Utilization Review Nurse jobs

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Registered Nurse (RN) - Utilization Management (UM) Nurse Co...
Aetna 369 reviews - San Antonio, TX
UM Nurse Consultants require:. Nursing/Registered Nurse (RN) is required. Precertification, pre determination, concurrent review, retro review and discharge...
Sponsored by Aetna - 3 days ago
Case Management / Utilization Review Registered Nurse - RN
Allied Health Group 6 reviews - Washington, DC
Registered Nurse in MD/VA or DC; Those Registered Nurse candidates that have 2+ year(s) of experience should apply now....
Sponsored by Allied Health Group - 30+ days ago
Hedis Nurse
Medisys 7 reviews - Wayne, PA
MEDISYS is a specialized firm for nurses with skills in medical record review (MRR) in a variety of settings....
Easily apply
Sponsored by Medisys - 2 days ago

Nurse Reviewer (Fraud and Abuse)

HMSA 7 reviews - Honolulu, HI
Reviews and assesses site audit results; Irregularities would include DRG upcoding, high utilization of ancillary services, overbilling, etc....
Hawaii Medical Service Association - 1 day ago - save job - email - more...

Care Connector Utilization Review RN - CareConnect

North Shore-LIJ Health System 53 reviews - Manhasset, NY
As a Utilization Review Nurse you will review and coordinate prospective, concurrent and retrospective activities related to utilization....
2 days ago - save job - email - more...

Registered Nurse (Utilization Review)

Department of Veterans Affairs 750 reviews - Saginaw, MI
Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to:. Review and conduct special eligibility validation reviews...
8 days ago - save job - email - more...

Lead Medicare Claims Reviewer (RN)

Catapult Consultants - Arlington, VA - +14 locations
Must be a Graduate from an accredited school of nursing and has an active license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)....
8 days ago - save job - email - more...

Utilization Review Nurse - UR Registered Nurse - Remote!

Professional Services Network, Inc - Silver Spring, MD - +1 location
We are seeking 30 (thirty) full-time/part-time highly motivated Utilization Review RNs with strong utilization management and/or acute care experience....
CareerBuilder - 19 hours ago - save job - email - more...

Concurrent Review Nurse - Schenectady or Rochester

MVP Health Care 25 reviews - Rochester, NY
Experience with standard utilization review techniques and protocols as well as knowledge of alternate health care delivery options strongly preferred....
2 days ago - save job - email - more...

Staff Nurse (Utilization Management)

Department of Veterans Affairs 750 reviews - Dayton, OH
Utilization Management Nurse QMS. She/he possesses intimate knowledge of utilization review criteria, utilization management processes and principles, clinical...
12 hours ago - save job - email - more...

Registered Nurse Case Manager / Utilization Review Job

Centura Health 90 reviews - Lakewood, CO - +1 location
Utilization review and monitoring will be done on all payers. 1 to 2 years experience in Case Mgmt., Utilization review and discharge planning in hospital...
17 hours ago - save job - email - more...

Clinical Practice Consultant -Telecommuter- Multiple South L...

UnitedHealth Group 1,577 reviews - Atlanta, GA - +1 location
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies,operational, Alabama, Florida...
6 days ago - save job - email - more...

Utilization Review Nurse

Mercy 79 reviews - St. Louis, MO - +1 location
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management....
14 hours ago - save job - email - more...
Concurrent Review Nurse - Permanent Job
Yoh 67 reviews - Santa Cruz, CA
Maintain documentation of clinical reviews in Utilization Management software system. Concurrent Review Nurse needed for a direct hire opportunity with Yoh's...
Sponsored by Yoh Services, LLC - 2 hours ago
RN or LPN Clinical Coordinator Chart Review
MedManagement, LLC - Birmingham, AL
Once they complete our training in current Utilization Review/Inter. Our nurses work with a strong group of board certified practicing physicians and a state of...
Easily apply
Sponsored by MedManagement, LLC - 3 days ago
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