Utilization Review Nurse jobs

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Bilingual Nurse Case Manager - Work form Home with Full Bene...

Broadspire 25 reviews - San Juan Capistrano, CA
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

Utilization Review Nurse - Chicago, IL

Cigna 897 reviews - Chicago, IL - +1 location
Utilization Review Nurse - Chicago, IL. Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care, and case...

Utilization Management Nurse

Affinity Health Plan 72 reviews - Bronx, NY
Perform utilization management, utilization review, or concurrent review. The Utilization Management Nurse will conduct reviews of current inpatient....

Appeals Specialist, Nurse

Shared Services Center - Bethlehem - Franklin, TN
Utilization review and/or case management experience preferred. Review all assigned inpatient denials; Understanding and utilization of medical necessity...

Nurse Reviewer I or Nurse Reviewer Associate - Westchester,...

Anthem, Inc. 584 reviews - Westchester, IL
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. AIM is certified by the National Committee for Quality Assurance...

Nurse Utilization Management - SC Medicaid

Anthem, Inc. 584 reviews - United States
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure...

Review Nurse - Managed Care

Fidelis Care 81 reviews - Buffalo, NY
Review professional publications; The Review Nurse promotes and restores patient health by identifying patient care requirements....
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Licensed Vocational Nurse (LVN) Care Review Clinician I

Molina Healthcare 142 reviews - San Antonio, TX
Hospital utilization management. Managed Care Utilization Management. Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good...

Coordinator-Case Management / St. John Macomb Hospital / FT...

St. John Macomb Hospital 14 reviews - Warren, MI
Completes and records in computer database all phases of utilization review and negotiates with payers to achieve necessary level of care and/or arrangements to...

Hospitalist Registered Nurse St Anthony North Health Campus...

ST ANTHONY NORTH HEALTH CAMPUS - Westminster, CO
Demonstrates ability to perform concurrent chart review. Current Registered Nurse (RN) license in the state of Colorado. The Future of Health and Wellness....
Registered Nurse (RN) - Utilization Review - 8:30a - 13-16 W...
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 - 1 day ago
Utilization Review RN (Sheridan WY)
Sheridan Memorial Hospital 4 reviews - Wyoming
The Utilization Review Nurse performs utilization review of all patients presenting for hospitalization to assist in identifying patients appropriate for...
Sponsored by Sheridan Memorial Hospital - 30+ days ago
Registered Nurse (RN) - 2 Years Utilization Review (UR) Expe...
Chesapeake Medical Staffing 13 reviews - Washington, DC
Registered Nurse RN MUST HAVE TWO YEARS EXPERIENCE of Utilization Review (UR). 2 Years Utilization Review (UR) Experience Required....
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Sponsored by Chesapeake Medical Staffing - 30+ days ago

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