Rn Care Review Clinician Inpatient Review Jobs 2025
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Search parameters used for this particular query: Rn Care Review Clinician Inpatient Reviewjob / career / vacancy; job location: United States of America (USA). We found multiple listings that are shown below (this include part time / full time jobs / jobs near me).
Job Description: Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. Processes requests within required timelines.
Company: Molina Healthcare Hiring Organization: Molina Healthcare Salary: TBD
Location: Brooklyn, NY Street Address: TBD
Locality: Brooklyn, NY Region: disclosed when applied Postal code: disclosed when applied
Job Description: Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. 3+ years hospital acute care/medical experience.
Company: Molina Healthcare Hiring Organization: Molina Healthcare Salary: TBD
Location: Long Beach, CA 90802 Street Address: TBD
Locality: Long Beach, CA 90802 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. 3+ years hospital acute care/medical experience.
Company: Molina Healthcare Hiring Organization: Molina Healthcare Salary: TBD
Location: Long Beach, CA 90802 Street Address: TBD
Locality: Long Beach, CA 90802 Region: disclosed when applied Postal code: disclosed when applied
Job Description: 3+ years of clinical practice experience in an inpatient or behavioral health setting required. This purpose guides our commitment to deliver enhanced human…
Company: CVS Health Hiring Organization: CVS Health Salary: TBD
Location: Oklahoma City, OK Street Address: TBD
Locality: Oklahoma City, OK Region: disclosed when applied Postal code: disclosed when applied
Job Description: Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. 3+ years hospital acute care/medical experience.
Company: Molina Healthcare Hiring Organization: Molina Healthcare Salary: TBD
Location: Bothell, WA Street Address: TBD
Locality: Bothell, WA Region: disclosed when applied Postal code: disclosed when applied
Job Description: Experience in an inpatient setting. Utilize clinical assessments to determining appropriate levels of care. You can improve the health of others and help heal…
Company: Optum Hiring Organization: Optum Salary: TBD
Location: Everett, WA 98203 Street Address: TBD
Locality: Everett, WA 98203 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities…
Company: Saviance Hiring Organization: Saviance Salary: TBD
Location: Long Beach, CA Street Address: TBD
Locality: Long Beach, CA Region: disclosed when applied Postal code: disclosed when applied
Job Description: Identifies, coordinates, and ensures high quality care and appropriate care by focusing on supporting access to care and services across the continuum of care…
Company: Community Health Plan of Washington Hiring Organization: Community Health Plan of Washington Salary: TBD
Location: Seattle, WA 98101 Street Address: TBD
Locality: Seattle, WA 98101 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Mechanical inpatient lifts are provided. Influence care outcomes by collaborating with members of the interdisciplinary team. In accordance with 38 U.S.C.
Company: US Veterans Health Administration Hiring Organization: US Veterans Health Administration Salary: TBD
Location: Fort Harrison, MT Street Address: TBD
Locality: Fort Harrison, MT Region: disclosed when applied Postal code: disclosed when applied
Job Description: Submit a daily spreadsheet for review and care coordination that includes member demographics, presenting concerns, location, recommendations, and if applicable…
Company: CVS Health Hiring Organization: CVS Health Salary: TBD
Location: Phoenix, AZ Street Address: TBD
Locality: Phoenix, AZ Region: disclosed when applied Postal code: disclosed when applied
Job Description: Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Perform regular concurrent review on all patients and…
Company: Memorial Sloan Kettering Cancer Center Hiring Organization: Memorial Sloan Kettering Cancer Center Salary: TBD
Location: New York, NY 10017 Street Address: TBD
Locality: New York, NY 10017 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Mechanical inpatient lifts are provided. Implementing improvements in clinical health care delivery systems. Accountable for writing and adhering to established…
Company: US Veterans Health Administration Hiring Organization: US Veterans Health Administration Salary: TBD
Location: Oklahoma City, OK 73104 Street Address: TBD
Locality: Oklahoma City, OK 73104 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care…
Company: Steward Health Care Hiring Organization: Steward Health Care Salary: TBD
