Clinical Medical Review Nurse

Job Title:Clinical Medical Review NurseJob Summary:Ampcus Inc. is a leading provider of technology and business consulting services. We are seeking a highly skilled Clinical Medical Review Nurse to join our team.Key Responsibilities:Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis...

Job Title: Clinical Medical Review NurseJob Summary:Zolon Tech Inc. is seeking a skilled Clinical Medical Review Nurse to join our Quality Team. As a key member of our team, you will be responsible for conducting thorough HEDIS overreads in line with NCQA guidelines.Key Responsibilities:Conduct HEDIS overreads in line with NCQA guidelinesHelp with Medical...

Job SummaryWe are seeking a highly skilled Clinical Medical Reviewer to join our team at ICONMA. As a Clinical Medical Reviewer, you will play a critical role in ensuring the accuracy and quality of medical record abstractions performed by our HEDIS abstraction staff.Key ResponsibilitiesMedical Record Over-Reading: Accurately and efficiently over-read...

Clinical Review Nurse **About the Role** We are seeking a dedicated and experienced Clinical Review Nurse to join our team at Quality Talent Group. As a Clinical Review Nurse, you will play a crucial role in ensuring the accuracy and compliance of our home care service documentation, supporting revenue cycle compliance, and maintaining survey...

CLINICAL UTILIZATION REVIEW NURSE - PRNPosition Overview:As a Clinical Utilization Review Nurse, you will be responsible for conducting thorough evaluations of patient records to ensure appropriate clinical, financial, and resource utilization. Your role is crucial in facilitating timely interventions and coordination efforts to minimize avoidable delays and...

CLINICAL UTILIZATION REVIEW NURSE - PRNPosition Overview:As a Clinical Utilization Review Nurse, you will be responsible for conducting both concurrent and retrospective evaluations of patient charts to gather clinical, financial, and resource utilization data. Your role is crucial in providing interventions and coordinating efforts to minimize unnecessary...

CLINICAL UTILIZATION REVIEW NURSE (RN) - PRNPosition Overview:As a vital member of our healthcare team, the Clinical Utilization Review Nurse is responsible for conducting both concurrent and retrospective evaluations of patient charts. This role focuses on assessing clinical, financial, and resource utilization data to ensure optimal patient care and...

About the Clinical Review Nurse RoleWe are seeking a dedicated and experienced Clinical Review Nurse to join our team at Quality Talent Group. As a Clinical Review Nurse, you will play a crucial role in ensuring the accuracy and compliance of our home care service documentation, supporting revenue cycle compliance, and maintaining survey readiness.Key...

Job SummarynTech Workforce is seeking a skilled HEDIS Medical Review Nurse to join our Quality Team. As a key member of our team, you will be responsible for conducting thorough HEDIS overreads in accordance with NCQA guidelines.Key ResponsibilitiesAssist with Medical Record Retrieval for HEDIS and Risk AdjustmentParticipate in internal audits for...

Utilization Review and Case Management RN - Part Time, WeekendsJob SummaryWe are seeking a skilled RN to join our team as a Utilization Review and Case Management RN. This part-time, weekend position will involve conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource...

CLINICAL UTILIZATION REVIEW NURSE (RN) - PRNPosition Overview:As a vital member of our healthcare team, the Clinical Utilization Review Nurse will engage in both concurrent and retrospective evaluations of patient charts to assess clinical, financial, and resource utilization metrics. This role is essential in facilitating interventions and coordinating...

Utilization Review and Case Management RN - Part Time, WeekendsJob SummaryWe are seeking a skilled RN to join our team as a Utilization Review and Case Management RN. This part-time, weekend position will involve conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource...

Job SummaryWe are seeking a skilled RN to join our team as a Utilization Review and Case Management RN. This part-time position will work weekends, conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.Key ResponsibilitiesConduct thorough chart reviews to identify...

Join Medical Solutions as a Travel Nurse RN Case Manager Medical Solutions is actively seeking a dedicated Travel Nurse RN Case Manager specializing in Utilization Review for an exciting travel nursing opportunity. Shift: 8 hours, days Employment Type: Travel We are looking for skilled healthcare professionals who are ready to embark on an adventure while...

Job SummaryWe are seeking a skilled RN to join our team as a Utilization Review and Case Management RN. This part-time position will work weekends, conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.Key ResponsibilitiesConduct thorough chart reviews to identify...

Job SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to fill a Case Management Utilization Review position in a dynamic healthcare setting. As a travel nurse with Medical Solutions, you will have the opportunity to work with a variety of patients and healthcare professionals, while also developing your clinical skills and...

Position OverviewMedical Solutions is actively seeking a skilled Travel Nurse RN specializing in Case Management and Utilization Review. This role involves providing exceptional care coordination for patients, ensuring a seamless transition from hospital to home.Job ResponsibilitiesSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeksHours: 40 hours...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to assess clinical, financial,...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to assess clinical, financial,...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to assess clinical, financial,...