Utilization Review Nurse jobs

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RN UTILIZATION REVIEW
Doctors Medical Center of Modesto - Modesto, CA
The Utilization Review Nurse ensures quality, cost-effective patient care through planning, communication, critical thinking and facilitation of the multi...
Sponsored by Tenet Healthcare
Utilization Review Nurse
ArchCare - New York, NY
Inpatient admission review. The Utilization Review Nurse at any time may have to assume the responsibilities of covering the Inpatient Services, Outpatient...
Sponsored

Utilization Review Nurse I (CA Only)

Health Net, Inc. 8 reviews - Rancho Cordova, CA 95742
The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization....

Utilization Review Nurse

CorVel Corporation 138 reviews - Downers Grove, IL  +1 location
Outpatient utilization review. Prospective, concurrent and retrospective utilization review. The Utilization Review Nurse must identify the necessity of the...

Telehealth Nurse

Humana 1,141 reviews - Colorado Springs, CO
Utilization Review experience. Will conduct peer review on T-Cons generated. Active RN license in the state(s) in which the nurse is required to practice....

RN UTILIZATION REVIEW

Doctors Medical Center of Modesto - Modesto, CA
The Utilization Review Nurse ensures quality, cost-effective patient care through planning, communication, critical thinking and facilitation of the multi...

Utilization Review Nurse

Medix 45 reviews - El Segundo, CA
° Care management, utilization review or discharge planning experience. Performs reviews as needed on other related Care Management processes including...

Senior Clinical Practice Consultant - St. Louis, MO

UnitedHealth Group 2,437 reviews - St. Louis, MO  +1 location
RN (Registered Nurse). RN, Registered nurse, nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies,...

RN CASE MANAGER- UTILIZATION REVIEW 15

ST. ROSE HOSPITAL 22 reviews - Hayward, CA 94545 (Glen Eden area)
Tracks and monitors inappropriate resource utilization. Provides relevant information to third-party payors and review agencies per departmental policies in a...

Nursing Consultant 2 - Office of the Inspector General

State of Wisconsin 72 reviews - Wisconsin
$25.29 - $36.97 an hour
Ability to assess statistical data and reports regarding health service utilization patterns by members....

Utilization Review Nurse

A New Start Treatment and Recovery Center 16 reviews - Los Angeles, CA 90034
Utilization review experience preferred but will train right candidate:. Complete all insurance and review documentation in timely manner....
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Utilization Review Nurse

Aetna 624 reviews - Tucson, AZ 85701
Managed care/utilization review experience preferred. Nursing/Licensed Practical Nurse (LPN) is required. Functional - Nursing/Clinical claim review and coding...
Travel Case Manager RN/Case Manager Registered Nurse
MSN 374 reviews - Phoenixville, PA
1 year full time Hospital case management utilization review experience within the last 2 years. Current state registered nurse license....
Sponsored by Medical Staffing Network
Nurse Medical Management I/II/Sr (Future Telecommuting!) Vir...
Anthem, Inc. 674 reviews - Richmond, VA
Nurse Med Mgmt I. Nurse Medical Management I/II/Sr. Participation in the American Association of Managed Care Nurses preferred....
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Utilization Review Case Manager RN
Porter Medical Center 7 reviews - Middlebury, VT
Utilization Review Case Manager. Utilization Review Case Manager RN (posted 7/17/15) Full time position....
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