Utilization Review Nurse jobs

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Registered Nurse (RN) - Utilization Review - 13 Week Contrac...
Centra Healthcare Solutions 3 reviews - Saint Helena, CA
Current Registered Nurse License within the state of practice.Current AHA BLS. Centra Healthcare Solutions is seeking to hire an experienced Registered Nurse...
Sponsored by Centra Healthcare Solutions - 2 days ago
Utilization Management Nurse
First Choice Health 8 reviews - Seattle, WA
UTILIZATION MANAGEMENT NURSE – Seattle or Spokane Location. Registered nurse required. Under the direction of the Manager of Utilization Management (UM), the UM...
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Sponsored by First Choice Health - 12 days ago
Utilization Management Clinical RN
Texas Children's Hospital 109 reviews - Houston, TX
Utilization Management Clinical RN Job ID:. Assess and process all denial determination after medical director review....
Sponsored by Texas Children's Hospital - 18 days ago
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Health Services Sr. Specialist - UM (RN)

Cigna 788 reviews - Chicago, IL
May coordinate and manage utilization review function ensuring accurate and timely prior authorizations, concurrent and retrospective review activity....
10 days ago - save job - email - more...

Utilization Review Nurse (Philadelphia)

Cigna 788 reviews - Philadelphia, PA - +1 location
Utilization Review Nurse (Philadelphia). Qual Criteria for utilization review. Performs review activities as outlined following rules established by the peer...
3 days ago - save job - email - more...

Clinical Claims Review Nurse, RN - Telecommute Nationwide

UnitedHealth Group 1,745 reviews - San Antonio, TX
Clinical claims review, RN, Nurse, Registered Nurse, claims review, claims, utilization management, clinical, coding, telecommute....
1 day ago - save job - email - more...

Nurse First Response - PT

Xerox 2,880 reviews - Georgia
Utilization review experience desirable. Applies worker’s compensation regulations,state laws and guidelines to utilization review activity in assigned UR...
Xerox Corporation - 20 hours ago - save job - email - more...

Utilization Review Case Manager / RN

MedSolutions - Cincinnati, OH 45219 (CUF area) - +3 locations
Performs utilization review activities for Post Acute Care requests and contacts providers where additional information is necessary to make a decision....
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2 days ago - save job - email - more...

Utilization Review Nurse

AIG 412 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
1 day ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 422 reviews - Phoenix, AZ
Managed care/utilization review experience is preferred. As a Registered Nurse (RN) Utilization Management Clinical Consultant, you will utilize your clinical...
3 days ago - save job - email - more...

Registered Nurse (Utilization Management)

Department of Veterans Affairs 844 reviews - Spokane, WA
RN Utilization Manger. Utilization Management experience preferred. Qual criteria t conduct pre-admission, admission and continued stay reviews....
3 days ago - save job - email - more...

Utilization Management Nurse Reviewer

Evolent Health 4 reviews - Arlington, VA
You will work collaboratively with the case managers, utilization review nurses, social workers, and bedside nurses to ensure a smooth transition from hospital,...
5 days ago - save job - email - more...

Registered Nurse (RN) - Workers' Comp Telephonic Case Manage...

Aetna 422 reviews - Tampa, FL - +5 locations
Utilization review experience preferred. Nursing/Certified Occupational Health Nurse (COHN)Nursing/Certified Rehabilitation Registered Nurse (CRRN)....
1 day ago - save job - email - more...
RN Case Manager
Akira Health Inc. - San Jose, CA
Promotes effective and efficient utilization of clinical resources. Ability to identify process issues and work through solutions (case review)....
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Sponsored by Akira Health Inc. - 7 hours ago
utilization review nurse
Newport Academy - Bethlehem, CT
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
Sponsored by Newport Academy - 30+ 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.