AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks...

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Syracuse, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks ...

Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 11/16/2026 Duration: 24 weeks ...

tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Reviews and approves evaluation.... Reviews data submitted from the field staff to ensure accuracy and follows up on any documentation that requires correction...

Case Review Analyst Req number: R8071 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 yea...

Case Review Analyst Req number: R8858 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 yea...

How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays... and on a timely basis. Interface with managed care organizations, external reviews, and other payers. Communicate with physicians...

: The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day..., on any of the 7 days per week, utilizing Indicia for Case Management, and performs clinical reviews through document review...

reviews 24 hours per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information... admissions, all observation cases and concurrent reviews. They will be assigned to specific payer(s)/and or units/and or patient...

. Job Summary: The Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours... per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information shared with payers...

testing services. Reviews and interprets drug test results, including determining legitimate medical explanations...

ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health... care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance...

. Collaborate on training for Operations staff on findings of reviews and audits. Perform other duties as assigned...

The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring..., treatment, and length of stay of patients. Reviews application for patient admission and approves admission or refers case...

The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring..., treatment, and length of stay of patients. Reviews application for patient admission and approves admission or refers case...

Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the..., treatment, and length of stay of patients. Reviews application for patient admission and approves admission or refers case...

The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring..., treatment, and length of stay of patients. Reviews application for patient admission and approves admission or refers case...

Friday position, 9:30 AM to 6:00 PM CST. RESPONSIBILITIES AND PERFORMANCE: Completes first level reviews within the scope... is sufficient to be relevant to the clinical areas addressed in most initial clinical reviews. . Demonstrates ability to assess...

. You Will Review and analyze pre and post payment of complex health care claims from a medical perspective. Perform audits/reviews...

Screening Program (CCHSP), ensuring background checks, legal reviews, and fitness determinations are completed accurately...