Utilization Review Nurse jobs

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Patient Care Coordinator (Case Management)
RWJHamilton.org - Hamilton, NJ
Currently licensed NJ Registered nurse. Monitors Medicare patients for appropriate utilization. Monitors appropriates of test/procedures, consultation,...
Sponsored by RWJHamilton.org - 26 days ago
Review Nurse (NOW & COMP) - Atlanta, GA
Alliant Health Solutions - Atlanta, GA
Our review nurses do not work weekends, odd shifts or holiday hours. Currently we are seeking 2 Review Nurses to be responsible for the complete medical review...
Easily apply
Sponsored by Alliant Health Solutions - 30+ days ago

Medical Management Consultant - Remote

Midwest Employers Casualty Company - Missouri
Experience in disability management, utilization review or pharmaceutical management is highly desirable. Reviews medical referrals in a timely fashion and...

Excel Center Registered Nurse/Utilization Review

Millwood Hospital - Lewisville, TX 75022
Population and performing utilization review functions. Also functions as Utilization Review Coordinator for the....

RN Utilization Review\Discharge Planner Mon Fri 8a to 5p

Universal Health Services - United States
Associates Degree Bachelors Preferred in Nurse. Responsible for reviewing all inpatient admissions to assess admission criteria and justification of continued...

RN Nurse Review Consultant (Remote Independent Contractor)

Health Care Excel, Inc. - Indiana
Qual criteria guidelines required.- Outpatient and/or inpatient utilization management experience required.Certification Requirements- Unrestricted Registered...

RN Utilization Review/Discharge Planner Mon- Fri 8a to 5p

Cumberland Hall of Hopkinsville - Town of Southeast, NY
Associates Degree Bachelors Preferred in Nurse. Responsible for reviewing all inpatient admissions to assess....

Medical Review Nurse

HMS 364 reviews - Florida - +1 location
Medical Review Nurse. >1 year experience performing medical records review or utilization review preferred....

Prebill Denials RN

Shared Services - Atlanta - Norcross, GA
Utilization Review, appeals, denials, managed care contracting, experienced preferred. Escalate medical review request and/or denial activities to management as...

Clinical Statistical Analyst (RN)

BlueCross BlueShield of South Carolina 22 reviews - Columbia, SC
Active RN licensure in state hired or active compact multistate RN license as defined by the Nurse Licensure Compact (NLC)....

RN Telephonic Case Manager Job

HealthPartners 50 reviews - Bloomington, MN
Minimum of 3 years relevant utilization review, discharge planning, or case management experience; Registered Nurse with current unrestricted license in the...

Registered Nures (RN) - UM Nurse Consultant

Aetna 453 reviews - Richfield, OH
Nursing/Registered Nurse (RN) is required. All aspects of the utilization process (including precertification, concurrent and retro reviews and discharge...
Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 11 reviews - Boise, ID
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
Sponsored by NursesRx - 25 days ago
Clinical Care Reviewer, Registered Nurse
AmeriHealth Caritas 49 reviews - Charleston, SC
Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and...
Sponsored by AmeriHealth Caritas - 30+ days ago
Telephonic Nurse Case Manager - On Site
Excel Managed Care & Disability Services, Inc. - San Francisco, CA
Prior Workers’ Compensation case management experience and/or experience in rehabilitation, utilization review or home health case management....
Easily apply
Sponsored by Excel Managed Care & Disability Services, Inc. - 15 days ago
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Company with Utilization Review Nurse jobs
RWJ Hamilton is a trusted and established part of the greater Mercer County community, providing quality care to its residents since 1994.