Concurrent Review Nurse - Bedford, NH

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. · Reviews records to prepare narratives and allocations for medical treatment. · Demonstrates knowledge of CMS policies related to preparing MSAs. · ...

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. · Through a review of relevant medical files and related documentation, provides a narrative and cost projection for future treatment related to Workers Compensation and ...

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment and prescription medications. · Candidates will demonstrate ...

We are seeking a talented individual for a Nurse Reviewer (RN) to support our Massachusetts contract. This role involves performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, a ...

+Job summary · The UMCM will utilize clinical knowledge to analyze, assess, · and render approval decisions,+Review authorization requests for medical services, · including making initial eligibility and coverage determinations, · ...

+Job summary · The UMCM will utilize clinical knowledge to analyze, assess and render approval decisions,++Expertise in clinical review for prospective concurrent retrospective utilization management reviews utilizing Interqual company policies and procedures and other resources ...

The Preservice Review Nurse RN is responsible for evaluating the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determination, identifying solutions to non-standard requests and problems, and collaborating with leadership and team mem ...

+The Preservice Review Nurse RN is responsible for evaluating the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determination. · +Determine the appropriateness of inpatient and outpatient services following evaluation of medical guid ...

With the belief that they were there when we needed them, so we must be there now that they need us Veterans Inc is seeking to fill the Inpatient Behavioral Health Admission Review Nurse position. · ...

Veterans Inc., the largest provider of supportive services to Veterans and their families in New England, · is seeking to fill the Inpatient Behavioral Health Admission Review Nurse position.We are looking for individuals who share our belief that they were there when we needed t ...

We seek an Inpatient Behavioral Health Admission Review Nurse to become a valued member of our team at Veterans Inc. · Patient Assessment: Conducting initial assessments of patients to determine their need for inpatient care. · Information Gathering: Collecting medical histories, ...

We are seeking an Inpatient Behavioral Health Admission Review Nurse to join our team at Veterans Inc. The ideal candidate will have experience in nursing care in a substance abuse treatment setting and strong time management skills. · Associate's degree from an accredited school ...

We are seeking a travel nurse for a 13-week assignment in Everett, Washington. · Current Washington licenseExcellent interpersonal skills including patience empathy and compassionEffective communication skills including active listening writing speaking reading comprehensionFast ...

Solomon Page is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Everett, Washington. · ...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Everett, Washington. · Case management experience required · ...

The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. · ...

The Nurse Manager oversees daily operations of Utilization Management (UM) and Clinical Appeal teams. · Collaborates with interdisciplinary teams to reduce payer denials.Provides leadership, staff training, and quality improvement initiatives. ...

The Nurse Manager for Utilization Review and Clinical Appeal Management oversees daily operations of UM and Appeal teams ensuring compliance with hospital policies regulatory requirements payer guidelines. This role supports efficient effective utilization review denial managemen ...

The Nurse Manager oversees daily operations of Utilization Management UM and Clinical Appeal teams ensuring compliance with hospital policies regulatory requirements payer guidelines supporting efficient effective utilization review denial management processes collaborating inter ...

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. · The Registered Nurse Community Living Center is located in the GEC Services at the Bedford VA location. ...