Registered Nurse Clinical Reviewer

About the RoleOpTech is seeking a highly skilled Clinical Review Registered Nurse to join our team. As a Clinical Review Registered Nurse, you will play a critical role in ensuring that our clients' UM Program is provider-focused and meets the highest standards of quality and care.Key ResponsibilitiesReview clinical documentation provided by facilities to...

Overview: TekWissen Group is a prominent workforce management provider operating across the USA and various international markets. Our client, a leading health insurance organization, provides a diverse range of healthcare coverage options, including individual and family plans, dental and vision insurance, as well as employer-sponsored plans. Position:...

Job DescriptionOverview: TekWissen Group is a leading provider of workforce management solutions across the United States and internationally. Our client operates within the health insurance sector, offering a variety of healthcare coverage options, including individual and family plans, dental and vision insurance, as well as employer-sponsored...

STRATEGIC STAFFING SOLUTIONS (S3) IS HIRINGPosition: Clinical Nurse Review Specialist Location: Remote (Candidates must reside in Michigan) Contract Duration: 12+ Months Employment Type: W2 Contract Engagement Compensation: $39-42/HR Role OverviewAs a Clinical Nurse Review Specialist, you will conduct thorough evaluations of inpatient, outpatient,...

Position: Clinical Nurse Review Specialist Location: Remote (Candidates must reside in Michigan) Contract Duration: 12+ Months Employment Type: W2 Contract Compensation: $39-42 per hour Role Overview: In this role, you will conduct thorough reviews of inpatient, outpatient, ambulatory, and ancillary services to validate medical necessity,...

Overview: TekWissen Group serves as a workforce management provider across the USA and internationally. Our client operates within the health insurance sector, offering a variety of healthcare coverage options including individual and family plans, dental and vision coverage, as well as employer-sponsored plans. Position: Clinical Review Nurse Work...

Job Title: Clinical Review NurseWhy consider a career with OpTech?OpTech is a woman-owned organization that prioritizes your insights, fosters your professional development, and consistently supports you. At OpTech, you will enjoy health and dental benefits from your first day, alongside opportunities for training, flexible and remote work arrangements,...

Join our team and connect with a dedicated recruiter who understands your career aspirations. Position Overview Role Summary We are seeking a Clinical Review Nurse to work within the Healthcare sector. Utilize established medical protocols and criteria to conduct thorough reviews of medical necessity for post-acute care services, ensuring appropriateness...

Position Overview:TekWissen Group serves as a prominent workforce management provider across the United States and internationally. Our client operates within the health insurance sector, delivering a variety of healthcare coverage options including individual and family plans, dental and vision coverage, as well as employer-sponsored plans.Job Title:...

Job Summary:w3r Consulting is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for conducting thorough reviews of patient care services to ensure medical necessity, appropriate length of stay, and intensity of service.Key Responsibilities:Conduct prospective, concurrent, and...

Strategic Staffing Solutions (S3) is excited to announce a new opportunityPosition: RN Clinical Review ConsultantLocation: Remote (Candidates must reside in Michigan)Contract Duration: 12+ MonthsRole Type: W2 Contract EngagementEngagement OverviewOur Utilization Management Program is centered around provider interactions, necessitating professional...

Job OverviewCompany: TekWissen LLCPosition: Registered Nurse - Review AnalystWork Type: RemoteContract Duration: 9 MonthsDepartment: Commercial Inpatient ServicesPosition SummaryTekWissen LLC is a prominent workforce management provider operating across the USA and internationally. Our client, a leading health insurance organization, offers a variety of...

Strategic Staffing Solutions (S3) is seeking a qualified candidate for the role of RN Review Analyst.Position: RN Review AnalystLocation: Remote (Candidates must reside in Michigan)Contract Duration: 12+ MonthsEngagement Type: W2 Contract PositionRole Overview:The Utilization Management Program is designed to focus on providers, necessitating professional...

Job Title: Clinical ReviewerWe are seeking a highly skilled Clinical Reviewer to play a critical role in ensuring the quality of patient care at w3r Consulting. As a key member of our team, you will be responsible for reviewing precertification admissions and concurrent reviews to determine the appropriateness of inpatient settings.Key...

Position: Registered Nurse for Utilization ReviewCompany: AdvantEdgeContract Duration: 9 MonthsWork Arrangement: RemoteCompensation: $34/hr on W2 Role Overview: As a Registered Nurse specializing in Utilization Review, you will play a crucial role in ensuring the appropriate use of healthcare resources. Your expertise will help in assessing the necessity and...

Position Title: Clinical Review NurseCompany: W3R ConsultingJob Overview:This role involves conducting comprehensive evaluations of inpatient, outpatient, and ancillary services to ensure medical necessity and appropriate care levels. The Clinical Review Nurse will play a crucial role in establishing care plans and coordinating patient care throughout the...

Job Title – Healthcare Review AnalystDuration – 10 monthsLocation – RemotePay: $40.00/hr on W2Job Summary:We are seeking a skilled Healthcare Review Analyst to join our team at W3R Consulting. As a key member of our healthcare team, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient,...

Job OverviewCompany: TekWissen LLC is a leading provider of workforce management solutions across the United States and internationally. Our client operates within the health insurance sector, offering a variety of healthcare coverage options, including individual and family plans, as well as dental and vision care.Position: Registered Nurse - Review...

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENINGStrategic Staffing Solutions is currently seeking a Nursing Review Specialist for a contract opportunity with one of our esteemed clients.Title: Nursing Review Specialist Location: Remote (must be local) Duration: 10+ Months Role Type: W2 contract engagement *This position allows for remote work, though...

Job Opportunity: RN Review AnalystAbout the Role:We are seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay,...