Utilization Review Nurse jobs

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Cass County Health System - Atlantic, IA
The Behavioral Health Services RN/Charge Nurse is responsible for total patient care on the behavioral health unit, utilization review, and facilitation of...
Sponsored by Cass County Health System
Utilization Review Registered Nurse
Kelly Services 3,440 reviews - New York, NY
Telephonic case management or utilization review experience a plus. We are currently recruiting for an exciting contract opportunity as a Nurse Reviewer with...
Sponsored by Kelly Services
PreService Review Nurse - Work from home anywhere in US
UnitedHealth Group 2,120 reviews - Cypress, CA
Perform utilization and concurrent review using Milliman criteria. Utilization management, prior authorization, and case management experience....
Sponsored by UnitedHealth Group

Utilization/Case Management Registered Nurse

Humana 977 reviews - Louisville, KY
Conduct admission review, continued stay reviews and discharge planning. Previous experience in utilization management, case management, discharge planning, sub...

Utilization Management (Medicaid) - CSW

Carewise Health 6 reviews - Louisville, KY 40222
Utilization Management (Medicaid) - CSW. The Utilization Management social worker is responsible for the delivery of the Utilization Management process to...

Medical Review Nurse

NCI Information Systems, Inc. 133 reviews - Omaha, NE
As the Medical Review Nurse ( Medical Reviewer ), you are responsible for conducting clinical reviews of medical records during the course of fraud...

Telephonic Case Manager (RN) - Phoenix, AZ

Humana 977 reviews - Phoenix, AZ
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Utilization Review Nurse

McKesson 1,082 reviews - Pensacola, FL
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance

Utilization Review Nurse- RN Required

CES, LLC - Nashville, TN
Utilization/ quality review and coding expereince:. LEAD CLAIMS REVIEW ANALYST. Previous Medicare Medical Review experience is preferred....
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Administrative Law Judge Appeals RN

HP 4,011 reviews - Hingham, MA
Previous health care insurance utilization and/or claims review experience required. Registered Nurse with a MA state license....

Nurse Reviewer

HMS 403 reviews - East Windsor, NJ  +2 locations
Utilization review or medical abstraction experience necessary. Is responsible for performing clinical reviews of medical information and quality assurance as...

Preservice Review RN - Telecommute!

UnitedHealth Group 2,120 reviews - Pennsylvania
Perform utilization review using Milliman criteria. As a Preservice Review Nurse your duties will include:....

Utilization Management RN $3K Sign on Bonus - Irvine, CA

UnitedHealth Group 2,120 reviews - Irvine, CA
Utilization management which includes pre-service review, authorization review. Manager, Case Management, Nurseline, RN, registered nurse, nurse, prior...
Clinical Appeals Nurse RN - Telecommute from Tennessee
UnitedHealth Group 2,120 reviews - Brentwood, TN
Previous Utilization Review experience. RN, registered nurse, inpatient case manager, utilization review, utilization management, work from home, telecommute,...
Sponsored by UnitedHealth Group
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
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