Care Review Nurse
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
The Transplant Nurse, Utilization Review provides the highest level of clinical service both ... Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ...
New
The Transplant Nurse, Utilization Review provides the highest level of clinical service both ... Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ...
New
The Transplant Nurse, Utilization Review provides the highest level of clinical service both ... Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ...
New
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The Transplant Nurse, Utilization Review provides the highest level of clinical service both ... Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ...
New
Columbus, OH · On-site
Care Review Clinician Works with the Utilization Management team primarily responsible for ... Nurses working at the facilities members are being cared for, will be sending over clinical ...
Columbus, OH · On-site
Care Review Clinician Works with the Utilization Management team primarily responsible for ... Nurses working at the facilities members are being cared for, will be sending over clinical ...
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
... Utilization Review Department in collaboratively meeting operational, budget, and strategic planning goals Minimum Qualifications: * Education: Bachelor of Science Degree in Nursing, Business or ...
... Utilization Review Department in collaboratively meeting operational, budget, and strategic planning goals Minimum Qualifications: * Education: Bachelor of Science Degree in Nursing, Business or ...
Columbus, OH · On-site
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Columbus, OH · On-site
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Columbus, OH · On-site
For billing and hospitalization utilization review purposes, the reviewer will identify and certify ... Active RN License from an accredited nursing school Minimum three to five year's related experience ...
Columbus, OH · On-site
For billing and hospitalization utilization review purposes, the reviewer will identify and certify ... Active RN License from an accredited nursing school Minimum three to five year's related experience ...
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
New employees only 40 hours per week, Monday - Friday 8am - 5pm Salaried Nursing position ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Columbus, OH · On-site
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Title : Care ... or utilization review for other healthcare services. Checks eligibility and verifies benefits ...
Columbus, OH · On-site
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Title : Care ... or utilization review for other healthcare services. Checks eligibility and verifies benefits ...
Columbus, OH · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review ... Flexible Work Arrangements - Hybrid and remote depending on the role We believe that happy, healthy ...
Columbus, OH · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review ... Flexible Work Arrangements - Hybrid and remote depending on the role We believe that happy, healthy ...
$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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Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications: Background Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience) Potential for longer term dependent on enrollment Workers will be doing 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 kept confidential according to EEO guidelines.
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Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996