Preservice Review Nurse RN - Honolulu

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 ...

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 ...

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 ...

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

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. · ...

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

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

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. · ...

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 ...

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 ...

Magnet Medical is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Honolulu, Hawaii. · Assess patients' medical histories and current conditions to develop individualized preoperative care plans. · Collaborate with surgical team members to position patien ...

Intensive Care Unit Registered Nurse (ICU RN / Critical Care) · We seek experienced ICU Registered Nurses providing high-acuity patient-centered care in fast-paced critical environments. · Critical thinking skills · Ability to float PCU/Med-Surg units during periods low census re ...

Cordina con los médicos, personal y proveedores externos para atender a los pacientes. · ...