Utilization Review Nurse jobs

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Registered Nurse Care Coordinator- Utilization Management (0...
Utilization review or case management experience. Provide education and leadership to physicians, nurses, discharge planners and utilization review specialists...
Sponsored by Providence Health & Services
Registered Nurse Case Manager Part-Time Weekends
Medical Center Alliance - Fort Worth, TX
Certification in Case Management, Nursing, or Utilization Review, preferred. RN - Registered Nurse - Case Manager....
Sponsored by HCA Inc
Registered Nurse RN
Chesapeake Medical Staffing - 15 reviews - Washington, DC
$37 an hour
Registered Nurse RN MUST HAVE TWO YEARS EXPERIENCE of Utilization Review. 2 Years Utilization Review Experience Required. Registered Nurse RN....
Sponsored by Chesapeake Medical Staffing

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...

Precertification Nurse

Lehigh Valley Health Network - 134 reviews - Allentown, PA
Must have utilization review experience, with excellent clinical knowledge.Must have extensive knowledge of Interqual criteria....

Utilization Management Authorization Nurse (Baton Rouge)

Peoples Health, Inc. - 18 reviews - Baton Rouge, LA
Answers pages and phone calls received from hospital utilization review regarding a patient’s condition during business hours....

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...

Registered Nurse (Telephone Triage)

U.S. Department of State - 144 reviews - Big Spring, TX
$53,677 - $99,398 a year
Salary will be determined by the Nurse Professional Standards Board based on experience and education at the Nurse I - Nurse III grade level....

Telephonic Utilization Management Nurse (RN) - Phoenix, AZ

Humana - 1,021 reviews - Las Vegas, NV
Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

Licensed RN (Registered Nurse) - Utilization Management Nurs...

Aetna - 552 reviews - New Albany, OH 43054
Healthcare Management/Certified Utilization Review (CPUR) is desired. Nursing/Registered Nurse is required. Click here to review the benefits associated with...

Health Professional IV (Registered Nurse)

State of Colorado - 62 reviews - Denver, CO
$4,515 - $6,608 a month
In a team environment, reviews and provides input into the individual care plans of injured workers based on information gathered through the review of...

Compliance Auditor - Delegation Oversight

Cigna - 968 reviews - Nashville, TN
Clinical professional degree or licensure (Registered Nurse). Previous delegation oversight, Utilization Management, or Claims experience....

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...
RN - Utilization Review (UR) Assessment PHP/IOP / Full Time...
Mission Hospital (SJH) - 25 reviews - Mission Viejo, CA
Experience with utilization review. Performs clinical utilization review on patients. Performs utilization review functions for continued program participation....
Sponsored by St. Joseph Health
Nurse Care Manager, Seattle
Landmark Health - Seattle, WA
1-2 years of utilization management experience a must. Reviews medical information collected including medical records and/or performs additional assessment to...
Sponsored by Landmark Health
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