Utilization Review Nurse jobs

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Utilization Review Nurse
Multiple Location Third Party Payor Company - Charleston, WV
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...
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Sponsored by Multiple Location Third Party Payor Company
RN, Utilization Management - Greenville, South Carolina
Advicare Health - Nashville, TN
Appropriately considers and applies regulatory requirements in the review process; Advicare Health is currently looking for a Utilization Management, RN in...
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Sponsored by Advicare Health
Utilization Review RN
Saint Luke's Health System 27 reviews - Kansas City, MO
Must have KS and MO RN license and Utilization Review exp. Saint Luke's Hospital is seeking a UR RN to review patient charts and monitor utilization of...
Sponsored by Saint Luke's Health System

Clinical Documentation Specialist I

Lehigh Valley Health Network 137 reviews - Allentown, PA
LVHN is also a Magnetâ„¢ Hospital, recognized three times by the American Nurses Credentialing Center for attracting and retaining the best professional nurses....

Licensed Clinical Care Manager (RN / LCSW)

Aetna 570 reviews - Orlando, FL
Functional - Clinical / Medical/Concurrent review / discharge planning/4-6 Years. Click here to review the benefits associated with this position....

Field Case Manager Nurse- Workers Compensation

CorVel Corporation 127 reviews - Fairfax, VA  +3 locations
Strong cost containment background, such as utilization review or managed care also useful. Please be aware that CorVel generally does not review all...

Utilization Management Rep Job Family Seattle, 109638

Anthem, Inc. 636 reviews - Seattle, WA
Refers cases requiring clinical review to a nurse reviewer; Utilization Management Rep Job Family Summary:....


Mercy Sioux City - Maywood, IL
On-the-job training in utilization review and documentation improvement is provided to all staff hired into this position....


Presbyterian Healthcare Services 56 reviews - Albuquerque, NM
Receives, reviews, verifies, and processes requests for prospective and retrospective audits including but not limited to inpatient hospitalizations, diagnostic...

Clinical Review Nurse

Johns Hopkins Intrastaff - Baltimore, MD
Participates as a member of Utilization Review and/or OBQI committee. Reviews SOC/ROC/RCT Assessments. Johns Hopkins Intrastaff is looking for a Clinical Review...
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Case Manager/Care Coordinator II-TELECOMMUTING OPTION! (AZ:...

Health Net, Inc. 6 reviews - Tempe, AZ 85281  +1 location
Performs prospective, concurrent and retrospective reviews and first level determination approvals for assigned members, as appropriate, or refers reviews to...

Regional Nurse Consultant-Aedos Health Services

Consulting Support Services - Beaver Falls, PA  +1 location
Regional Nurse Consultant. Assists communities with medication assistance/administration and pharmacy utilization trends....

Regional Nurse Consultant-Hybris Health Services

Consulting Support Services - Concord, MA
Regional Nurse Consultant. Assists communities with medication assistance/administration and pharmacy utilization trends....
Registered Nurse | RN | UR (Contract)
Favorite Healthcare Staffing 144 reviews - Kansas City, MO
13 Week Utilization Review RN Contracts available in Kansas City, MO! Missouri or compact Registered Nurse license is required. Work Mon – Fri :....
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Sponsored by Favorite Healthcare Staffing
Prior Authorization Nurse
Trillium Community Health Plan - Eugene, OR
Prior Authorization Nurse. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...
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Sponsored by Trillium Community Health Plan
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