Utilization Review Nurse jobs

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Utilization Management Transition RN

AllCare Management Services - Grants Pass, OR
The RN will perform on-site reviews of current inpatient and outpatient services by following medical guidelines and benefit determination....

Utilization Manager

Assurance Health, LLC - Anderson, IN
Utilization or case management in a behavioral health system either through managed care or provider. Implement, coordinate and participate in a variety of...
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Medical Review Nurse (MRN)

Performant Financial Corporation 4 reviews - San Angelo, TX
The Medical Review Nurse. Performs medical claims audit reviews. Strong preference for experience performing utilization review for an insurance company,...

Transition of Care Nurse (2 Positions)

AllCare Management Services - Grants Pass, OR
Conduct a review of facility inpatient electronic medical records, for those members admitted to local hospitals, and request hospital records to review from...

Nurse Manager [Nurse Informatics]

City & County of San Francisco 15 reviews - San Francisco, CA
A Master's degree in Nurse Informatics from a Nurse Informatics training program. Two (2) years of verifiable experience as a Registered Nurse in Nurse...

2322 Nurse Manager [Nurse Informatics]

San Francisco Department of Public Health 8 reviews - San Francisco, CA
A Master's degree in Nurse Informatics from a Nurse Informatics training program. Two (2) years of verifiable experience as a Registered Nurse in Nurse...

Director of Care Management - Celebration Health

Florida Hospital- Adventist Health System - Celebration, FL
Current, valid State of Florida license as a registered professional nurse. Adheres to Florida Hospital Compliance Plan and Utilization Review Plan for the...

Medical Review Nurse-Coder

Performant Financial Corporation 4 reviews - San Angelo, TX
Conduct medical chart reviews. 2+ years direct experience in medical chart review for all provider/claim types inpatient/outpatient....

Occupational Health Advisor

BP 816 reviews - Anchorage, AK
Registered Nurse with licensure in country of practice. Initiate and medically review federally mandated Family Medical Leave Act (FMLA) process, within 5...

Technical Specialist

Sonora Quest Laboratories 48 reviews - Tempe, AZ
Reviews results and identifies additional training needs. Reviews and standardizes procedures between testing sites where possible....
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  - 1 day ago
Utilization Review RN-PRN
Piedmont Healthcare 120 reviews - Atlanta, GA
Three years Utilization or Case Management experience. Current License in the State of Georgia as a Registered Nurse. Description JOB PURPOSE:....
Sponsored by Piedmont Healthcare  - 30+ days ago
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  - 30+ days ago

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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.