Clinical Review Nurse

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Independent Health Association. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform clinical reviews to determine the medical necessity of requested servicesObtain and...

About the RoleWe are seeking a skilled Utilization Review Nurse to join our team at Independent Health Association. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform clinical reviews to determine the medical necessity of requested servicesObtain and...

Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at Independent Health. As a Utilization Review Specialist, you will play a critical role in ensuring the medical necessity of requested services, adhering to regulatory and compliance requirements, and providing exceptional customer service to internal and external...

Clinical Review Therapist Job DescriptionAt Centene Corporation, we are seeking a skilled Clinical Review Therapist to join our team. As a Clinical Review Therapist, you will be responsible for performing clinical reviews of clinical therapy services and/or durable medical equipment to members based on service request assessments and providing clinical...

About the RoleWe are seeking a highly skilled Clinical Review Coordinator to join our team at Maximus. As a Clinical Review Coordinator, you will play a critical role in supporting the Indiana Level of Care Assessment Representative (LCAR) program.Key ResponsibilitiesReview requests for services, including admission, discharges, and continued stays, to...

Job SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive the necessary healthcare services while maintaining the highest level of quality and efficiency.Key ResponsibilitiesConduct thorough medical necessity...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform clinical reviews to determine the medical necessity of requested servicesObtain and review clinical...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Buffalo Psychiatric Center. As a key member of our healthcare team, you will be responsible for analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job Title: Utilization Review CoordinatorBuffalo Psychiatric Center is seeking a skilled Utilization Review Coordinator to analyze and evaluate the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Responsibilities:Review clinical records for completeness and accuracy to ensure...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Buffalo Psychiatric Center. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

About UsThe Travelers Companies, Inc. is a leading property casualty insurer with a rich history of over 160 years.Our CommitmentWe are dedicated to taking care of our customers, communities, and employees. Our promise is to provide exceptional service and support.Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team. As a Utilization...

Job SummaryThis role is responsible for conducting in-house utilization review with a focus on determining medical necessity for prospective, concurrent, retrospective, and appeal treatment requests for workers' compensation claims.Key ResponsibilitiesInterpret routine, complex, or unique medical information to evaluate medical treatment and determine...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Travelers Insurance. As a Medical Case Manager, you will play a critical role in ensuring that our customers receive the necessary medical treatment for their workers' compensation claims.Key ResponsibilitiesConduct in-house utilization review to determine medical necessity for...

Job Title: Utilization Review NurseAt VetJobs, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that medical treatment is reasonable, necessary, and causally related to the compensable injury.Key Responsibilities:Interpret complex medical information to determine...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job Title: Clinical Nurse Specialist EducatorWe are seeking an experienced RN Educator to join our team at Buffalo Center for Rehabilitation and Nursing. As a Clinical Nurse Specialist Educator, you will play a vital role in ensuring the highest quality of care for our residents.Responsibilities:Develop and implement educational programs for staff to enhance...

Job OpportunityThis position is responsible for conducting in-house utilization review with a focus on determining medical necessity for prospective, concurrent, retrospective, and appeal treatment requests for workers' compensation claims.Key ResponsibilitiesInterpret routine, complex, or unique medical information to evaluate medical treatment and...

Ellicott Center is seeking a dedicated and experienced Clinical Nurse Educator to join our team in a full-time capacity. This role is essential for our Long Term Care facility, where the successful candidate will play a pivotal role in enhancing staff education and performance.Key Responsibilities:Design and implement comprehensive staff development programs...

Job SummaryWe are seeking a highly skilled and experienced Registered Nurse (RN) to fill the role of Unit Manager at our Skilled Nursing Facility in Buffalo, NY.Key ResponsibilitiesSupervise and manage the daily operations of the assigned unit, ensuring high-quality patient care and adherence to facility policies and procedures.Develop and implement employee...

Job Title: Clinical Nurse Specialist EducatorWe are seeking an experienced Clinical Nurse Specialist Educator to join our team at Buffalo Center for Rehabilitation and Nursing. As a key member of our healthcare facility, you will be responsible for overseeing educational needs, employee health, and orientation processes to ensure compliance and top customer...