Preservice Review Nurse RN - Kaneohe

Hybrid Work Environment - Must reside in Hawaii. Under minimal supervision conducts detailed analysis and review of precertification requests post-service and suspended claims by applying clinical expertise against HMSA medical and reimbursement policies plan benefits nationally ...

Nurse Reviewer in Clinical Review Unit at Kapolei, Hawaii. · ...

The Nurse Reviewer will utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. · Responsibilities include:Evaluate suspended claims agains ...

Hybrid Work Environment - Must reside in Hawaii. · Demonstrate understanding and application of over 250 Guide to Benefits, Evidence of Coverage, Plan Brochure, and Member Handbook. HMSA annually updated medical and drug policies... · ,Approve precertification requests based on c ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · Assesses and interprets customer needs and requirementsSolves moderately complex problems and/or conducts moderately complex analysesCPS_Make Final Determinations Base ...

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. · ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · Assesses customer needs · Solves moderately complex problems; conducts moderately complex analyses; translates concepts into practice; provides explanations on difficu ...

GenieHealthcareisseekingaTravellNURNUtilizatonReviewforatravelnursingjobinHonolulu,Hawaii. · ...

Access Healthcare is seeking a travel nurse to work in Honolulu. The job involves utilization review and requires an RN with start date on March 2nd. · ...

Genie Healthcare is seeking a travel nurse RN for a utilization review role in Honolulu, Hawaii. · Utilization review experience required · ...

We offer one of the top leading pay packages in the industry and we are ready to get you the money you deserve · ...

Access Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Honolulu. Job Description & Requirements: · Specialty: Utilization Review · Discipline: RN · ...

The Registered Nurse (RN) – Utilization Review (UR) is responsible for ensuring that healthcare services provided to patients are medically necessary, appropriate, and efficient. · ...

The Registered Nurse (RN) – Utilization Review (UR) is responsible for ensuring that healthcare services provided to patients are medically necessary, appropriate, and efficient. ...

Assumes responsibility and accountability for assigned Home care location(s). Oversees all aspects of daily operations to ensure alignment with organizational quality, service, financial and engagement goals. · ...

We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. · Paid Time Off (PTO) benefits · Tuition Reimbursement & Scholarship Opportunities · ...

Supports practitioner and clinical team to accomplish proactive patient management as delegated by and under indirect supervision of clinic nursing supervisor. · ...

· The Administrative Director assumes responsibility and accountability for assigned Home care locations. · ...

Skyline Med Staff Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Kaneohe Hawaii. · Work as an RN in home health care · ...

Assumes responsibility and accountability for assigned Home care location(s). Oversees all aspects of daily operations to ensure alignment with organizational quality, service, financial and engagement goals. · ...