Newark, NJ · On-site
$27 - $36.50/hr
Medical
Dental
Vision
Retrospective Review LPN Are you an experienced LPN with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your ...
Newark, NJ · On-site
$27 - $36.50/hr
Medical
Dental
Vision
Retrospective Review LPN Are you an experienced LPN with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your ...
$34 - $47/hr
UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
$34 - $47/hr
UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
$27 - $36.50/hr
Medical
Dental
Vision
Managed care experience preferred Additional Information Are you an experienced Retrospective Review LPN in Newark, NJ area looking for a new opportunity with a prestigious healthcare company? Do you ...
$27 - $36.50/hr
Medical
Dental
Vision
Managed care experience preferred Additional Information Are you an experienced Retrospective Review LPN in Newark, NJ area looking for a new opportunity with a prestigious healthcare company? Do you ...
Alpharetta, GA · On-site
Assist with denial prevention, appeals, and retrospective reviews when necessary.Maintain patient confidentiality and comply with HIPAA regulations. Required Qualifications Active Registered Nurse ...
Alpharetta, GA · On-site
Assist with denial prevention, appeals, and retrospective reviews when necessary.Maintain patient confidentiality and comply with HIPAA regulations. Required Qualifications Active Registered Nurse ...
Oxford, NC · On-site
Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews. Qualifications: North Carolina License as a Registered Nurse. Three years clinical ...
Oxford, NC · On-site
Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews. Qualifications: North Carolina License as a Registered Nurse. Three years clinical ...
Oxford, NC · On-site
Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews. Qualifications: North Carolina License as a Registered Nurse. Three years clinical ...
Oxford, NC · On-site
Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews. Qualifications: North Carolina License as a Registered Nurse. Three years clinical ...
Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews. Qualifications: North Carolina License as a Registered Nurse. Three years clinical ...
Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews. Qualifications: North Carolina License as a Registered Nurse. Three years clinical ...
Monterey Park, CA · Remote
$34 - $47/hr
We are seeking nurses with at least one year of outpatient Utilization Management experience in a ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Monterey Park, CA · Remote
$34 - $47/hr
We are seeking nurses with at least one year of outpatient Utilization Management experience in a ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Monterey Park, CA · Remote
$34 - $47/hr
We are seeking nurses with at least one year of outpatient Utilization Management experience in a ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Quick apply
Monterey Park, CA · Remote
$34 - $47/hr
We are seeking nurses with at least one year of outpatient Utilization Management experience in a ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Seymour, IN · On-site
... Retrospective Review 4. Payer Communication & Authorization 5. Denials Management and Appeals Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to ...
Seymour, IN · On-site
... Retrospective Review 4. Payer Communication & Authorization 5. Denials Management and Appeals Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Retrospective Review * Payer Communication & Authorization * Denials Management and Appeals Equal ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Retrospective Review * Payer Communication & Authorization * Denials Management and Appeals Equal ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... This individual is responsible for performing a variety of concurrent and retrospective UM-related ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of ... This individual is responsible for performing a variety of concurrent and retrospective UM-related ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
Quick apply
Randallstown, MD · On-site
LifeBridge Health seeks a Utilization Review Nurse RN to evaluate medical necessity and appropriate level of care across our continuum. In this role, you will conduct concurrent and retrospective ...
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment ...
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment ...
$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
| Aspect | Retrospective Review Nurse | Utilization Review Nurse |
|---|---|---|
| Certifications | RN license, possibly case management certification | RN license, often case management or utilization review certification |
| Work Environment | Reviewing medical records after care has been provided | Assessing medical necessity during patient care or pre-authorization |
| Industry Usage | Healthcare, insurance, managed care | Healthcare, insurance, managed care |
| Primary Focus | Evaluating past medical records for appropriateness and compliance | Determining medical necessity for current or upcoming services |
While both roles involve reviewing medical information, the Retrospective Review Nurse focuses on analyzing past records after treatment, whereas the Utilization Review Nurse assesses the necessity of ongoing or upcoming care. Both positions require similar certifications and are common in healthcare and insurance industries, but their primary focus and timing of review differ.
Cities with the most Retrospective Review Nurse job openings:
States with the most job openings for Retrospective Review Nurse jobs include:
The top searched job categories for Retrospective Review Nurse jobs are:
$27 - $36.50/hr
Full-time
Medical, Dental, Vision
Re-posted 16 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!
Job Title: Retrospective Review LPN
Are you an experienced LPN with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Position Summary:
As the Retrospective Review LPN, you would be responsible for reviewing medical records against specified guidelines and applying clinical knowledge in the assessment, evaluation and interpretation of clinical notes submitted by providers.
More Insight of Daily Responsibilities:
Hours for this Position: Monday-Friday 8:00am-5:00pm
Advantages of this Opportunity:
What We Look For:
Want More Information?
If you are interested, please email your resume to ahammer@ healthcaresupport.com or click apply.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
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
