Utilization Review Nurse jobs

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Case Manager/Utilization Review Coordinator
Skiff Medical Center 6 reviews - Newton, IA
Assist with policy updates related to utilization review. Minimum of 2 years experience in case management, utilization review or demonstrates competency with...
Sponsored by Skiff Medical Center - 16 days ago
Utilization Review RN
York Hospital 15 reviews - York, ME
We currently have an opportunity for an experienced Utilization Review Nurse. Current certification in Utilization Review and a BSN is preferred....
Sponsored by York Hospital - 30+ days ago

Medical Necessity Nurse Auditor

Emdeon 70 reviews - United States
Minimum 10 years Inpatient Acute Hospital patient care required and 5 years Case Management/Utilization Review mandatory....
2 days ago - save job - email - more...

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

Aetna 400 reviews - Louisville, KY - +4 locations
Registered Nurse (RN) is required. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness of...
5 days ago - save job - email - more...

Skilled Nursing Utilization Review Nurse - Peoria, IL

Humana 755 reviews - Peoria, IL
Humana is seeking a RN for Utilization Review for SNF facilities. Previous experience in utilization management....
3 days ago - save job - email - more...

Licensed Utilization Management (UM) Behavioral Health Clini...

Aetna 400 reviews - San Clemente, CA
Managed care/utilization review experience preferred. Click here to review the benefits associated with this position....
48 minutes ago - save job - email - more...

CLINICAL NURSE AUDITOR REV CYC

The University of Kansas Hospital 47 reviews - Kansas
Medical Record Review:. O Charge Audit reviews. O Utilization Review for correct patient setting (IP, OP, Observation) and correct patient status....
3 days ago - save job - email - more...

BH Clinical Appeals Reviewer

Blue Cross Blue Shield 1,323 reviews - Richardson, TX
Experience in Utilization Management or audit. Analyzes appeals data, determine appeals decisions or prepare cases for Medical Director review....
HCSC - 7 days ago - save job - email - more...

Worksite - Disability Case Manager

Concentra Inc. 334 reviews - Middle River, MD
Assesses the medical components of injured workers situation including, but not limited to, prior authorization, determination of appropriate level of care,...
2 days ago - save job - email - more...

NURSE I Utilization Management Specialist

Dept of State Health Services - Rusk, TX
$3,081.33 - $4,747.91 a month
Nurse I - Utilization Management Specialist:. Reviews client mental health records. 4528b of the Nurse Practice Act....
Texas Health and Human Services Commission - 15 hours ago - save job - email - more...

Registered Nurse (LTACH) -7pm -7am - Monday -Thursday CHARGE...

LHC Group, Inc. - Lafayette, LA
Minimum of 2 years of Utilization Review/Case Management experience and complex discharge planning, preferred....
3 days ago - save job - email - more...

Nurse Reviewer Interview Day

Banner Health 342 reviews - Phoenix, AZ
Requires Registered Nurse (R.N.). About the Nurse Reviewer role. A working knowledge of utilization management and patient services is required....
2 days ago - save job - email - more...
RN - Clinical Documentation Specialist
Houston Northwest Medical Center 761 reviews - Houston, TX
Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....
Sponsored by Tenet Healthcare - 7 days ago
Manager, High Risk Case Management - Sugarland or Telecommut...
UnitedHealth Group 1,665 reviews - Houston, TX
Experience in utilization review, concurrent review and/or risk management. RN, Case manager, CBA, Harris County, Houston, TX, Dallas, Texas, Registered Nurse,...
Sponsored by UnitedHealth Group - 19 days ago
Senior Clinical Admin Nurse - Houston, TX! Work from home!
UnitedHealth Group 1,665 reviews - Houston, TX
Experience with prior authorization, utilization management or clinical review is a plus! RN, Nurse, clinical, CMS, compliance, clinical review, utilization...
Sponsored by UnitedHealth Group - 4 days ago
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