Utilization Review Nurse jobs

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Field Case Management Nurse
CorVel 23 reviews - Manchester, NH
Strong cost containment background, such as utilization review or managed care also useful. Vel generally does not review all applications submitted in response...
Sponsored by CorVel - 3 days ago
RN (Registered Nurse)
Maxim Healthcare Services 695 reviews - Arlington, VA
Participate in Quality Assurance and Utilization review activities, as directed. Follow State/Country mandated guidelines for the nurse case management programs...
Sponsored by Maxim Healthcare Services - 14 days ago
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 - 10 days ago

Registered Nurse (RN) - Utilization Managmenet Nurse Consult...

Aetna 436 reviews - Hartford, CT
Nursing/Registered Nurse is required. The Utilization Management Nurse Consultant is an integral member of the care management team....
4 days ago - save job - email - more...

Utilization Management Nurse¸ Commercial Insurance

Liberty Mutual 772 reviews - Wausau, WI
Utilization Management Nurse, Commercial Insurance - 59952. Basic knowledge of states workers' Compensation laws, disability management and utilization product...
6 days ago - save job - email - more...

Registered Nurse (RN) Utilization Management Clinical Consul...

Aetna 436 reviews - Phoenix, AZ 85040 (South Mountain area) - +1 location
As a Registered Nurse (RN) Utilization Management Clinical Consultant/Prior Authorization Nurse, you will conduct prospective reviews of authorization requests,...
7 days ago - save job - email - more...

Nurse Reviewer (Fraud and Abuse)

HMSA 8 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 - 4 days ago - save job - email - more...

Utilization Management Nurse

MDwise, Inc 2 reviews - Indianapolis, IN
The Utilization Management Nurse performs activities that support the clinical review and timely resolution of requests for prior authorization, concurrent...
19 days ago - save job - email - more...

Utilization Review Nurse

Diamond Healthcare Corporation 23 reviews - Williamsburg, VA - +1 location
The UR Nurse conducts various types of case reviews for quality and appropriate medical management, cost containment, peer review and rehabilitation;...
12 days ago - save job - email - more...

Clinical Advisor - RN

Humana 825 reviews - San Antonio, TX - +2 locations
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...
4 days ago - save job - email - more...

RN, Utilization Review Nurse

Virginia Premier Health Plan, Inc. 15 reviews - Chesapeake, VA 23320 (Greenbrier West area)
Current Virginia RN Licensure with demonstrated experience in Utilization Review; Develops a complete understanding of and keeps current with customer...
14 days ago - save job - email - more...

UM/Concurrent Review Nurse

Nebraska Heart Institute 6 reviews - Federal Way, WA
The primary role of the Utilization Management/Concurrent Review Nurse is to review and monitor members’ utilization of health care services with the goal of...
7 hours ago - save job - email - more...

Utilization Management Nurse

PRIMARY PROVIDER MANAGEMENT COMPANY, INC. - Corona, CA
Review and approve referrals as indicated using appropriate criteria. Maintain accuracy and timely input of utilization data into Xpress....
Nurse.com - 6 days ago - save job - email - more...
Nurse Case Manager
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 - 22 hours ago
Registered Nurse (RN) - Case Management
Millennium Travel Nursing - Cambridge, MA
Utilization Review and Discharge Planning preferred. We offer a wide range of job opportunities for nurses (RN and LPN) and Allied Health Professionals (PT, OT,...
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Sponsored by Millennium Travel Nursing - 22 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.