Utilization Review Nurse jobs

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Field Care Advocate - Rhode Island - Work from Home
UnitedHealth Group 1,430 reviews - Providence, RI
planning and/or chart review Managed care experience... health, mental health, Case Management, Utilization Review, Utilization Management, telephonic, work from...
Sponsored by UnitedHealth Group - 1 day ago
Utilization Management RN - Work at home from any city in th...
UnitedHealth Group 1,430 reviews - West Chester, OH
sm) Utilization Management Nurse responsibilities include: -Perform utilization management, utilization review, or concurrent review (telephonic inpatient care...
Sponsored by UnitedHealth Group - 3 days ago

Quality Review Nurse

Brookdale - Naperville, IL - +3 locations
Managing quality of clinical care, utilization, documentation, out come and process management. Training and development of clinical staff in OASIS, coding and...
2 days ago - save job - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 334 reviews - Dallas, TX 75247 (Northwest Dallas area)
-Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. -Utilizes clinical skills to support coordination, documentation and...
20 hours ago - save job - email - more...

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

Aetna 334 reviews - Dallas, TX 75247 (Northwest Dallas area) - +2 locations
-Promotes/supports quality effectiveness of Healthcare Services and benefit utilization. -Utilizes clinical skills to support coordination, documentation and...
20 hours ago - save job - email - more...

Medical management nurse

Beth Abraham Family of Health Services - Bronx, NY
Medical Management and the Director for Medical Management, the Medical Management Nurse is responsible for the day to day operations of Utilization...
1 day ago - save job - email - more...

RN Clinical Reviewer

Myers and Stauffer LC - Indianapolis, IN - +1 location
The RN Clinical Reviewer will independently review/audit various claims and medical records relating to claims audit engagements....
3 days ago - save job - email - more...

Utilization Review Spec

Saint Joseph Mercy Health System 22 reviews - Ann Arbor, MI
Facilitates utilization management documentation and appropriate communication with external agencies. Demonstrates area designated competencies....
3 days ago - save job - email - more...

Heart Failure RN Case Manager- Maryland Heights, MO

UnitedHealth Group 1,430 reviews - Maryland Heights, MO
Click here to view the Realistic Job Preview:. The Disease Case Management Nurse is responsible for educating members who have Heart Failure as well as any co...
2 days ago - save job - email - more...

Clinical Manager - Urgent Care Job

Peacehealth 42 reviews - Eugene, OR
Engages appropriate stakeholders in the review and dissemination of area financial and productivity performance.... $37.23 an hour
8 hours ago - save job - email - more...

Utilization Management Nurse Associate (LPN/LVN)

Aetna 334 reviews - Orlando, FL 32809
The Specialty Precertification team is expanding at a rapid rate to help ensure appropriate utilization and improve patient outcomes....
1 day ago - save job - email - more...

Medical Record Case Review Specialists III

NCI Information Systems, Inc. 98 reviews - Richmond, VA - +1 location
As the Medical Record Case Review Specialists ( Claims Analyst I ) in Henrico, Virginia , you will have experience in working with case management of medical...
1 day ago - save job - email - more...
Utilization Review Specialist
Pinnacle Treatment Centers - Georgetown, KY
Responsibilities : 1. Review with behavioral... benefits for behavioral health levels of care. 7. Review hard copy authorizations for potential problems...
Sponsored by Pinnacle Treatment Centers - 30+ days ago
RN Clinical Claims Review - Work from Home anywhere in the U...
UnitedHealth Group 1,430 reviews - Phoenix, AZ
of our newest nurses for our Appeals team! The chosen candidate will perform clinical reviews to ensure... preferred Utilization review and/or case management...
Sponsored by UnitedHealth Group - 8 days ago
RN-Advanced Utilization Management Specialist - Utilization...
UAB Medicine 8 reviews - Birmingham, AL
resource to utilization management nurses to maintain... not limited to, timeliness of reviews, accuracy of reviews, accuracy of utilization management processes... $61,110.40 - $99,611.20 a year
Sponsored by UAB Medicine - 10 days ago
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1,430 reviews
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