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Utilization Review Nurse
Banner Health is currently seeking a Utilization Review Nurse to join the Utilization Review Department supporting Banner Health Network (BHN)....
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Case Manager Registered Nurse (RN) / Full Time Days
Utilization Review, Quality and Compliance Monitoring. Performs concurrent and retrospective review of patient medical records for purposes of utilization...
Sponsored by HCA Inc

Manager - Case Management - Utilization Management (1.0 FTE,...

Lucile Packard Children's Hospital - 32 reviews - Palo Alto, CA 94304
Provides leadership andmanagement to licensed nursing professionals providing CaseManagement and utilization review services and support staff....

Registered Nurse - (Utilization Management)

Department Of Veterans Affairs - 2,156 reviews - Spokane, WA
$59,000 - $104,099 a year
Registered Nurse - Utilization Management Specialist. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience;...

Navigator - RN (Westbank Market Care Teams)

Peoples Health, Inc. - 26 reviews - Louisiana
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....

Nurse IV

Dept of Aging & Disability Svc - 26 reviews - Austin, TX  +6 locations
$4,599 - $7,533 a month
And of utilization review and control measures. The Quality Assurance Nurse (Nurse IV) performs duties within the scope of practice attributed to the skills of...

Regional Clinical Director

Compass Pointe Healthcare System - Cleveland, OH
Reviews community’s monthly QAPI committee meetings to include review of incident investigation, consultant reports, resident council minutes, and quality...
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RN Onsite Utilization Review - Knoxville, TN

Humana - 1,907 reviews - Knoxville, TN 37932  +1 location
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Onsite Nurse who will collaborate with other health care givers in...

Utilization Review Nurse Nursing

Memorial Health System - 7 reviews - Springfield, IL
The Utilization Management Review Nurse performs prospective, concurrent, and retrospective clinical review of patient records to evaluate the need for and...

Clinical Nurse Auditor

Adventist HealthCare - 108 reviews - Gaithersburg, MD 20877
Case management or utilization review background. Responsibilities Manages payer recovery activity response, including RAC and other government contractors and...

Utilization Review Nurse

St. Claire Regional Medical Center - 21 reviews - Morehead, KY 40351
Refers cases to the Utilization Review Coordinator and Case Management Team as appropriate; Under the general supervision of the Manager Case Management and the...

Nurse Consultant/ HCPI Investigator

State of North Carolina - 87 reviews - Pitt County, NC
$41,480 - $88,336 a year
Requires ability to conduct, review, gather, assess and evaluate information for compliance with applicable standards using observation, interviewing, and...
Case Manager Registered Nurse (RN) - Full Time (Days)
Performs admission and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan....
Sponsored by HCA Inc
Utilization Review Nurse
Recovery Institute of America - Dana Point, CA
Previous experience in Utilization Review. Utilization Nurses are critical to our mission.*. With treatment team as needed as part of the utilization review...
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Utilization Review Specialist - Physician Advisory Services
The Utilization Review Specialist will determine the appropriate cases for review, utilizing client specific guidelines....
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Company with Utilization Review Nurse jobs
All physicians, nurses and staff at Las Palmas Medical Center work to provide exceptional patient care.