Utilization Review Nurse jobs

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Utilization Review Case Manager
CorVel 23 reviews - Cincinnati, OH
Strong cost containment background, such as utilization review or managed care preferred. Performs claim re-activation reviews....
Sponsored by CorVel - 30+ days ago
Intake Nurse
Access Nursing Services 5 reviews - New York, NY
Collaborates with the hospital’s case managers, discharge planning personnel, utilization review. NY1, Intake Nurse, Intake RN, Intake Registered Nurse, UAS,...
Sponsored by Access Nursing Services - 22 days ago
RN Utilization review - flex
Cancer Treatment Centers of America 79 reviews - Zion, IL
RN Utilization Review. Reporting to the Utilization Review Manager, the Utilization Review Nurse (UR RN) performs concurrent review of relevant medical...
Sponsored by Cancer Treatment Centers of America - 22 days ago

UTILIZATION SPECIALIST (46614)

UnityPoint at Home - Urbandale, IA
Reviews SOC/ROC admits with Oasis for accuracy and service utilization and provides feedback to clinicians....

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 461 reviews - New Albany, OH - +3 locations
Click here to review the benefits associated with this position. The Registered Nurse (RN) Utilization Management Clinical Consultant utilizes their...

Outpatient Utilization Nurse

River City Medical Group - Sacramento, CA 95831 (Greenhaven area)
Act as back up for Case Managers and/or Concurrent Review Nurses when needed. Responsible for working directly with the Medical Director to review and properly...
Easily apply

Utilization Review (UR) Nurse

PremierOne Plus MSO - Cerritos, CA
Review requests for prior authorization of medical services. Review provider requests through fax or telephone to ensure medical necessity for services...
Easily apply

Utilization Management Specialist

Corizon, Inc. - Brentwood, TN
Review and assess over/under utilization issues. The UM nurse is responsible for the implementation of a comprehensive outpatient/inpatient review process...

CLINICAL DOCUMENTATION SPECIALIST, FT

Central Carolina Hospital 9 reviews - Sanford, NC
Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

Medical Review/Reconsideration Coordinator

Arkansas Foundation for Medical Care 4 reviews - Fort Smith, AR
Review PA rationale and determine review outcome. Licensed as a Practical Nurse or Vocational Nurse in the State of Arkansas....

RN Medical Case Mgr - Workers Compensation

The Travelers Companies, Inc. - Saint Paul, MN - +12 locations
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Registered Nurse (RN)

Sono Bello 12 reviews - Garfield Heights, OH - +2 locations
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...

Utilization Management Nurse (RN) - Dublin OH

Humana Inc. 891 reviews - Dublin, OH
Utilization Management Nurse, RN. Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and...
Nurse Disability Consultant
Lincoln Financial 34 reviews - Atlanta, GA
Educational experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management...
Sponsored by Lincoln Financial Group - 30+ days ago
Registered Nurse Home Health
Summit Home Health Care - Cheyenne, WY
Participates in utilization review of medical records as assigned. Licensed Practical Nurse, Home Health Aide....
Easily apply
Sponsored by Summit Home Health Care - 18 days ago
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Company with Utilization Review Nurse jobs
5 reviews
ACCESS Nursing Services provides comprehensive care to patients and essential staff to healthcare organizations throughout the country.