Utilization Review Nurse jobs

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Preservice Review Nurse - Telecommuting!
UnitedHealth Group 2,190 reviews - Brentwood, TN
Perform utilization review using Milliman (MCG) criteria. RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Milliman,...
Sponsored by UnitedHealth Group
Clinical (RN) Document Improvement Specialist - Relocation t...
Lovelace Health System - New Mexico
Specialists review charts for accurate documentation for reimbursement purposes and for designated core measures and quality indicators....
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Sponsored by Lovelace Health System
Utilization Review Registered Nurse
Kelly Services 3,534 reviews - Indianapolis, IN
Review Registered Nurse. We are currently recruiting for an exciting contract opportunity as a Utilization Review Nurse with our large medical insurance client....
Sponsored by Kelly Services

Nurse Reviewer

GENEX 77 reviews - Dallas, TX
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Responsible for the performance of Utilization Review...

Nurse Medical Consultant

ASSURANT SOLUTIONS 479 reviews - Westbrook, ME
We are seeking a Nurse Medical Consultant to serve as a consultative resource to enhance Disability RMS' claims management....

Care Management Nurse Consultant I

GEHA 15 reviews - Lee's Summit, MO
Reviews member claims histories and identifies intervention opportunities. Evaluates information regarding prospective care management members referred by...

Utilization Review Nurse - Tucson Pima County Location

Care1st Health Plan - Arizona
Reviews member in-patient medical records and conducts review to assess the appropriateness of the hospital setting....

Prior Authorization Nurse I

Centene Corporation 238 reviews - City of Sunrise, FL  +14 locations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Medical Resource Nurse - San Francisco

BHHC - San Francisco, CA 94105 (Financial District area)  +2 locations
Foster a positive and close working relationship with other Company staff, including the adjusting staff, utilization review, medical bill review, special...

Utilization Management and Review Specialist

OSF Healthcare 16 reviews - Peoria, IL
Performs Utilization Management and Review (UMR) activities. Or over utilization of services, resolves and/or refers utilization issues in....

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

Aetna 552 reviews - Wichita, KS 67206  +2 locations
Ability to review records. Assist non-clinical staff with reviews. Click here to review the benefits associated with this position....

Utilization Review Nurse- Temporary

North Dakota State Government - Bismarck, ND
$23.86 - $38.42 an hour
Reviews and updates Utilization Review policies and procedures annually. Utilization review, discharge planning, quality assurance experience, and/or workers...


Hoag Memorial Hospital Presbyterian 35 reviews - Newport Beach, CA
Minimum one (1) year of utilization review in an acute healthcare system environment. The Utilization Review Nurse (UR RN) utilizes clinical expertise,...
RN Utilization Management
Prairie States Enterprises, Inc. - Sheboygan, WI
Our experienced staff of Nurses apply their medical expertise in coordinating care through the pre-authorization process and also in managing medical costs...
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Sponsored by Prairie States Enterprises, Inc.
Registered Nurse, RN Evenings Full Time and Part Time
24/7 Home Health Care - Denver, CO
Participates in utilization review of medical. Registered Nurse RN. Nurse, Home Health Aide. Participates in peer review and quality....
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Sponsored by 24/7 Home Health Care
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