Concurrent Review RN
Tacoma, WA · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... Must have inpatient hospital experience (MED-SURG is ideal) - at least about 2 years Computer ...
Tacoma, WA · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... Must have inpatient hospital experience (MED-SURG is ideal) - at least about 2 years Computer ...
Tacoma, WA · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... Must have inpatient hospital experience (MED-SURG is ideal) - at least about 2 years Computer ...
Linthicum, MD · On-site
The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers. About Maryland ...
Linthicum, MD · On-site
The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers. About Maryland ...
Orange, CA · On-site
$38 - $51/hr
Conduct daily inpatient and concurrent reviews and coordinate appropriate levels of care. * Coordinate care and placements for: * Durable Medical Equipment (DME) * Home Health (HH) * Skilled Nursing ...
Orange, CA · On-site
$38 - $51/hr
Conduct daily inpatient and concurrent reviews and coordinate appropriate levels of care. * Coordinate care and placements for: * Durable Medical Equipment (DME) * Home Health (HH) * Skilled Nursing ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
Linthicum, MD · On-site
The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers. About Maryland ...
Linthicum, MD · On-site
The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers. About Maryland ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
Columbus, OH · On-site
... Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work All your information will be ...
Columbus, OH · On-site
... Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work All your information will be ...
... for inpatient medical necessity/utilization review and other utilization management activities ... Provides concurrent review and prior authorizations (as needed) according to policy for members as ...
... for inpatient medical necessity/utilization review and other utilization management activities ... Provides concurrent review and prior authorizations (as needed) according to policy for members as ...
Review and evaluate proposed services utilizing medical criteria and/or established policies and ... Determine if the inpatient setting requested for surgery and/or medical care is appropriate.
Review and evaluate proposed services utilizing medical criteria and/or established policies and ... Determine if the inpatient setting requested for surgery and/or medical care is appropriate.
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
... concurrent review determinations as described in the Medical Management UM work plan ... This detailed clinical judgment includes determination of inpatient hospital stays as medically ...
Linthicum, MD · On-site +1
$266K - $315K/yr
The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers. About Maryland ...
Linthicum, MD · On-site +1
$266K - $315K/yr
The Medical Director is responsible for the general supervision of Utilization Management, Quality Management and Inpatient Concurrent Review as well as interaction with providers. About Maryland ...
Ensure the use of nationally recognized criteria and evidence-based standards for inpatient concurrent reviews and offsite service requests. * Manage UM staff including performance reviews, employee ...
Quick apply
Ensure the use of nationally recognized criteria and evidence-based standards for inpatient concurrent reviews and offsite service requests. * Manage UM staff including performance reviews, employee ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost ...
WI · On-site
$80 - $100/hr
Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...
WI · On-site
$80 - $100/hr
Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review ... Follows 100% of assigned inpatient admissions Determines medical appropriateness of the patient ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review ... Follows 100% of assigned inpatient admissions Determines medical appropriateness of the patient ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review ... Follows 100% of assigned inpatient admissionsDetermines medical appropriateness of the patient ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review ... Follows 100% of assigned inpatient admissionsDetermines medical appropriateness of the patient ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review ... Follows 100% of assigned inpatient admissions Determines medical appropriateness of the patient ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review ... Follows 100% of assigned inpatient admissions Determines medical appropriateness of the patient ...
Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...
Quick apply
Perform concurrent reviews of inpatient, observation, swing bed, and other applicable patient stays to evaluate medical necessity and appropriate level of care. * Apply established criteria to ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
For Inpatient Concurrent Review jobs, the most frequently searched job titles are:

Full-time
Medical, Dental, Vision
Re-posted 6 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Daily Responsibilities:
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care
Conduct discharge planning
Educate providers on utilization and medical management processes
Provide clinical knowledge and act as a clinical resource to non-clinical team staff
Enter and maintain pertinent clinical information in various medical management systems
Requirements:
RN license & associate's degree in Nursing
Must have discharge planning experience
Must have inpatient hospital experience (MED-SURG is ideal) - at least about 2 years
Computer skills! Must be comfortable & able to learn computer systems
Preferably have:
Interqual or Milliman experience
Utilization review experience
Case Management experience
Hours for this Position:
Flexible - roughly 8:00-5:00 or 8:30 to 5:00
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Want More Information?
If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I'm Interested" Button to email your resume.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003