Clinical Nurse Reviewer Jobs | Glassdoor

Clinical Nurse Reviewer Jobs

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  • 2.1
    IASIS Healthcare – Phoenix, AZ
    Est. Salary $65k-$87k
    3 days ago 3d
    JOB SUMMARY: The Clinical Nurse Reviewer resides in the Internal Audit Department and conducts review of the Medical Management… Conduct reviews confirming consistent application of review criteria: •Review clinical information for accuracy •Review level of…
  • 3.2
    Healogics – Jacksonville, FL
    7 days ago 7d
    Summary: The Clinical Review Nurse will be responsible for performing medical necessity audits and other related duties as assigned… necessity audit reviews using established criteria. 2. Maintains documentation of clinical record reviews in data software.…
  • 2.7
    IASIS Healthcare – Phoenix, AZ
    Est. Salary $51k-$69k
    3 days ago 3d
    JOB SUMMARY: The Clinical Nurse Reviewer resides in the Internal Audit Department and conducts review of the Medical Management… Conduct reviews confirming consistent application of review criteria: •Review clinical information for accuracy •Review level of…
  • 3.5
    Florida Blue – Mechanicsburg, PA
    5 days ago 5d
    SUMMARY STATEMENT: The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity… Current Clinical Licensure: RN PREFERRED QUALIFICATIONS: Education: * Associate's Degree * Bachelor's degree in Nursing, Master's…
  • Saint Anthony's Health Center – Rockford, IL
    Est. Salary $43k-$58k
    5 days ago 5d
    surgery department, surgery clinic, clinical research, or medical records. Clinical chart review and abstraction experience… The Surgical Clinical Reviewer’s chief responsibility is to collect and submit reliable data to the ACS NSQUIP. This is accomplished…
  • 3.6
    OSF Healthcare System – Rockford, IL
    Est. Salary $42k-$58k
    4 days ago 4d
    surgery department, surgery clinic, clinical research, or medical records. Clinical chart review and abstraction experience… The Surgical Clinical Reviewer’s chief responsibility is to collect and submit reliable data to the ACS NSQUIP. This is accomplished…
  • 3.6
    University of Massachusetts Medical School – North Quincy, MA
    Est. Salary $59k-$81k
    25 days ago 25d
    program rules and regulations. The Clinical Nurse Reviewer conducts case reviews, record reviews, and medical necessity determinations… general direction of the Director or designee, the Clinical Nurse Reviewer is responsible for medical necessity determinations…
  • 3.4
    GBMC HealthCare – Towson, MD
    Est. Salary $46k-$62k
    10 days ago 10d
    I. JOB DESCRIPTION SUMMARY: The Surgical Clinical Nurse Reviewer's chief responsibility is to collect and submit reliable… of recent experience in inpatient surgical nursing required. Clinical chart review and abstraction experience required Database…
  • 3.4
    Blue Cross and Blue Shield of Kansas City – Kansas City, MO
    27 days ago 27d
    :Clinical Review Nurse Posting Date: 02/27/2017 Req ID: 9882 Position Summary Utilizes a collaborative review process of… degree in nursing. Preferred Requirements Bachelor’s degree in nursing preferred. 1+ year(s) of utilization review, disease…
  • 2.9
    Menorah Medical Center – United States
    Est. Salary $48k-$65k
    6 days ago 6d
    Menorah Medical Center – Overland Park, KS Registered NurseClinical Reviewer - DRG (Diagnosis Related Group) Menorah Medical… Position Overview The RN Clinical Reviewer provides concurrent review of the clinical documentation in the medical record…
  • Lee's Summit Medical Center – Lees Summit, MO
    Est. Salary $45k-$60k
    4 days ago 4d
    Registered Nurse (RN) Clinical Reviewer At Lee???s Summit Medical Center, above all else, we are committed to the care and… Position Summary: Registered Nurse responsible for the accurate and timely collection of clinical data, data management and data…
  • Lee%27s Summit Medical Center – United States
    6 days ago 6d
    Registered Nurse (RN) Clinical Reviewer At Lee’s Summit Medical Center, above all else, we are committed to the care and improvement… Position Summary: Registered Nurse responsible for the accurate and timely collection of clinical data, data management and data…
  • 2.8
    CareCentrix – Hartford, CT
    17 days ago 17d
    thinking. • Reviews and adheres to all Company policies and procedures and the Employee Handbook. • Using clinical expertise,… Associate's Degree or Diploma in Nursing/Practical Nursing or the equivalent and Registered Nurse/LPN/LVN (based on allowable state…
  • 3.7
    Regal Medical Group – Northridge, Clark, OH
    Est. Salary $46k-$63k
    13 days ago 13d
    have an opening for Clinical Nurse Reviewer The Clinical nurse reviewer is to focus on the specific clinical needs of members… product line. The Clinical nurse reviewer will specifically run analysis on this line of business and review with the Regional…
  • 2.4
    Fedcap Rehabilitation Services – Bronx, NY
    Est. Salary $55k-$77k
    23 days ago 23d
    examination and assessment at an affiliated Fedcap medical clinic. * Establish work limitations/ accommodations (including a… in Manhattan and Bronx. Position Summary: The CRT RN will review prior medical and vocational testing records, evaluate newly…
  • Network Medical Management – Alhambra, CA
    Est. Salary $62k-$90k
    30+ days ago 30d+
