Utilization Review Nurse jobs

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Pediatric Care Coordination Registered Nurse - RN (Tallahass...
eQHealth Solutions - Tallahassee, FL
Prospective Review Urgent/Non-urgent, Concurrent Review and Retrospective Review. Provides first level utilization review for all inpatient and outpatient...
Sponsored by eQHealth Solutions - 30+ days ago
Licensed Practical Nurse (LPN)
Wexford Health - Moundsville, WV
Annual review with performance increase. This is for a Full Time Licensed Practical Nurse at Northern Correctional Center, in Moundsville, WV....
Sponsored by Wexford Health Sources, Inc. - 30+ days ago
Orthopedic Nurse Reviewer
Tri Rivers Assessment Services Inc - Wexford, PA
WComp, Disability or Utilization Review work:. Experience in Workers’ Compensation, Disability Insurance, or Utilization Review a must....
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Sponsored by Tri Rivers Assessment Services Inc - 6 days ago

Utilization Review Nurse

Vista del Mar Hospital - Behavioral Health - Ventura, CA
Full time benefitted position for licensed RN, LVN or LPT. Experience in psychiatric setting preferred. Knowledge of health care service delivery systems
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Utilization Review Manager, RN or Therapist

LHC Group - Magee, MS - +3 locations
Performs utilization review in accordance with all state and federal mandated regulations. Utilization Review Manager is needed to provide oversight and...

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...

Nurse Reviewer

Blue Cross Blue Shield of Rhode Island 15 reviews - Providence, RI
Certified Case Management certification, Certified Professional Utilization Review certification. Apply all aspects of the medical review function, including...

Utilization Management Nurse - San Diego, CA

UnitedHealth Group 1,997 reviews - San Diego, CA
Inpatient case management and utilization review. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health...

Utilization Management Nurse

Munson Healthcare 47 reviews - Traverse City, MI
Previous utilization review and/or case management experience preferred. Must possess the strong clinical assessment and critical thinking skills necessary to...

Registered Nurse (Utilization Review)

Department of Veterans Affairs 982 reviews - Tomah, WI - +1 location
The North Central (NC) Consolidated Patient Account Center (CPAC) in Tomah, Wisconsin, has a position opportunity for a full-time Revenue Utilization Review...

Registered Nurse (Utilization Management)

Beaver Dam Community Hospitals, Inc. - Beaver Dam, WI
The Utilization Management RN is responsible for clinical review and coordination of the hospital Utilization Management function and includes responsibility...

Utilization Review Nurse (RN) - Community Counseling Service...

Wilkes Barre Behav Couns - Wilkes-Barre, PA
Utilization Review Nurse (RN) - Community Counseling Services - 1.0 FT D. Utilization Review and third party reimbursement experience preferred....

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...
Registered Nurse (RN) - Case Management
Millennium Travel Nursing - Boston, MA
Utilization Review, Discharge planning and Leveling preferred. We offer a wide range of job opportunities for nurses (Registered Nurse and LPN) and Allied...
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Sponsored by Millennium Travel Nursing - 12 days ago
RN- Utilization Nurse - Emergency Department
Bridgeport Hospital - Yale New Haven Health - Bridgeport, CT
In collaboration with physician(s), actively participates in the quality review process and assures continual improvement of nursing practice and quality...
Sponsored by Yale New Haven Health - 30+ days ago
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Company with Utilization Review Nurse jobs
eQHealth Solutions is a non-profit, multi-state medical management company that provides a wide range of solutions to our clients.