Utilization Review Nurse jobs

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Care Advisor Nurse
Patient First 84 reviews - Glen Allen, VA
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...
Sponsored by Patient First

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 550 reviews - Wichita, KS  +2 locations
Ability to review records. Assist non-clinical staff with reviews. Click here to review the benefits associated with this position....

Care Advisor Nurse

Patient First 84 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...

RN Utilization Management Analyst, EUH, Utilization Review,...

Emory Healthcare 165 reviews - Atlanta, GA
Reviews inpatient and observation cases for compliance with the Utilization Review Plan filed with the State of Georgia....

Medical Review Nurse Auditor (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....

Primary Nurse Case Admin I

Blue Cross Blue Shield 1,700 reviews - Downers Grove, IL
The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; Registered Nurse (RN) with current, valid, unrestricted...

Occupational Nurse Consultant

Washington State Health Care Authority - Olympia, WA
$4,752 - $7,792 a month
Review stakeholder input and incorporate into recommendations as appropriate. Plan and develop processes to establish MCO readiness review for FIMC...

Occupational Nurse Consultant (71036748)

Health Care Authority - Olympia, WA
$4,752 - $7,792 a month
Review stakeholder input and incorporate into recommendations as appropriate. Plan and develop processes to establish MCO readiness review for FIMC...

Medical Review Nurse

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, Tricare...

ER Case Manager LPN - Miramar

Humana 1,015 reviews - Miramar, FL
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

RN Clinical Care Manager

Buckingham's Choice 4 reviews - Adamstown, MD
They also conduct a 45 day comprehensive review on each resident. Care Management is a collaborative practice model which includes our residents, nurses, social...
Utilization Review RN Evening $5K Sign-On Bonus
Piedmont Healthcare 123 reviews - Atlanta, GA
Three years Utilization or Case Management experience. Current License in the State of Georgia as a Registered Nurse....
Sponsored by Piedmont Healthcare
Utilization Review Nurse
Aspire Health Plan - Monterey, CA
The Utilization Review Nurse will:. Participate in quality audits, chart audits, and reviews of medical records as needed for either complex high cost cases or...
Sponsored by Aspire Health Plan
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

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Company with Utilization Review Nurse jobs
For more than a century, Piedmont Healthcare has been a recognized leader in delivering expert care.