Utilization Review Nurse jobs

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Registered Nurse - Case Manager
Maxim Healthcare Services 438 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 - 5 days ago
Utilization Management Specialist (1849)
L.A. Care Health Plan 6 reviews - Los Angeles, CA
on case reviews for pre-service, concurrent post-service and retrospective claims medical review. Monitors... Required Registered Nurses (RN) graduate; Associate...
Sponsored by L.A. Care Health Plan - 30+ days ago
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UTIL REVIEW SPEC/RAC LIAISON

Yale New Haven Health Services - New Haven, CT
JOB SUMMARY: Performs a wide range of utilization review and management activities in an attempt to... experience. Utilization review/management experience...
Yale New Haven Health - 2 days ago - save job - block - email - more...

Nurse Reviewer

Astyra Corporation 2 reviews - Cleveland, OH - +1 location
One year of Utilization Review required.****From 5/1... review tool by the appropriate means. Accurate and timely submission of all administrative and review... $54,000 - $60,000 a year
2 days ago - save job - block - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 318 reviews - Dallas, TX 75247 (Northwest Dallas area)
Services and benefit utilization -Utilizes clinical... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
1 day ago - save job - block - email - more...

RN-Case Manager (Full-time, Days)

Catholic Health Initiatives 85 reviews - Louisville, KY
and concurrent utilization review for all patients of... with the expectation of 100% patient review. Also conducts retro reviews as needed. Serves as a patient...
2 days ago - save job - block - email - more...

UR\QA Analyst

Sharp HealthCare 51 reviews - San Diego, CA
oversees quality, utilization, compliance, and... including transplant care, wound experts, diabetes nurse educator, infusion specialists, and non-invasive...
3 days ago - save job - block - email - more...

Utilization Review Nurse - SJH - FT - Days

Catholic Health Initiatives 85 reviews - Lexington, KY
Responsible for Utilization Review for medical... health insurance coverage. Contacts the Utilization Review Chairman concurrently regarding any patient...
23 hours ago - save job - block - email - more...

Clinical Review Nurse

Children's Healthcare of Atlanta 100 reviews - Atlanta, GA
The Clinical Review Nurse participates as a member of... clinical review. Reviews concurrently all inpatients, including critical care patients on a cyclic review...
3 days ago - save job - block - email - more...

Hospital Onsite Inpatient Care Manager RN ~ Denton, TX

UnitedHealth Group 1,373 reviews - Dallas, TX
Onsite_UM_Nurse.pdf Utilization Management Nurse responsibilities include: Perform utilization management, utilization review and/or concurrent review onsite...
6 days ago - save job - block - email - more...

Hospital Onsite Inpatient Care Manager RN ~ Dallas, TX

UnitedHealth Group 1,373 reviews - Dallas, TX - +1 location
Onsite_UM_Nurse.pdf Utilization Management Nurse responsibilities include: Perform utilization management, utilization review and/or concurrent review onsite...
6 days ago - save job - block - email - more...

Hospital Onsite Inpatient Care Manager RN ~ SW Fort Worth, T...

UnitedHealth Group 1,373 reviews - Fort Worth, TX
Onsite_UM_Nurse.pdf Utilization Management Nurse responsibilities include: Perform utilization management, utilization review and/or concurrent review onsite...
6 days ago - save job - block - email - more...
Telephonic Inpatient Care Manager RN, Work from Home in Miss...
UnitedHealth Group 1,373 reviews - St. Louis, MO
Nurse, is responsible for utilization management, utilization review and concurrent review. The UM RN... Utilization Management, Utilization Review, UM, UR...
Sponsored by UnitedHealth Group - 15 days ago
Clinical Nurse Reviewer - Work from Home!
CareCore National - Colorado Springs, CO
Nurse with strong technical/computer skills. An understanding of Utilization Review is highly preferred... Professional Nurse or Licensed Practical Nurse. At...
Sponsored by CareCore National - 4 days ago
Care Manager
Athens Regional Health System - Athens, GA
appropriate resource utilization, and assesses... Maintains current clinical knowledge in area of review and patient population. Promotes own professional...
Sponsored by Athens Regional Health System - 30+ days ago
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Company with Utilization Review Nurse jobs
6 reviews
L.A. Care is a leader in developing new programs through innovative partnerships designed to provide health coverage.
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