Utilization Review Nurse jobs

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Registered Nurse (RN) - Nurse Manager - Utilization Review
Centra Healthcare Solutions 3 reviews - Las Vegas, NV
Must have previous experience in Utilization Review / Case Management, with at least 2 years of of Supervisory or Management experience.Current Registered Nurse...
Sponsored by Centra Healthcare Solutions - 15 hours ago
RN Clinical Reviewer Columbus, Ohio
Home Care by Black Stone 2 reviews - Columbus, OH
Registered Nurse with an Ohio license. Reviews HIPPS/HRRG list weekly from billing and corrects. Access to utilization of public or private transportation...
Sponsored by Home Care by Black Stone - 22 days ago
Home Health QA RN
KeystoneCare 5 reviews - Wyndmoor, PA
Experience with Oasis C/ C1 documentation review. We are growing and currently are searching for Full Time Quality Assurance Registered Nurse applicants who...
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Sponsored by KeystoneCare - 3 days ago

Nurse Reviewer

Banner Health 369 reviews - Susanville, CA - +1 location
Requires Registered Nurse (R.N.). Provides education by collaborating with Care Coordination at company facilities or other staff of non-company locations on...
14 hours ago - save job - email - more...

Utilization Review Nurse

MagnaCare 19 reviews - Tinton Falls, NJ - +1 location
Care is seeking a Utilization Review Nurse who is a licensed RN or LPN in the state of NY and/or NJ. Strong skills in medical assessment/medical record review....
4 days ago - save job - email - more...

Utilization Review Nurse

Mercy 96 reviews - Springfield, MO
Utilization Review Nurse. The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to...
4 days ago - save job - email - more...

Clinical RN Home Health Supervisor - San Diego

Kaiser Permanente 2,091 reviews - San Diego, CA
Monitors the quality of service/care, utilization and standards. Participates in program management, including licensing, budgeting, utilization and quality...
1 day ago - save job - email - more...

QUALITY PEER REVIEW RN

St. Mary's Hospital - Madison - Madison, WI
Collaborates with the Medical Staff Office and the Department of Patient & Family Services for utilization review and analysis....
SSM Health Care - 12 hours ago - save job - email - more...

Med Mgmt Accred & Audit Coord

Blue Cross Blue Shield 1,422 reviews - Fort Worth, TX - +1 location
3 years medical/surgical or psychiatric nursing experience, including 2 years utilization review or case management capacity....
HCSC - 5 days ago - save job - email - more...

RN-UM Nurse Consultant

Aetna 436 reviews - New Albany, OH 43054 - +3 locations
The Utilization Nurse Consultant is an integral member of the care management team. We are looking for a Utilization Management Nurse Consultant to join the New...
8 days ago - save job - email - more...

Medical Reviewer I (LPN or LVN)

BlueCross BlueShield of South Carolina 19 reviews - Columbia, SC
Provides support and review of medical claims and utilization practices. Performs medical reviews using established criteria sets and/or performs utilization...
12 hours ago - save job - email - more...

Utilization Management Representative I

Anthem, Inc. 527 reviews - Newbury Park, CA
Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and prior authorization review....
22 hours ago - save job - email - more...

Telephonic Case Manager - RN (Registered Nurse)

Aetna 436 reviews - Glendale, CA 91203 - +1 location
Provides embedded utilization review for selected files. Previous workers compensation, case management, utilization review or managed care experience preferred...
12 hours ago - save job - email - more...
Utilization Review RN
York Hospital 18 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
Nurse Case Manager (Part Time)
Baylor Scott & White Health 6 reviews - College Station, TX
UTILIZATION REVIEW NURSE. Position combines the functions of Inpatient Case Manager, Utilization Review Nurse, and Access/Admission's Center Nurse....
Sponsored by Scott & White - 9 days ago
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Company with Utilization Review Nurse jobs
3 reviews
Centra Healthcare Solutions, Inc. was established with the mission to provide first class staffing services and concierge customer service.