Registered Nurse Utilization Review Specialist

Utilization Review Registered Nurse - REMOTEPosition Overview:The Utilization Review Registered Nurse is responsible for ensuring that appropriate medical necessity documentation is maintained for inpatient status or observation placements. This role involves effective communication with physicians and healthcare providers to ensure timely submission of...

Utilization Review Registered Nurse - REMOTEPosition Overview:The Utilization Review Registered Nurse plays a pivotal role in ensuring the appropriate medical necessity documentation for inpatient admissions or observation placements. This position requires effective communication with physicians and clinical staff to guarantee timely submission of clinical...

Utilization Review Registered Nurse - REMOTEPosition Overview:The Utilization Review Registered Nurse is responsible for ensuring the documentation of medical necessity for inpatient admissions or observation placements. This role involves effective communication with physicians and healthcare providers to guarantee timely submission of clinical information...

Utilization Review Registered Nurse - REMOTEPosition Overview:The Care Manager is accountable for ensuring the documentation of medical necessity for inpatient admissions or observation placements is accurate and timely. This role involves effective communication with physicians and clinical staff to facilitate the authorization process with payors.Key...

Registered Nurse Utilization Review Monday - Friday 2pm-10:30pmWhy UT Southwestern?With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued...

Position Overview at Steward Health CareThe Clinical Care Manager is primarily accountable for documenting the medical necessity for inpatient admissions or observation placements. This role involves close collaboration with physicians and healthcare providers to ensure that clinical data is swiftly communicated to payers for patient authorization during...

Job SummaryCorVel Corporation is seeking a highly skilled Clinical Review Specialist II to join our team. As a Clinical Review Specialist II, you will play a critical role in ensuring the medical necessity of in-patient admissions and out-patient treatment, while supporting the goals of our Case Management department.Key ResponsibilitiesConduct thorough...

Position Overview at Steward Health CareThe Clinical Care Management RN is primarily responsible for documenting the medical necessity for inpatient admissions or observation placements. This role involves collaborating with physicians and healthcare providers to ensure that clinical information is efficiently communicated to payers for patient...

Clinical Care Manager Role at Steward Health CareThe Clinical Care Manager is primarily accountable for documenting the medical necessity for inpatient admissions or observation placements. This role involves collaboration with physicians and healthcare providers to ensure that clinical information is efficiently communicated to payers for patient stay...

Job OverviewThis remote position allows for flexible scheduling and caseload management while adhering to client-required turnaround times. Our reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas and possess a TX License, along with experience in testimony, depositions, or counter...

Job OverviewThis remote position allows for flexible scheduling and caseload management while adhering to client-required turnaround times. Reviewers are compensated on a per-case basis as independent contractors.Candidates must be a licensed Orthopedic Surgeon in Texas with experience in testimony, depositions, or counter affidavits. Access to a Texas...

About the RoleWe are seeking a skilled and compassionate Registered Nurse to join our team as a Homecare Specialist. As a Homecare Specialist, you will provide high-quality patient care in the comfort of their own homes, utilizing your expertise to assess, plan, implement, and evaluate patient care.ResponsibilitiesUtilize the nursing process to assess, plan,...

About the Role:We are seeking a skilled and compassionate Registered Nurse to join our team as a Home Healthcare Specialist. As a Home Healthcare Specialist, you will provide high-quality patient care in the comfort of their own homes, utilizing the nursing process to assess, plan, implement, and evaluate patient care.Responsibilities:Utilize the nursing...

Position Overview: Desk Review Specialist at KemperKemper, a prominent specialized insurance provider, is seeking skilled professionals to contribute positively to our clients' experiences. We pride ourselves on fostering a high-performance environment that promotes both personal and professional development while ensuring a balanced work-life approach.Key...

Position Overview: Desk Review Specialist at KemperKemper, a prominent specialized insurance provider, is seeking skilled professionals to enhance our operations and positively influence our clients' experiences. We promote a high-performance environment, fostering both personal and professional development, alongside a balanced work-life integration.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Elite. As a key member of our clinical review team, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Key ResponsibilitiesMedical Necessity Review: Conduct thorough evaluations...

Job DetailsJob Title: Travel Nurse RN Oncology SpecialistJob Type: Travel NursingSpecialty: OncologyDiscipline: Registered Nurse (RN)Shift: 8 hours, daysHours per Week: 40Duration: 13 weeksEmployment Type: TravelAbout the JobWellspring Nurse Source is seeking a skilled Travel Nurse RN Oncology Specialist to join our team. As a travel nurse, you will have the...

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...

About the RoleWe are seeking a highly skilled and experienced Pre-Service Review Coordinator to join our team at UnitedHealth Group. As a key member of our clinical review team, you will play a critical role in ensuring the medical appropriateness of pre-authorization requests.Key ResponsibilitiesReview and determine medical appropriateness of...

Registered Nurse - Wound and Ostomy Care Specialist **Position Overview**As a Registered Nurse specializing in Wound and Ostomy Care, you will play a crucial role in providing comprehensive care to patients with complex and non-healing wounds. This full-time position is focused on delivering exceptional healthcare services in a collaborative environment....