NURSE CLINICAL REVIEWER jobs in USA, United Kingdom

relation. The nurse is responsible for processing all clinical documentation and appropriately reviewing the services requested... you to apply – even if your experience doesn’t match every requirement. About the role The Utilization Review Nurse is responsible for reviewing...

quantum-health

your application for our Registered Nurse Clinical Reviewer opening with The Woman's Hospital of Texas today and find out what it truly... and Qualifications The Registered Nurse Clinical Reviewer position encompasses multiple responsibilities including Core Measure chart...

The Woman's Hospital of Texas

Description Introduction Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want... with our Nurses at Corpus Christi Medical Center Bay Area! Job Summary and Qualifications The Registered Nurse Clinical Reviewer...

Corpus Christi Medical Center Bay Area

works closely with MBS Director and Clinical Reviewer, assisting with: Program development, managing the accreditation... and Bariatric Surgery Accreditation and Quality Improvement Program. Serves as breast cancer clinical navigator, assisting...

BJC HealthCare

Maximus is hiring a Licensed Practical Nurse (LPN) to fill a Clinical Reviewer position to support the Connecticut... and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical...

Maximus

JOB TITLE (#25026): Registered Nurse Clinical Reviewer / IDR - New Hyde Park, NY Minimum of 3 years experience in... a medical review setting Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill...

Greenlife Healthcare Staffing

The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management... is responsible for identifying and monitoring staff (non-clinical, nurse, and physician) performance against key performance...

L.A. Care Health Plan

seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/RN (Remote U.S.) to join our growing team. Job Summary..., services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the...

Acentra Health

JOB TITLE (#25026): Registered Nurse Clinical Reviewer / IDR - New Hyde Park, NY Minimum of 3 years experience in... a medical review setting Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill...

Greenlife Healthcare Staffing

JOB TITLE (#25026): Registered Nurse Clinical Reviewer / IDR - Remote Minimum of 3 years experience in a medical... review setting Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening...

Greenlife Healthcare Staffing

Job Description: JOB TITLE (#25026): Registered Nurse Clinical Reviewer / IDR - Remote Minimum of 3 years... experience in a medical review setting Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer...

Greenlife Healthcare Staffing

JOB TITLE (#25026): Registered Nurse Clinical Reviewer / IDR - Remote Minimum of 3 years experience in a medical... review setting Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening...

Greenlife Healthcare Staffing

referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business... request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line...

Hawaii Medical Service Association

Clinical Care Reviewer II - 100% Remote JOB DESCRIPTION The Clinical Care Reviewer II is responsible for processing... non-clinical medical management staff. Qualifications Licensure and Certification: Current, unrestricted Registered...

Actalent

our mid-town office. SUMMARY The Clinical Safety Reviewer / Senior Clinical Safety Reviewer is primarily responsible... for reviewing adverse event and serious adverse event reports from an assigned project(s), clinical studies and/or post marketing...

Cardiovascular Research Foundation

Quality Clinical Reviewer, HMSA Grade 25 Work Experience - Required Clinical Work Experience - Preferred Quality...Conducts reviews of clinical interactions and clinical documentation including reviews of case management records...

Magellan Health

) preferred. * Surgical Clinical Reviewer credentialed from the American College of Surgeons (ACS) preferred. Education: High..., and qualifications. Connect with your Talent Advisor for additional specifics. Responsibilities Collect and submit clinical data...

Ascension