Remote Utilization Review Nurse Jobs Texas

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  • Utilization Review Nurse

    A company is looking for a Utilization Review Nurse, part-time, remote.

    RN License InterQual MCG Microsoft Office
  • Utilization Review Nurse

    A company is looking for a Utilization Review Nurse, PRN, Remote....Key Responsibilities Review and evaluate electronic medical records for emergency admissions and assess medical necessity using InterQual or MCG criteria Apply evidence-based clinical guidelines to ensure proper utilization of healthcare resources

    InterQual MCG EMR Microsoft Office
  • Utilization Review Nurse - DC Licensed

    A company is looking for a Utilization Review Nurse (Remote) to conduct clinical chart reviews and ensure compliance with medical necessity and reimbursement policies....management/case management RN-BSN preferred, RN-AA acceptable; DC or MD license required based on assignment Experience in Utilization Review and Case Management Discharge planning

    Utilization Review Clinical Criteria Payer Agreements Medical Necessity
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  • California Licensed Utilization Review Nurse

    A company is looking for a Concurrent Utilization Review Nurse, RN (Work from home)....review or case management Experience in a managed care setting with medical necessity reviews is preferred Preferred certifications include Certified Professional in Utilization Review (CPUR) or Certified Case Manager (CCM) Strong knowledge of clinical

    Concurrent Review Case Assessment InterQual MCG
  • California Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Author to assist hospital clients with case reviews....utilization review Required Qualifications Active Registered Nurse (RN) license in the state of residence Eligibility to obtain a California RN license Experience in a clinical inpatient environment Hospital-based utilization or case management

    InterQual Milliman Clinical Documentation Data Abstraction
  • Oregon Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Nurse (RN)....regulatory guidelines Collaborate with care team members to improve documentation accuracy and manage admission status Required Qualifications and Education Registered Nurse (RN) with a minimum of 2 years of experience in utilization review in an

    Epic InterQual Medical Necessity Payor Policies
  • State Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Nurse, Full-Time (9a-9p EST), Remote.

    RN License InterQual MCG Criteria Microsoft Office
  • California Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Nurse to support client healthcare needs remotely in California.

    Concurrent Review Clinical Experience Case Management Utilization Management
  • New York Utilization Review Nurse

    A company is looking for a Utilization Review Registered Nurse (remote)....review/prior authorization experience focused on workers' compensation Experience interpreting medical treatment guidelines Knowledge of prior authorization processes and regulatory compliance for workers' compensation cases Proficiency in electronic

    Utilization Review Prior Authorization Compliance Clinical Experience