Utilization Review Nurse jobs

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Utilization Review RN, Social Work , MH, FT, 8:30A-5:30P
Mariners Hospital 2 reviews - Tavernier, FL
Registered Nurse License. Certification in utilization, quality or case management. Facilitates the communications between insurance companies, review agencies...
Sponsored by Baptist Health South Florida
Care Manager Registered Nurse, Utilization Management
ArchCare - New York, NY
Demonstrated skills in planning, organizing and directing nurse, care management, service utilization functions within MCO....
Sponsored by ArchCare

Field Based RN Case Manager

APS Healthcare 70 reviews - Houston, TX
In order to meet the needs of our members we serve, we are looking for outstanding clinically skilled Registered Nurses and Licensed Vocational Nurses, who...

Nurse Reviewer

HMS 403 reviews - East Windsor, NJ  +2 locations
Utilization review or medical abstraction experience necessary. Is responsible for performing clinical reviews of medical information and quality assurance as...

CDI Specialist - Nurse

LifeCare Hospitals of Pittsburgh - Monroeville Cam... - Monroeville, PA
Must be currently licensed as a Registered Nurse. We have an immediate opportunity for Clinical Documentation Improvement Specialist Nurses....

Utilization Review Nurse

Boon-Chapman - Houston, Texas - Austin, TX
Experience performing utilization review. Boon-Chapman is looking for a Utilization Review Nurse for our Austin office....
Easily apply

RN Medical Case Manager - Workers Compensation

The Travelers Companies, Inc. 3 reviews - Orlando, FL  +13 locations
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

+ Registered Nurse, RN - Utilization Management, Barksdale A...

Platinum Business Corporation - Bossier City, LA
Clinical Liaison Nurse or reviews TRICARE Operations Manual. Must have utilization management, utilization review or case management experience for 24 recent...
Easily apply

Review Nurse, Utilization - EMS, North Carolina

Georgia Medical Care Foundation, Inc. - Atlanta, GA
The Utilization Review Nurse, as a member of a professional multi-disciplinary work team, will perform retrospective reviews of medical records;...

Nurse - Utilization Review

Care1st Health Plan - Arizona
Reviews member in-patient medical records and conducts review to assess the appropriateness of the hospital setting....

UR Nurse Case Manager (RN) ( Per Diem / Variable )

Providence Health & Services 168 reviews - Mission Hills, CA
Providence is calling a Utilization Review Registered Nurse Case Manager to our Facey Mission Hills location in Mission Hills, CA....

Review Analyst - Multiple Openings

BlueCross BlueShield of Tennessee 45 reviews - Chattanooga, TN
Review Analyst - Multiple Openings. Performs prospective and retrospective medical necessity reviews....
Registered Nurse (RN) - 2 Years Utilization Review (UR) Expe...
Chesapeake Medical Staffing 14 reviews - Washington, DC
Registered Nurse RN MUST HAVE TWO YEARS EXPERIENCE of Utilization Review (UR). 2 Years Utilization Review (UR) Experience Required....
Easily apply
Sponsored by Chesapeake Medical Staffing
RN Care Manager - Telecommute
UnitedHealth Group 2,123 reviews - Baltimore, MD
Case manager, Utilization Review, Utilization Management, Milliman. Registered Nurse with an active United States license....
Sponsored by UnitedHealth Group
Prior Authorization Nurse - RN
Centene 222 reviews - Bedford, NH
Prior Authorization Nurse. Prior Authorization Nurse - RN. Complete medical necessity and level of care reviews for requested services using clinical judgment...
Sponsored by Personified
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Company with Utilization Review Nurse jobs
Chesapeake Medical Staffing is an RN owned and operated medical staffing agency specializing in the Baltimore/DC metropolitan area.