Preservice Review Nurse RN - Honolulu, HI

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 and interprets customer needs and requirementsSolves moderately complex problems and/or conducts moderately complex analysesCPS_Make Final Determinations Base ...

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 ...

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. · Assesses and interprets customer needs and requirements · Solves moderately complex problems · ...

GenieHealthcareisseekingaTravellNURNUtilizatonReviewforatravelnursingjobinHonolulu,Hawaii. · ...

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 to work in Honolulu. The job involves utilization review and requires an RN with start date on March 2nd. · ...

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. ...

Access Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Honolulu. · ...

This is a Registered Nurse (RN) position at Essex Center for Rehabilitation and Healthcare. · We provide care to residents with dignity and independence. · ...

We are hiring a Registered Nurse (RN) Unit Manager in Utica, NY. The successful candidate will handle supervisory duties for assigned units, mentor less experienced nurses, and maintain standards of care. · Handle all supervisory duties for assigned unit · Mentor less experienced ...

Steuben Center for Rehabilitation and Healthcare has been the provider of long-term care services in Steuben County since 1834. The focus of care is to provide quality health care with respect for the individual's dignity in a homelike environment utilizing the collective talents ...

This position assists a nurse manager in managing daily nursing activities within a nursing department.The role involves providing leadership and performing management functions delegated by the nurse manager, such as resource allocation, ensuring a safe working environment, and ...

How you'll change lives · As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney dise ...