Utilization Review Nurse jobs

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Navigator - RN (New Orleans Market)
Peoples Health, Inc. 10 reviews - New Orleans, LA
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....
Sponsored by Peoples Health, Inc. - 20 days ago
Registered Nurse, Clinical Documentation, Relocate-Duke Heal...
Duke University Health System 269 reviews - Leesburg, VA
Clinical Documentation Improvement, CDI, CCDS , CDIP, CCS Certification Certified Nurse RN, BSN, MSN, Nurse, Nursing, Registered Nurse, Practitioner, Physician...
Sponsored by TooBusyWorking.com - 1 day ago

Licensed Utilization Management (UM) Behavioral Health Clini...

Aetna 402 reviews - San Clemente, CA
Managed care/utilization review experience preferred. Click here to review the benefits associated with this position....
5 days ago - save job - email - more...

UM Nurse Consultant

Aetna 402 reviews - Overland Park, KS 66212 - +6 locations
Nursing/Registered Nurse is desired. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness...
8 days ago - save job - email - more...

Utilization Review Nurse I

Health Net Federal Services, LLC - 1500 - Rancho Cordova, CA - +1 location
The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization....
Health Net - 11 days ago - save job - email - more...

Care Coordination Nurse

Quantum Health - Columbus, OH
Nurse case management. They also function as a clinical resource for other staff in the company such as utilization review, patient services, disease management...
5 days ago - save job - email - more...

UTILIZATION REVIEW NURSE ANALYST

Howard University Hospital 75 reviews - Washington, DC
UTILIZATION REVIEW NURSE ANALYST. Must be board-certified by the American Board of Quality Assurance and Utilization Review or be eligible for certification...
8 days ago - save job - email - more...

Utilization Management Regulatory Compliance - Full time

Promedica 23 reviews - Maumee, OH 43537
Monitor and analyze utilization management reporting. Current Ohio and Michigan Registered Nurse license. Provide assistance with preparatory and on-site audit...
4 days ago - save job - email - more...

Utilization Management Nurse - Tarrytown

MVP Health Care 26 reviews - Tarrytown, NY 10591
The Utilization Management Nurse is responsible for ensuring the effective utilization of medical services through the application of nationally recognized...
4 days ago - save job - email - more...

Utilization Review Coordinator

Sutter Health 182 reviews - ‘Ewa Beach, HI
Certification in Utilization Review valued and encouraged. The Utilization Review Coordinator will personally manage all appeals....
3 days ago - save job - email - more...

Licensed Utilization Management Nurse Associate (LPN/LVN)

Aetna 402 reviews - Orlando, FL 32809 - +1 location
Nursing/Licensed Practical Nurse (LPN) is or Nursing/Licensed Vocational Nurse (LVN) is required. We are looking for experienced nurses to manage the...
5 days ago - save job - email - more...

Utilization Management

Summit Medical Center 18 reviews - Casper, WY
Participates in the Utilization Review Committee and attends all meetings. Assists facility in analysis of data to evaluate the effectiveness of processes in...
11 days ago - save job - email - more...
RN/Healthy @ Home/Salary
Carolinas HealthCare System 124 reviews - Charlotte, NC
Reviews patient records monthly and participates in utilization and compliance reviews and substantiates in writing any deviation from care plan with...
Sponsored by Carolinas HealthCare System - 3 days ago
Utilization Review RN
York Hospital 16 reviews - York, ME
We currently have an opportunity for an experienced Utilization Review Nurse. Current certification in Utilization Review and a BSN is preferred....
Sponsored by York Hospital - 30+ days ago
utilization review nurse
Newport Academy - Bethlehem, CT
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
Sponsored by Newport Academy - 30+ days ago
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