Utilization Review Nurse jobs

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Medical Record Case Review Specialist

ANALYTICA - Henrico, VA
Previous utilization review experience. LPN (Licensed Practical Nurse). Medical Record Case Review Specialist Position Requirements:....
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Prior Authorization Nurse I (Marketplace)

Centene Corporation 222 reviews - Jackson, MS  +12 locations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Care Advisor Nurse

Patient First 78 reviews - Fairfax, VA  +3 locations
Utilization review and call center experience a plus; Helping develop new members of the nurse call center; The responsibilities of the job include, but are not...

Prior Authorization Nurse I (RN)

Centene Corporation 222 reviews - Indianapolis, IN
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Utilization Review Coordinator

Northfield Hospital & Clinics - Northfield, MN
Performs concurrent chart review and utilization review duties. Coordinates daily operation of the Utilization Review department....

Clinical Team Lead – Nationwide Remote

Association of Clinical Research Professionals - Philadelphia, PA
Ensures appropriate utilization of all assigned clinical operations team members. Trip report review, risk planning, study plan development, resource planning...

CDI Specialist - Nurse

LifeCare Hospitals of Wisconsin 6 reviews - Pewaukee, WI
Must be currently licensed as a Registered Nurse. We have an immediate opportunity for Clinical Documentation Improvement Specialist Nurses....

Patient Care Coordinator Case Manager

Kaiser Permanente 2,461 reviews - Fremont, CA  +9 locations
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Clinical Documentation Coordinator/RN Full Time Days

Lakewood Ranch - Lakewood Ranch, FL 34202
Utilization and documentation of acute care services . And retrospective review of inpatient medical records to evaluate the....

Concurrent Review Nurse I (RN) Broward County

Centene Corporation 222 reviews - City of Sunrise, FL  +3 locations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...
Registered Nurse (RN) - Utilization Review - 8:30a - 16 Week...
Centra Healthcare Solutions 5 reviews - Washington, DC
2 years of recent experience in Utilization Review working as a Registered Nurse / RN. Centra Healthcare Solutions is seeking to hire an experienced Registered...
Sponsored by Centra Healthcare Solutions
Medical Review Clinician
AllMed Healthcare Management, Inc 8 reviews - Portland, OR
Are you an ER, utilization review or primary care nurse, looking for an interesting opportunity to use your clinical skills, in an office environment?...
Sponsored by AllMed Healthcare Management, Inc
Prior Authorization Nurse Supervisor - $3K Sign On Bonus - H...
UnitedHealth Group 2,123 reviews - Honolulu, HI
Registered Nurse, RN, Supervisor, Manager, Charge Nurse, Utilization Management, Milliman, MCG, Medicaid, Medicare, Honolulu, HI, Hawaii....
Sponsored by UnitedHealth Group

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Company with Utilization Review Nurse jobs
Centra Healthcare Solutions, Inc. was established with the mission to provide first class staffing services and concierge customer service.