Utilization Review Nurse jobs

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Utilization Review Nurse
Virginia Mason - 101 reviews - Seattle, WA 98127
Experience in utilization review:. Performs a review of the clinical assessment for medical necessity for all hospitalized patients using utilization review...
Utilization Review Nurse
Mercy - 217 reviews - Chesterfield, MO
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management....

Utilization Management Nurse RN

UnitedHealth Group - 5,537 reviews - Ridgeland, MS 39158
Perform utilization management, utilization review, or concurrent review (on-site or telephonic Care coordination)....

Utilization Manager Remote - Jacksonville, FL

New Directions Behavioral Health - 11 reviews - Jacksonville, FL 32246 (Sandalwood area)  +3 locations
Previous experience in Utilization Review. This includes utilization review activities, care management activities (which may include on-site reviews) and...

Utilization Management Nurse (Remote)

Clover Health - 2 reviews - Jersey City, NJ
As a Utilization Management Nurse, you will:. Work collaboratively with other nurses, non-clinical staff, providers, and members to conduct medical necessity...
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Remote Nurse/Allied Health Professional Reviewer

Healthcare Quality Strategies, Inc. (HQSI) - East Brunswick, NJ
HQSI is recruiting experienced remote medical review auditors to conduct utilization review (UR) of appeals using electronic medical records on a per case basis...
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Clinical Quality Reviewer - Utilization Review - Remote

HMS - 546 reviews - Texas, AL
Clinical Quality Reviewer - Utilization Review - Remote. This person is responsible for complex quality reviews to determine if decision by review staff matches...

Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services (CNHS) - Scotts Valley, CA 95066
$110,000 a year
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
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Appeals Nurse Consultant

Aetna - 2,274 reviews - Hartford, CT 06156
Our team provides comprehensive post-service utilization management review for providers. Nursing/Registered Nurse (RN) is required....

Remote Weekend Flexible Hours RN Utilization Review Speciali...

UnityPoint Health - 118 reviews - Rock Island, IL
A sitter is an alternative to the utilization of restraints. Within 1 year of hire, may enroll Trinity’s Certified Nurse Assistant program....

Utilization Management, RN, Dublin, OH

Humana - 2,717 reviews - Dublin, OH
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Preservice Review Nurse RN

UnitedHealth Group - 5,537 reviews - Arizona  +6 locations
Background involving utilization review for an insurance company or experience in case management. Perform clinical coverage review services, which require...
Case Manager Utilization Review Nurse - Full Time
The RN Case Manager/Utilization Review Nurse will. Case Manager/Utilization Review Nurse must provide documentation of all....
Registered Nurse (RN)--Utilization Review
Utilization Review Nurse. The Utilization Review Nurse performs medical necessity reviews on all commercial payor admissions to obtain authorization for care...
RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 57 reviews - Madison, WI
Recent experience as an inpatient utilization review nurse or UM coordinator. The Utilization Review (UR) Specialist has well-developed knowledge and skills in...
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