Utilization Review Nurse jobs

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Utilization Management (UM) Review Nurse
Imagine Staffing - Buffalo, NY
The Utilization Management (UM) Review Nurse performs chart reviews to determine medical necessity of... review process. The review nurse makes coverage...
Sponsored by Imagine Staffing - 4 days ago
RN - Clinical Documentation Specialist - Day(8AM-5PM)
Houston Northwest Medical Center 621 reviews - Houston, TX
retrospective review of inpatient medical records to evaluate the documentation and utilization of acute... with physicians, nurse staff, hospital management...
Sponsored by Tenet Healthcare - 5 days ago

Clinical Pharmacist Specialist- Health Plans

Providence Health & Services 112 reviews - Beaverton, OR
Graduate from an accredited College of Pharmacy;. Minimum 3 years of experience working in ambulatory, long term care, or acute care setting providing clinical...
9 days ago - save job - block - email - more...

Nurse Case Manager (Charlotte, NC)

Cigna 627 reviews - Charlotte, NC
Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan....
3 days ago - save job - block - email - more...

6215-Community Health Nurse III (HHS-Public Health)

Jackson County, OR - Medford, OR
to exert physical effort in sedentary to light work involving moving from one area of the office to another and standing for extended periods of time.... $25.46 - $33.63 an hour
1 day ago - save job - block - email - more...

UTIL REVIEW SPEC, RN position, 1.0 FTE, Days

Cincinnati Children Hospital 75 reviews - Cincinnati, OH
assisting the Medical/Dental Staff and other departments in the understanding and implementation of the various requirements of the insurance and reimbursement...
5 days ago - save job - block - email - more...

Registered Nurse (RN) - Medicare/Medicaid Concurrent Review...

Aetna 315 reviews - New Albany, OH 43054
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience....
1 day ago - save job - block - email - more...

RN Telephonic Case Manager, Healthy First Steps Program - De...

UnitedHealth Group 1,356 reviews - Dover, DE
Active, unrestricted RN license in Delaware. 3+ years experience in a hospital setting, acute care, direct care experience (OB and/or Maternity is required)....
3 days ago - save job - block - email - more...

Utilization Review Nurse- SNF

Cigna 627 reviews - Chicago, IL
Follow a specific set of evidence-based medicine standards and associated clinical procedures and ensure compliance with these standards for different types of...
4 days ago - save job - block - email - more...

Utilization Review Nurse - ICP

Cigna 627 reviews - Chicago, IL
Follow a specific set of evidence-based medicine standards and associated clinical procedures and ensure compliance with these standards for different types of...
4 days ago - save job - block - email - more...

Utilization Review Nurse (Onsite - MMAI)

Cigna 627 reviews - Chicago, IL
Follow a specific set of evidence-based medicine standards and associated clinical procedures and ensure compliance with these standards for different types of...
4 days ago - save job - block - email - more...

Utilization Management Nurse RN - Telecommute from any State...

UnitedHealth Group 1,356 reviews - New York
3 or more years is preferred. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own....
3 days ago - save job - block - email - more...
Interactive Patient Care Manager (Shared) - Florida
GetWellNetwork - Orlando, FL
nurse engagement, focusing on increased utilization... quarterly account review meetings pertaining to account roadmap; conduct nurse and staff training...
Sponsored by GetWellNetwork - 22 days ago
RN - Unit Manager Clinical Operations - Long Term Care
HCSC 24 reviews - Albuquerque, NM
operations such as Utilization Management, Case... consumer. *2 years utilization review/ managed care experience OR 2 years utilization review/ health care...
Sponsored by HCSC - 30+ days ago
Medical Review Nurse
NCI Information Systems, Inc. 94 reviews - Nashville, TN
NCI: As the Medical Review Nurse ( Medical Reviewer... Nurse (RN) or Licensed Practical Nurse (LPN). At least 2 years utilization/quality assurance review and...
Sponsored by NCI Information Systems, Inc. - 5 days ago
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