overseeing utilization review functions and managing reporting protocols to ensure adherence to regulatory requirements while enhancing participant outcomes. Key ResponsibilitiesThis role is essential in:1. Analyzing performance metrics to identify...

Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

Position Overview:This role as a Utilization Management (UM) Nurse Consultant is designed for a fully remote environment, allowing candidates to work from home while providing essential healthcare services.Work Schedule:Standard hours are Monday to Friday, from 8:30 AM to 5:00 PM EST, with the requirement to accommodate rotating evening shifts until 9 PM EST...

Job OverviewAcentra Health is dedicated to enhancing health outcomes through innovative technology, comprehensive services, and clinical expertise. Our mission is to develop health solutions that maximize value and impact.Position Summary:We are seeking a Clinical Reviewer who will leverage clinical knowledge to assess medical records against established...

Position Overview:As a pivotal member of CVS Health, the Utilization Management Nurse Consultant plays a crucial role in enhancing patient care through effective utilization management strategies. This position is fully remote, allowing for flexibility while maintaining a focus on delivering quality healthcare.Key Responsibilities:Utilize clinical expertise...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver...

Company OverviewAt CVS Health, we are dedicated to a singular mission: to bring our heart to every moment of your health. Our commitment is to provide enhanced, human-centric healthcare solutions that adapt to a rapidly evolving landscape.Position SummaryThe Utilization Management department operates around the clock, and the work schedule may encompass...

Job SummaryAcentra Health is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will play a critical role in ensuring the quality and accuracy of medical records and services.Key ResponsibilitiesReview and interpret patient records to determine medical necessity and appropriateness of careInitiate referrals to physician...

Job OverviewCompany Overview:Albright LIFE (Living Independence for the Elderly) is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, allowing them to maintain independence rather than transitioning to nursing homes or similar facilities. At Albright LIFE, you will collaborate with a dedicated team of...

Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team at Maxim Healthcare Services. As a Registered Nurse, you will be responsible for providing high-quality patient care in a homecare setting.Key ResponsibilitiesAssess and evaluate patient nursing needs regularlyUtilize the nursing process to plan, implement, and evaluate...