Utilization Review Nurse jobs

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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
Registered Nurse Case Manager
HealthCare Support Staffing 24 reviews - Overland Park, KS
Nurses and Licensed Practical Nurse Case Managers to join our Medical Management Team (Utilization Review... Utilization Management) include: Review requests for...
Easily apply
Sponsored by HealthCare Support Staffing - 4 days ago
Resident Training Clinic Medical Director
Heartland Community Health Clinic - Peoria, IL
supervises the positions of Nurse Practitioner and... Assurance/Utilization Review Committee, establishes case management and utilization review criteria...
Easily apply
Sponsored by Heartland Community Health Clinic - 30+ days ago

Utilization Review Nurse

Baystate Health 56 reviews - Springfield, MA
Completes full assessment of plan of care to determine if criteria are met to ensure third party reimbursement;....
7 days ago - save job - 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...
6 days ago - save job - email - more...

Registered Nurse (RN) – Utilization Management (UM) Nurse Co...

Aetna 315 reviews - Walnut Creek, CA 94598 - +8 locations
RN should reside in South Bay or Peninsula area Northern California. Utilizes clinical experience and skills in a collaborative process to assess, plan,...
2 days ago - save job - email - more...

Prior Authorization Case Manager

Regal Medical Group 15 reviews - Northridge, CA - +1 location
1. Graduate from an accredited Nursing Program. 4. Knowledge of Healthcare and Managed Care preferred. 3. Minimum of 1 year acute experience....
Easily apply
11 days ago - save job - email - more...

Case Manager (RN) (Acute Rehab)

Arnot Health 5 reviews - Elmira, NY
BSN required. Case management experience preferred but not required. Arnot Health strives to be the employer of choice for health care professionals!....
2 days ago - save job - email - more...

Utilization Review Nurse

Cigna 627 reviews - Philadelphia, PA
Managed care experience. Participates in the discharge planning process and identifies appropriate resources both internal and external required for a...
5 days ago - save job - email - more...

Medicare Case Manager (RN) - Dublin, OH

Humana 597 reviews - Dublin, OH - +1 location
Conduct admission review, post-discharge calls and discharge planning. Active RN license in the state(s) in which the nurse is required to practice....
10 days ago - save job - 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)....
4 days ago - save job - email - more...

Medicare Medical Review Nurse

NCI Information Systems, Inc. 94 reviews - Omaha, NE
This experience may be in the MAC or program integrity arenas or having worked directly for a Medicare participating provider....
4 days ago - save job - email - more...

Nurse Consultant (Referral)

U.S. Army Medical Command 2 reviews - Fort Huachuca, AZ
Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.... $52,775 - $68,608 a year
usajobs.gov - 1 day ago - save job - email - more...
Registered Nurse, Service Line Coordinator-CV/Thoracic (Surg...
Ministry Health Care 13 reviews - Saint Joseph, WI
Nurse Association Scope and Standards for Nurse... Nurse Association Scope and Standards for Nurse Administrators (1996) and the Code of Ethics for Nurses...
Sponsored by Ministry Health Care - 30+ days ago
Registered Nurse - RN - Case Manager
Maxim Healthcare Services 424 reviews - Akron, OH
experienced Registered Nurse Case Managers in the... Participate in Quality Assurance and Utilization review activities, as directed. • Empower patients in...
Sponsored by Maxim Healthcare Services - 10 days ago
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