Utilization Review Nurse jobs

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RN (Registered Nurse) UAS Assessments
Lifetime Care 13 reviews - Rochester, NY
of appropriate services, supervision, and ongoing review and evaluation of the utilization of services. Essential Responsibilities/Accountabilities...
Sponsored by Lifetime Care - 21 days ago
Registered Nurse Case Manager - Emergency Department
Banner Health 308 reviews - Greeley, CO
or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (R...
Sponsored by Banner Health - 3 days ago
Chief Nursing Officer (CNO) Washakie Medical Center
Banner Health 308 reviews - Worland, WY
safety. Understands utilization management and case... environment in order to coordinate activities, review work, exchange information, and resolve problems...
Sponsored by Banner Health - 3 days ago

Field Medical Management Nurse

Zenith Insurance Company 16 reviews - Pleasanton, CA
Effectively conduct case management, disability management, and utilization review in the field visiting treating physicians and injured workers facilitating...
6 days ago - save job - block - email - more...

Utilization Review Nurse (Onsite - MMAI)

Cigna 698 reviews - Chicago, IL
Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care, and case management....
10 hours ago - save job - block - email - more...

Utilization Management Nurse

Hannibal Regional Hospital 9 reviews - Hannibal, MO
Coordinates patient care and services that balances the delivery of quality patient care with cost effective utilization of resources....
5 days ago - save job - block - email - more...

Associate Care Management Coordinator - Precertification Tec...

Highmark Health - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
Highmark Inc. - 6 days ago - save job - block - email - more...

Quality & Utilization Review Nurse

CVHCare Home Health - San Ramon, CA 94583
We are seeking a Utilization Review Nurse to ensure our company is meeting its mission of providing top quality clinical services....
6 days ago - save job - block - email - more...

Telephonic RN Case Manager – Eden Prairie, MN

UnitedHealth Group 1,513 reviews - Eden Prairie, MN
RN, Registered Nurse, Case Manager, Discharge Planning, Acute Care, Managed Care, Utilization review, Certified Case Manager, CCM , Eden Prairie, MN....
4 days ago - save job - block - email - more...

Managed Care Specialist (Telephonic Nurse Case Manager)

Great American Insurance Group 18 reviews - Baton Rouge, LA - +1 location
Assigns cases to vendors for utilization review. Provides professional advice and expertise to Claims staff in developing and providing medical and cost control...
5 days ago - save job - block - email - more...

Audit Nurse-RN/LPN-Davidson County

Home Health Care of Middle TN 2 reviews - Nashville, TN
Clinical records provided by referral sources are reviewed and reconciled with Oasis Assessments to ensure accurate Oasis Data, Outcomes, resources and Coding...
1 day ago - save job - block - email - more...

Utilization Management Review Nurse

Meridian Health Plan 25 reviews - Iowa - +5 locations
A Utilization Management Review Nurse performs prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services...
9 days ago - save job - block - email - more...

RN - Utilization Review

United Hospital System - Kenosha, WI
Conducts utilization review in accordance with WIPRO and identifies and refers quality assurance problems. Performs other related duties as needed....
5 days ago - save job - block - email - more...
NaviCare RN Clinical Manager -Raynham Office - Growing Elder...
Fallon Community Health Plan 23 reviews - Raynham, MA
External Quality Review Performance Improvement... work collaboratively with members of the FCHP Utilization management Department – assists the Supervisory...
Sponsored by Fallon Community Health Plan - 3 days ago
RN Case Manager Hospice/Homecare
Visiting Nurse Association & Hospice of VT and NH - Springfield, 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 - 6 days ago
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Company with Utilization Review Nurse jobs
13 reviews
Lifetime Care provides compassionate care in the home setting, consistently one of HomeCare Elite's Top 500. Discover what we have for you!