Utilization Review Nurse jobs

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Utilization Review RN
Ohio Hospital for Psychiatry - Columbus, OH
a full time Utilization Review RN. Performs a variety of duties associated with quality and utilization... Nurse Experience in utilization review helpful One...
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Sponsored by Ohio Hospital for Psychiatry - 12 days ago
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 - 21 days ago
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Utilization Management Nurse Associate (LPN)

Aetna 321 reviews - St. Louis, MO
SUMMARY The Utilization Management Nurse Associate... 3-5 Years required Functional - Nursing/Utilization Review/Utilization Management/1-3 Years required...
8 hours ago - save job - email - more...

Registered Nurse - Utilization Management Nurse Consultant

Aetna 321 reviews - St. Louis, MO
SUMMARY The Utilization Management Nurse Consultant... 3-5 Years required Functional - Nursing/Utilization Review/Utilization Management/1-3 Years required...
8 hours ago - save job - email - more...

RN Utilization Review Nurse - Nashville, TN

Cigna 636 reviews - Nashville, TN
Reviews IRE case files prepared by Appeal SA Prepares autoforward case files. Review of Tech CM/Appeal SA appeal preparations. Review of LPN nurse IRE case...
6 days ago - save job - email - more...

Nurse Reviewer

Amalgamated Life - Salem, NH
utilization review. Acts as liaison between various Alico departments and Medical and Utilization Review... regarding utilization review issues. Reviews medical...
4 days ago - save job - email - more...

Inpatient Review Nurse-Miami

Cigna 636 reviews - Miami, FL
providing concurrent review of hospitalized members... of 1-2 years managed care experience in utilization review or case management. Excellent oral and written...
4 days ago - save job - email - more...

Utilization Review Case Manager TRMC

Asante Health System - Grants Pass, OR
Teamwork The Utilization Review / Case Manager for Three Rivers Medical Center monitors utilization... Demonstrated utilization review / case management...
4 hours ago - save job - email - more...

Clinical Review Nurse

York Risk Services Group Inc. - Dublin, OH
Clinical Review Nurse utilizes MedMetrics data, all claim systems and supporting documentation to review... Review Nurse communicates results of clinical review...
5 days ago - save job - email - more...

Physician Advisor Nurse Supervisor

Auto Injury Solutions 11 reviews - Remote
1) Bill Review Solutions, which involve the review of... include nurse case management, physician reviews, hospital audits, and other professional review services...
Easily apply
6 days ago - save job - email - more...

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

Aetna 321 reviews - St. Louis, MO - +2 locations
The Utilization Management (UM) Nurse Associate will... UM Nurse Associate works within the pre-certification department providing medical necessity reviews for...
1 day ago - save job - email - more...

Clin Review Doc Nurse

VCU Health System 33 reviews - Richmond, VA
Health System is recruiting for Clinical Review Documentation Nurse in Health Information Management (HIM... of experience with utilization review, coding and...
7 days ago - save job - email - more...
Clinical Nurse Reviewer - Work from Home!
CareCore National - Colorado Springs, CO
Nurse with strong technical/computer skills. An understanding of Utilization Review is highly preferred... Professional Nurse or Licensed Practical Nurse. At...
Sponsored by CareCore National - 8 days ago
RN, Case Manager
Visiting Nurse Association & Hospice of VT and NH - Bradford, VT
of outcomes, and utilization of services to ensure... primary care givers upon admission. Periodically reviews the patient care plan and recertifies the patient...
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 30+ days ago
HN55 - Utilization Review Nurse
Kelly Services 2,410 reviews - San Juan, PR
Pre Authorization Nurse Responsible for ensuring... authorization. Observes for the quality and correct utilization of the services. Serves as primary liaison...
Sponsored by Kelly Services - 15 days ago
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Company with Utilization Review Nurse jobs
CareCore provides comprehensive, customized programs to clients that seek to manage appropriate utilization of diagnostic imaging services.
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