Utilization Review Nurse

We're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards. QualificationsMust have active PHRN or USRN licenseMinimum of 1 year of acute care management in a hospital set upMust have 1 year of experience in...

We are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse. You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...

e are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse.You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed. Responsibilities :Perform advanced level work related to clinical denial and utilization...

Job Opportunity:\Earn a competitive salary and incentives as a licensed nurse with Nezda. Our virtual process allows you to work from home, providing flexibility in your work arrangement.\Responsibilities:\Conduct non-clinical research to support determinations and ensure accurate case assignments.Determine the appropriate team and health plan for review,...

Job descriptionWe are hiring Staff Nurse for our senior's residence RainTree Care Services & Senior Residences in Pasay City.We are under German management and operate on German healthcare standards.RESONSIBILITIES AND DUTIES:Manage and Implement nursing care for our residentsManage chronic illnessConsult and collaborate with physicians, head nurse, and...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities :Perform advanced level work related to clinical denial and utilization...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities :Perform advanced level work related to clinical denial and utilization...

We are looking for a highly skilled and experienced Virtual Nurse Supervisor to lead our team of Virtual Triage Nurse Associates. This role is crucial for ensuring the highest standards of patient care, operational efficiency, and team development.Key Responsibilities:1. Team Leadership & Supervision:Performance Management: Supervise, mentor, and coach a...

Job descriptionWe are looking for a highly skilled and experiencedVirtual Nurse Supervisorto lead our team of Virtual Triage Nurse Associates. This role is crucial for ensuring the highest standards of patient care, operational efficiency, and team development.Key Responsibilities:1. Team Leadership & Supervision:Performance Management: Supervise, mentor,...