    and best practices of Utilization Review, the nurse will provide high quality medical care review by appropriately applying the Milliman… Gathers clinical information and the appropriate clinical criteria/guideline, policy, EOC/benefit policy and clinical judgment…
  • 2.9
    HMS – Irving, TX
    19 days ago 19d
    with Manager, Clinical Quality for identified quality issues. * Work with Review Supervisor/Sr. Nurse Reviewer/Service Line… working closely with the other clinical Supervisors and Managers to ensure that Clinical Reviewers are producing work that meets…
  • 3.2
    AmeriHealth Caritas – Charleston, SC
    Est. Salary $60k-$85k
    25 days ago 25d
    the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience… business and uses clinical judgment in their application. Experience: Current, unrestricted SC Registered Nurse license.…
  • 2.7
    Brookdale – Lexington-Fayette, KY
    Est. Salary $41k-$61k
    10 days ago 10d
    Full-Time Nurse, Manager Clinical Services Home Health -Quality Review RN - Home Health Nurse Lexington, KY Job #: CSMlexKY166677… registered nurse with at least two years of experience in home health we hope you"ll consider becoming our clinical services manager…
  • 3.2
    AmeriHealth Caritas – Philadelphia, PA
    Est. Salary $71k-$100k
    25 days ago 25d
    the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience… business and uses clinical judgment in their application. Experience: Current, unrestricted SC Registered Nurse license.…
  • 3.0
    Almost Family Inc – Port Saint Lucie, FL
    Est. Salary $52k-$69k
    17 days ago 17d
    Clinical Management Position for a Registered Nurse in Home Care ~ Join a Leader in Geriatric Home Care! HOME CARE HOME… supervisor for the nurses and home health aides on their assigned team. * Coding duties as assigned. * Oasis review. Qualifications…
  • 2.7
    Brookdale Senior Living – Farmington Hills, MI
    Est. Salary $54k-$73k
    19 days ago 19d
    *Full-Time Nurse, Manager Clinical Services Home Health -- Quality Review Nurse Home Health RN - $5,000 SIGN ON BONUS!* Farmington… registered nurse with at least two years of experience in home health we hope you"ll consider becoming our clinical services manager…
  • 3.6
    Community Regional Medical Center – Fresno, CA
    Est. Salary $62k-$82k
    5 days ago 5d
    2017-4798 Date Posted: 3/21/2017 Job Title: Registered Nurse (RN) Clinical Abstractor, Trauma Program, Full Time, 8 Hours Shift… . Clinical chart review and abstraction experience required. PREFERRED: BSN, NP or PA strongly preferred. Database data entry and…
  • 3.2
    UnitedHealth Group Inc. – Taunton, MA
    Est. Salary $57k-$82k
    1 days ago 17hr
    the state of MA * 3 years' experience in clinical nursing, UM / Quality Review or working with individuals receiving LTSS services… work. (sm) As the Onsite Utilization Management Review Nurse, you will review member charts at assigned facilities and ensure…
  • 3.8
    Cincinnati Children's Hospital Medical Center – Cincinnati, OH
    Est. Salary $55k-$72k
    1 days ago 18hr
    care delivery while in the role of charge nurse. * Clinical inquiry & performance review to improve practice Questions appropriateness… of Science Nursing from a regionally accredited nursing program (NLNAC or CCNE accreditation) * Registered Nurse License…
  • 3.2
    AmeriHealth Caritas – Washington, DC
    Est. Salary $70k-$95k
    25 days ago 25d
    Using clinical knowledge and clinical based experience, the nurse/social worker obtains clinical information for review of provider… the Clinical Care Reviewer is responsible for collaborating with the clinical team to complete medical necessity reviews. Using…
  • 3.8
    Cincinnati Children's Hospital Medical Center – Cincinnati, OH
    Est. Salary $52k-$70k
    1 days ago 18hr
    care delivery while in the role of charge nurse. * Clinical inquiry & performance review to improve practice Questions appropriateness… of Science Nursing from a regionally accredited nursing program (NLNAC or CCNE accreditation) * Registered Nurse License…
  • 3.1
    Washington State Department of Social and Health Services – Tacoma, WA
    Today 8hr
    overall conditions. Implement all nursing procedures as trained by clinical/RND nurse. Review, collect, and record participant… Interested applicants Must receive Nurse Delegation training and obtain and maintain Nursing Assistant Registered (NAR) or NAC…
  • 3.0
    AltaMed – Los Angeles, CA
    Est. Salary $42k-$58k
    Today 55min
    in staff meetings and ongoing clinic nursing reviews. Provides nursing staff coverage in clinics as assigned. Participates… Documents activities in his/her clinic (e.g. medication, immunization records, nursing care plans, etc.) Communicates, coordinates…
  • 2.4
    US Indian Health Service – Shiprock, NM
    Est. Salary $47k-$63k
    Today 6hr
    treatments. Reports directly to Supervisory Clinical Nurse (Ambulatory). Please review vacancy announcement number IHS-17-NN-1889657… Medical Center, Shiprock, NM. Perform a variety of responsible nursing care procedures requiring professional knowledge and consideration…
  • 3.3
    Aetna Inc. – Blue Bell, PA
    Est. Salary $62k-$89k
    6 days ago 6d
    EXPERIENCES Functional - Nursing/Case Management/4-6 Years Functional - Nursing/Clinical claim review and coding/4-6 Years… CERTIFICATIONS Nursing/Registered Nurse is desired Nursing/Certified Case Manager is desired Nursing/ is desired FUNCTIONAL…
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