Utilization Review Nurse jobs

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Med Documentation Spec - Pool
Mercy 109 reviews - Chesterfield, MO
Completes initial review, follow up reviews, mortaility reviews, and secondary reviews of patient records within specified time for a specified patient...
Sponsored by Mercy
Clinical Appeals/Audit Specialist
Loma Linda University Medical Center - Murrieta - Murrieta, CA
Minimum of three years experience in case management or discharge planning, utilization review, or internal auditing required....
Sponsored by Loma Linda University Medical Center - Murrieta

Utilization Review Coordinator/ Medical Policy Coordinator (...

HealthPartners 62 reviews - Bloomington, MN
Utilization Review Coordinator/ Medical Policy Coordinator (RN). Responsible for prospective, concurrent review and retrospective review authorizations....

Utilization Management Nurse (UM) - Registered Nurse

Stanwell Health - Cleveland, OH
Utilization Management (RN):. Perform telephonic and electronic review to:. Complete predeterminations and retrospective reviews as requested....
Easily apply

Case Manager RN - Telephonic Disease Management Program

Sutter Health 241 reviews - Sacramento, CA
Physicians, nurses, social workers, etc. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge...

Medical Review Nurse

NCI Information Systems, Inc. 134 reviews - Omaha, NE  +1 location
Medical review experience preferred. As the Medical Review Nurse ( Medical Reviewer III ), you are responsible for conducting clinical reviews of medical...

Telephonic Utilization Management Nurse (RN) - Phoenix, AZ

Humana 1,016 reviews - Las Vegas, NV
Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

Clinical Review Coordinator

Health & Medical Affairs - Southfield, MI
Registered Nurse with current Michigan Registered Nurse license required. Two (2) to four (4) years of clinical experience which may include acute patient care,...

Utilization Reivew Nurse

Health Choice 4 reviews - Phoenix, AZ  +1 location
The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health Choice members, considering Interqual criteria and other national...

Care Coordination Nurse

Quantum Health - Ohio  +1 location
Nurse case management. They also function as a clinical resource for other staff in the company such as utilization review, patient services, disease management...


Universal Health Services - Reno, NV
Utilization Review experience preferred. UTILIZATION REVIEW COORDINATOR PER DIEM. The Unit Review Coordinator provides admission and continued stay reviews in...

Discharge Planner Nurse Reviewer

Health Partners, Inc. - Philadelphia, PA
Licensed Registered Nurse, must have an active license to practice professional nursing in the Commonwealth of Pennsylvania., 2 years medical/surgical,...
Senior Consultant - Healthcare Coding
FTI Consulting, Inc. 37 reviews - Nashville, TN
Registered Nurse (RN). Responsible for ICD—9/10 record review as well as auditing, ICD-9 and ICD-10. The work may also entail identification of cost efficiency...
Sponsored by FTI Consulting, Inc.
Utilization Management Review Nurse
Chinese Hospital 2 reviews - San Francisco, CA
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
Easily apply
Sponsored by Chinese Hospital
Clinical Appeals RN - Telecommute from anywhere
UnitedHealth Group 2,187 reviews - New York, NY
Utilization Management, pre-authorization, or concurrent review experience. Review and interpret Plan language....
Sponsored by UnitedHealth Group
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