Location: Dallas, TX 75201 Street Address: TBD
Locality: Dallas, TX 75201 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Experience: Minimum of 5 years acute care medical or surgical experience required; Utilization/Case Management, managed care, or Clinical Documentation with…
Company: Mount Carmel Health System Hiring Organization: Mount Carmel Health System Salary: TBD
Location: Columbus, OH 43219 Street Address: TBD
Locality: Columbus, OH 43219 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Knowledge of eligibility requirements for insurance coverage with respect to health care services: ambulatory, observation stays, surgical, acute care, subacute…
Company: MercyOne Hiring Organization: MercyOne Salary: TBD
Location: Des Moines, IA 50314 Street Address: TBD
Locality: Des Moines, IA 50314 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Utilization review experience in an insurance company or managed care setting. We're going beyond basic care to health programs integrated across the entire…
Company: Optum Hiring Organization: Optum Salary: TBD
Location: Caldwell, ID 83606 Street Address: TBD
Locality: Caldwell, ID 83606 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Facilitates a smooth and timely transition from acute care back to the appropriate primary care office. Communicates key information regarding inpatient stay…
Company: HonorHealth Hiring Organization: HonorHealth Salary: TBD
Location: Scottsdale, AZ 85258 Street Address: TBD
Locality: Scottsdale, AZ 85258 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Mechanical inpatient lifts are provided. Applies the nursing process to systems to improve care. Uses the group process to identify, analyze, and resolve care…
Company: US Veterans Health Administration Hiring Organization: US Veterans Health Administration Salary: TBD
Location: Golden, CO Street Address: TBD
Locality: Golden, CO Region: disclosed when applied Postal code: disclosed when applied
Job Description: Interact with external facility or providers as needed to gather clinical information to support the medical necessity review process and plan of care.
Company: Blue Cross Blue Shield of Massachusetts Hiring Organization: Blue Cross Blue Shield of Massachusetts Salary: TBD
Location: Quincy, MA 02171 Street Address: TBD
Locality: Quincy, MA 02171 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Performs concurrent review of behavioral health (BH…
Company: Centene Hiring Organization: Centene Salary: TBD
Location: St. Louis, MO 63146 Street Address: TBD
Locality: St. Louis, MO 63146 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Managed care/utilization review experience preferred. Experience in a behavioral health inpatient setting. 3+ years clinical practice experience, e.g., hospital…
Company: CVS Health Hiring Organization: CVS Health Salary: TBD
Location: Frankfort, KY Street Address: TBD
Locality: Frankfort, KY Region: disclosed when applied Postal code: disclosed when applied
Job Description: Includes revising and evaluating effectiveness of patient care documentation. Demonstrate developed assessment skills and recognize the impact of nursing care…
Company: Emory Healthcare Hiring Organization: Emory Healthcare Salary: TBD
Location: Atlanta, GA 30308 Street Address: TBD
Locality: Atlanta, GA 30308 Region: disclosed when applied Postal code: disclosed when applied
Job Description: For Inpatient Clinical Documentation Specialist, three (3) years of inpatient facility medical coding, acute inpatient direct patient care, or inpatient…
Company: UNC Health Hiring Organization: UNC Health Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: May meet with client along with Patient Navigator after primary care physician appointments to review and update care plan. Ability to learn EHR systems.
Company: Community Health Centers of the Central Coast Hiring Organization: Community Health Centers of the Central Coast Salary: TBD
Location: Santa Maria, CA 93458 Street Address: TBD
Locality: Santa Maria, CA 93458 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Supports longitudinal care of the patient with chronic care conditions: Supports transition of care from Emergency Department or inpatient stay to outpatient…
Company: UnitedHealth Group Hiring Organization: UnitedHealth Group Salary: TBD
Location: Albuquerque, NM Street Address: TBD
Locality: Albuquerque, NM Region: disclosed when applied Postal code: disclosed when applied
Data as of 2023-12-01 (Loaded Cached) with id 11406. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.
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