Tampa, FL · On-site
$24.50 - $31.75/hr
Reviews clinical information provided by the facility and providers to evaluate the medical ... concurrent and retrospective decisions in the appeals process * Produces approval and denial ...
Tampa, FL · On-site
$24.50 - $31.75/hr
Reviews clinical information provided by the facility and providers to evaluate the medical ... concurrent and retrospective decisions in the appeals process * Produces approval and denial ...
Performs concurrent, and retrospective medical record reviews based on approved screening criteria ... EducationValid RN license in State of CaliforniaBachelor's degree in NursingExperienceClinical ...
Quick apply
Performs concurrent, and retrospective medical record reviews based on approved screening criteria ... EducationValid RN license in State of CaliforniaBachelor's degree in NursingExperienceClinical ...
$77K - $117K/yr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
$77K - $117K/yr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
Performs concurrent, and retrospective medical record reviews based on approved screening criteria ... EducationValid RN license in State of CaliforniaBachelor's degree in NursingExperienceClinical ...
Quick apply
Performs concurrent, and retrospective medical record reviews based on approved screening criteria ... EducationValid RN license in State of CaliforniaBachelor's degree in NursingExperienceClinical ...
Performs concurrent, and retrospective medical record reviews based on approved screening criteria ... EducationValid RN license in State of CaliforniaBachelor's degree in NursingExperienceClinical ...
Quick apply
Performs concurrent, and retrospective medical record reviews based on approved screening criteria ... EducationValid RN license in State of CaliforniaBachelor's degree in NursingExperienceClinical ...
Long Beach, CA · On-site
$77K - $117K/yr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
Long Beach, CA · On-site
$77K - $117K/yr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
Quick apply
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Requirements Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
Assists with retrospective review of specified charts as required. * Obtains extensions in length ... Licensed Practical Nurse (LPN) license with State Nursing Board and/or possess multistate licensure ...
Quick apply
Assists with retrospective review of specified charts as required. * Obtains extensions in length ... Licensed Practical Nurse (LPN) license with State Nursing Board and/or possess multistate licensure ...
$80 - $100/hr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
$80 - $100/hr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
Georgetown, TX · On-site
$65 - $85/hr
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Education and/or Licensure Bachelor's degree or equivalent in nursing preferred. Experience 3-5 ...
Georgetown, TX · On-site
$65 - $85/hr
... retrospective review of inpatient, partial, and intensive outpatient admissions and services ... Education and/or Licensure Bachelor's degree or equivalent in nursing preferred. Experience 3-5 ...
Owings Mills, MD · On-site
$40.12 - $62.19/hr
... of physician advisors, nurses, and support staff who ensure hospital stays are clinically ... Conducts initial, concurrent and retrospective chart review for clinical, financial and resource ...
Owings Mills, MD · On-site
$40.12 - $62.19/hr
... of physician advisors, nurses, and support staff who ensure hospital stays are clinically ... Conducts initial, concurrent and retrospective chart review for clinical, financial and resource ...
Anders Group is seeking a travel nurse RN Utilization Review for a travel nursing job in Irvine ... UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS:
Anders Group is seeking a travel nurse RN Utilization Review for a travel nursing job in Irvine ... UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS:
Tampa, FL · On-site
$80 - $100/hr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
Tampa, FL · On-site
$80 - $100/hr
Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity, appropriate level of care, and continued ...
$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:
$24.50 - $31.75/hr
Full-time
Medical, Dental, Vision
Re-posted 2 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!
Position Summary:
Hours for this Position: Monday-Friday 8:00-5:00
Advantages of this Opportunity:
What We Look For:
Are you an experienced LVN or LPN with claims and appeals 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!
Interested in hearing more about this great opportunity? Please click on the apply button for immediate consideration.
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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
