Clinical Review Nurse - San Antonio, TX

Urgent Hiring for Remote Clinical Review Nurses. This is a Contract position based out of San Antonio, TX. The pay range for this position is $40.00/hr. · Review approximately 20 cases a day for medical necessity. · Advocate for and protect members from unnecessary hospital admis ...

We are seeking an experienced Registered Nurse to join our team within a leading Managed Care Organization. This role is fully remote and focuses on reviewing clinical documentation to determine medical necessity, appropriateness of care, and alignment with established guidelines ...

Immediate Hiring for Remote Clinical Review Nurses. · Review approximately 20 cases a day for medical necessity. · Advocate for and protect members from unnecessary hospital admissions. · Follow established procedures and processes to complete authorizations. · ...

We are not a staffing firm or agency. Lensa promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · ...

We are seeking an experienced Registered Nurse to join our team within a leading Managed Care Organization. This role is fully remote and focuses on reviewing clinical documentation to determine medical necessity, appropriateness of care, · Conduct clinical reviews of prior autho ...

We are looking for a PreCert Nurse/Utilization Review Nurse to work in Schertz, Texas. The job involves reviewing and analyzing medical records of patients in need of care and creating executive reports. · Review services for medical appropriateness utilizing pre-approved criteri ...

The Clinical Nurse Reviewer WFH is responsible for performing retrospective medical reviews based on patient eligibility and contract requirements. · We are looking for a dedicated Clinical Nurse Reviewer like you to be a part of our team. · ...

We're a privately-owned, independent healthcare navigation organization. Our mission is to make healthcare simpler and more effective for millions of members. · We believe that no one should have to navigate the cost and complexity of healthcare alone. · ...

The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive summaries. · ...

join a team of passionate and caring clinicians who make a difference in people's lives our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings · assess health problems and needs of person(s) served develop and implement nursing care ...

Provides support for quality improvement functions through data analysis. · ...

Provides support for the Health System's quality improvement functions through data analysis and identifying ongoing quality issues. · ...

This Registered Nurse functions as a clinical expert in the South Texas Veteran Health Care System.Demonstrates integration of biopsychosocial concepts · Cognitive skills · Technically competent practice · ...

Provides support for the Health System's quality improvement functions through the analysis of data and indicators. · Responsible for identifying and monitoring ongoing quality improvement issues and opportunities. · ...

POSITION SUMMARY/RESPONSIBILITIES · The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery ...

We are now offering a $5,000 Bonus Duties: · Handle all supervisory duties for assigned unit · Maintain the standards of care for the unit · Mentor less experienced nurses, offering clinical & career advice · Strong computer skills · Excellent communication skills · ...

This role is solely virtual care for urology but onsite under minimal supervision provides nursing care to patients virtually through the Urology Clinic Virtual Call Center handling patient requests via telephone MyChart messaging or other requests that come though electronically ...

This role provides virtual nursing care to patients under minimal supervision through the Urology Clinic Virtual Call Center. · ...

The RN Senior Medical Reviewer provides advanced medical review expertise and supports oversight of the medical review process focusing on complex services and quality assurance. · ...

Morningside team members do more than our jobs, we team collaborate to provide a flexible person-centered experience, · we provide patience, compassion, the desire to help and we have a strong teamwork ethic. · ...