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rn retro review jobs

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MHM Services Inc. - Lake Butler, FL

Current RN Florida license Utilization management/review experience Experience with concurrent and retro review, prior authorization, and case management...

Cedars-Sinai - Beverly Hills, CA

RN or LVN. The UM Retro Nurse must have a Current RN or LVN CA nursing license. Responsible for working pending referrals in Retro queue....

MHM Services Inc. - Lake Butler, FL

Current RN Florida license At least 5 years of Utilization management/review experience Experience with concurrent and retro review, prior authorization, and...

AXION - Pompton Plains, NJ

Performs utilization and case management, including inpatient, rehab, admission certification, continuation of stay reviews, discharge planning, out-patient and...

Allied Health Group - San Diego, CA

Reviews requests within established timeframes for urgent, routine and retro requests to maintain compliance with legislative and accreditation standards....

Palmetto Health - USC Medical Group - Sumter, SC

Current South Carolina RN license required. Coordinates with Physician Advisor for secondary review of appropriate cases....

Centura Health - Littleton, CO

Performs utilization review in accordance with UM Plan to include concurrent/retro reviews and verifying admission/bed status....

Centura Health - Castle Rock, CO

Performs utilization review in accordance with UM Plan to include concurrent/retro reviews and verifying admission/bed status....

Aetna - Richfield, OH

This is a utilization review position - reviewing precerts, retros and concurrent review cases. Registered Nurse with a current, active, unrestricted RN license...

Adreima - Los Angeles, CA

The Clinical Auditor 1 performs audits of medical records on behalf of hospital clients for concurrent and retro reviews, defense, loss charge and EPAR/MPAR...


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