Utilization Review Nurse jobs

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Registered Nurse Case Manager (Point of Entry) - Emergency D...
Sunrise Hospital and Medical Center 35 reviews - Las Vegas, NV
Case Manager/Utilization Review Nurse is responsible... This ED Point of Entry Case Manager/Utilization Review Nurse will work in conjunction with the ED and...
Sponsored by HCA Inc - 1 day ago
RN Case Management Coordinator Columbus
Promedica 21 reviews - Columbus, OH
illness and for post-discharge services. Monitors utilization and evaluates outcomes. Assess all referred... in-Plan provider utilization. Utilize cost benefit...
Sponsored by ProMedica - 30+ days ago

Utilization Management Nurse

Wellmark 5 reviews - Des Moines, IA
Identify key issues and barriers to discharge ensure development and facilitation of discharge plan. e. Work in collaboration with other health care management...
1 day ago - save job - block - email - more...

Utilization Management Specialist

Sanford Health 53 reviews - Sioux Falls, SD
Currently licensed with the applicable State Nursing Board and/or possess multistate licensure privileges as required by position if appropriate....
7 hours ago - save job - block - email - more...

Utilization Management (UM) Nurse Associate (LPN/RN)

Aetna 315 reviews - Blue Bell, PA 19422 - +1 location
3-5 years of clinical experience required. Presents clear and accurate documentation that demonstrates proper application of clinical criteria....
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TRICARE Inpatient Utilization Management Nurse - Multiple Lo...

UnitedHealth Group 1,356 reviews - Colorado Springs, CO
Failure to obtain final NAC approval will result in termination from this role. Performing care management activities to ensure that patients move through the...
1 day ago - save job - block - email - more...

Nurse Reviewer - Night Shift

Banner Health 290 reviews - Phoenix, AZ
In a Behavioral Health setting a Licensed Professional Counselor or Master's level Social Worker. Requires five or more years of clinical nursing or related...
2 days ago - save job - block - email - more...

Utilization Management Nurse - Centennial, CO

Humana 597 reviews - Centennial, CO
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with other health care...
2 days ago - save job - block - email - more...

Utilization Management Nurse

NaphCare, Inc. 22 reviews - Birmingham, AL
Excellent communication and interpersonal skills, attention to detail and decision-making skills are essential....
2 days ago - save job - block - email - more...

Licensed Medicaid Clinical Learning Consultant

Aetna 315 reviews - Chicago, IL 60606 (Loop area)
The highest level of education desired for candidates in this position is a Master's degree or equivalent experience....
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Utilization Review Nurse RN

Novant 133 reviews - Salisbury, NC
Associates degree required. Bachelor's degree preferred. Associates degree in nursing required....
5 days ago - save job - block - email - more...

Onsite Concurrent Review/Discharge Planning Nurse- Ft. Myers...

Humana 597 reviews - Fort Myers, FL - +1 location
Humana is seeking a Onsite Concurrent Review/Discharge Planning Nurse who will collaborate with other health care givers in reviewing actual and proposed...
2 days ago - save job - block - email - more...
Registered Nurse - Case Manager
Maxim Healthcare Services 424 reviews - Akron, OH
experienced Registered Nurse Case Managers in the... Participate in Quality Assurance and Utilization review activities, as directed. • Empower patients in...
Sponsored by Maxim Healthcare Services - 1 day ago
Telephonic Utilization Management Nurse - Telecommute Opport...
UnitedHealth Group 1,356 reviews - Tampa, FL
sm) Primary Responsibilities: Perform utilization and concurrent review using Milliman criteria Conduct... RN, registered nurse, utilization, case management...
Sponsored by UnitedHealth Group - 3 days ago
Manager of Utilization & Case Management
WEA Trust 6 reviews - Madison, WI
and evaluates utilization review and care management... Wisconsin Registered Nurse license. * Experience performing utilization review and case management in a...
Sponsored by WEA Trust - 30+ days ago
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