Jobs: medical review nurse

Job Summary: At Gritman, we pride ourselves on being the premier healthcare employer on the Palouse. We bring exceptional care that's close to home for the members of our community, We are seeking a Staff RN to join our Utilization Review/Case Management team. The Utilization Review Nurse (UR) has skills in areas of Utilization Management (UM), medical...

Job Title: Medical Reviewer I Location: Columbia, SC , 29229 (Remote, after onsite training) Duration: 3 months assignment with possible extension Shift: Mon-Fri 40 hours per week, 8:30 am - 5:00 pm Payrate: $23/hr.Summary: Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or...

Job Description   Responsibilities include medical review, which involves in-house review of Case Report Forms (CRFs) including query resolution and addenda writing, QA of data listings. May manage the activities of regional contract CRAs, and organizes the files and budgets associated with several clinical studies. Provides medical support which may...

Job Description Responsibilities include medical review, which involves in-house review of Case Report Forms (CRFs) including query resolution and addenda writing, QA of data listings. May manage the activities of regional contract CRAs, and organizes the files and budgets associated with several clinical studies. Provides medical support which may include:...

Job Title: Medical Reviewer II (Part time, 25 hours per week) Location: Columbia, SC 29229 (onsite) Payrate: $30/hr 6 months assignment with possible extensions Summary: Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using...

Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...

Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...

Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of...

Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

Full-time Director of Medical/Surgical needed at a top facility in Idaho (Reference Code: KAM) Currently looking for a dynamic and passionate Director of Nursing, Medical/Surgical Unit to join a top facility in the Northwest located within 2 hours of Sun Valley, Jackson Hole, Salt Lake City, and Yellowstone National Park. The Director of Nursing,...

Job DescriptionJob DescriptionTitle: Nurse Reviewer Department: Govt Services Bargaining Unit: NBU Grade: N/A Position Type: Non-Exempt Hours per Week: 40Position Summary:Performs chart review of medical exams to determine medical necessity and appropriateness, in accordance with Company guidelines, client needs, and legislative requirements. "Has minimum...

Location: Remote Contract Length: 12 Months Pay Rate: $40-45/hr including individual healthcare coverageHours: Part-Time (20 hours/week) flexible schedule Responsibilities:Represent Medical in the Material Review Process (to guarantee medical, clinical, and scientific data accuracy, relevance, and objectivity).Provide proactive guidance as needed for brand...

Location: Remote Contract Length: 12 Months Pay Rate: $40-45/hr including individual healthcare coverageHours: Part-Time (20 hours/week) flexible schedule Responsibilities:Represent Medical in the Material Review Process (to guarantee medical, clinical, and scientific data accuracy, relevance, and objectivity).Provide proactive guidance as needed for brand...

Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and...

Job DescriptionJob DescriptionUnder general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the...

Position Overview : The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare...

Job DescriptionJob DescriptionVictor Valley Global Medical CenterVictorville, CACoordinates and reviews all medical records, as assigned to caseloadActively participates in Case Management and Treatment Team meetingsServes as on-going educator to all departmentsResponsible for reviewing patient charts in order to assess whether the criteria for admission and...

Overview: As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

Medical Talent is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Coppell, TX. Shift: 5x8 hr days Start Date: 05/13/2024 Duration: 12 weeks Pay: $1494.5 / Week About Medical Talent:Medical Talent is a distinguished company that prides itself on being Veteran-owned and Joint Commission certified. Since its...