Are you an experienced RN Concurrent Review 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 ...
Are you an experienced RN Concurrent Review 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 ...
Supervisor, Pre-Service & Concurrent Review (Utilization Management) The Supervisor of Utilization ... Support the UM Pre-Service Director and Delegation Oversight team in developing and updating ...
Supervisor, Pre-Service & Concurrent Review (Utilization Management) The Supervisor of Utilization ... Support the UM Pre-Service Director and Delegation Oversight team in developing and updating ...
Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS ... Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. * Strong ...
Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS ... Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. * Strong ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
... Concurrent review. · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree. · Minimum of 3 years clinical experience in an acute medical or acute surgical setting. · ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
... Concurrent review. · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree. · Minimum of 3 years clinical experience in an acute medical or acute surgical setting. · ...
RN UM
Franklin, NH · On-site
RN UM Tryfacta is seeking an RN UM for our client in Franklin, NH 03235. This is a 9-week contract ... and concurrent review approvals. * Monitor patient progress, identify barriers to discharge, and ...
RN UM
Franklin, NH · On-site
RN UM Tryfacta is seeking an RN UM for our client in Franklin, NH 03235. This is a 9-week contract ... and concurrent review approvals. * Monitor patient progress, identify barriers to discharge, and ...
Concurrent reviews are completed by the UM RN every three days or sooner, when consulted, to evaluate the continue medical need for the patient in a hospitalized level of care. They will collaborate ...
Concurrent reviews are completed by the UM RN every three days or sooner, when consulted, to evaluate the continue medical need for the patient in a hospitalized level of care. They will collaborate ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Utilization Review Nurse
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Concurrent Utilization Review (UR) Nurse
OR · Remote
$30 - $38/hr
Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...
Quick apply
Concurrent Utilization Review (UR) Nurse
OR · Remote
$30 - $38/hr
Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...
... concurrent review determinations as described in the Medical ... Management UM work plan. * This detailed clinical judgment includes determination of inpatient ...
... concurrent review determinations as described in the Medical ... Management UM work plan. * This detailed clinical judgment includes determination of inpatient ...
... concurrent review determinations as described in the Medical ... Management UM work plan. * This detailed clinical judgment includes determination of inpatient ...
... concurrent review determinations as described in the Medical ... Management UM work plan. * This detailed clinical judgment includes determination of inpatient ...
Utilization Review Nurse
Orlando, FL · On-site
$82K - $95K/yr
Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS ... Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. * Strong ...
Quick apply
Utilization Review Nurse
Orlando, FL · On-site
$82K - $95K/yr
Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS ... Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. * Strong ...
RN Supervisor, Appeals, Managed Care, UM
OR · On-site +1
$75K - $135K/yr
The California RN license background check and RN license approval is required PRIOR to starting ... Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ...
RN Supervisor, Appeals, Managed Care, UM
OR · On-site +1
$75K - $135K/yr
The California RN license background check and RN license approval is required PRIOR to starting ... Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ...
UM Nurse Reviewer Under the guidance of the Utilization Management, the UM Nurse Reviewer will ... Performs utilization review activities, including pre-certification, concurrent, and/or ...
UM Nurse Reviewer Under the guidance of the Utilization Management, the UM Nurse Reviewer will ... Performs utilization review activities, including pre-certification, concurrent, and/or ...
Utilization Review Nurse
Houston, TX · On-site
$82K - $95K/yr
Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS ... Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. * Strong ...
Quick apply
Utilization Review Nurse
Houston, TX · On-site
$82K - $95K/yr
Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS ... Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. * Strong ...
RN Supervisor, Appeals, Managed Care, UM
California, MO · On-site
$75K - $135K/yr
The California RN license background check and RN license approval is required PRIOR to starting ... Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ...
RN Supervisor, Appeals, Managed Care, UM
California, MO · On-site
$75K - $135K/yr
The California RN license background check and RN license approval is required PRIOR to starting ... Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ...
RN Supervisor, Appeals, Managed Care, UM
$75K - $135K/yr
The California RN license background check and RN license approval is required PRIOR to starting ... Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ...
RN Supervisor, Appeals, Managed Care, UM
$75K - $135K/yr
The California RN license background check and RN license approval is required PRIOR to starting ... Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team ...
... concurrent review determinations as described in the Medical ... Management UM work plan. This detailed clinical judgment includes determination of inpatient ...
... concurrent review determinations as described in the Medical ... Management UM work plan. This detailed clinical judgment includes determination of inpatient ...
... concurrent review determinations as described in the Medical ... Management UM work plan. * This detailed clinical judgment includes determination of inpatient ...
... concurrent review determinations as described in the Medical ... Management UM work plan. * This detailed clinical judgment includes determination of inpatient ...
Um Concurrent Review Nurse information
See salary details
$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
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RN Concurrent Review
Waltham, MA
$30/hr
Full-time
Medical, Dental, Vision
Re-posted 23 days ago
Job description
Why You Should Work For Us:
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!
Are you an experienced RN Concurrent Review 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!
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
Hours for this Position:
Monday- Friday; 8AM-5PM
Pay rate starts at $30 per hour
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
RN licensure
Candidates must have a car- mass transportation in Boston doesn't go to Waltham
2+ years of clinical nursing experience
Some sort of concurrent review experience or discharge planning from either another managed care company or clinical setting
Interested in being considered?
If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm Interested Button to email your resume.
About Healthcare Support
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.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003