Utilization Review Nurse jobs

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Utilization Review Nurse
Mercy - 220 reviews - Chesterfield, MO
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management....
Registered Nurse (RN)--Utilization Review
Utilization Review Nurse. The Utilization Review Nurse performs medical necessity reviews on all commercial payor admissions to obtain authorization for care...

Medical Review Nurse

Performant Financial Corporation - 13 reviews - San Angelo, TX
The Medical Review Nurse performs medical claims audit reviews. Strong preference for experience performing utilization review for an insurance company, Tricare...

Prior Authorization Nurse II

Superior HealthPlan - 457 reviews - Austin, TX
Participate in utilization management committees and work on special projects related to utilization management as needed....

Utilization Management Nurse RN

UnitedHealth Group - 5,557 reviews - Ridgeland, MS 39158
Perform utilization management, utilization review, or concurrent review (on-site or telephonic Care coordination)....

UR Nurse Reviewer

HMS - 547 reviews - Massachusetts
1+ year utilization review experience preferred. UR Nurse Reviewer. Ability to medically review; Assigns case reviews by identifying the issues for review and...

RN - Utilization Management Nurse Consultant- Registered Nur...

Aetna - 2,284 reviews - Downers Grove, IL
Nursing/Registered Nurse (RN). You will conduct concurrent reviews. Have exposure to various clinical reviews....

Utilization Management Nurse Reviewer

SSM Health - 267 reviews - Madison, WI 53717 (Walnut Grove area)
Previous experience in utilization management or prior authorization reviews. UM NURSE REVIEWER This UM Nurse Reviewer position is an opportunity for an RN to...

Nurse Reviewer - RN (Temporary)

Health Care District of Palm Beach County - 13 reviews - Palm Springs, FL
Utilization review required. Manner through utilization review based on Interqual Criteria, appropriate. Registered Nurse license required....

Utlilization Review RN Job - Marble Falls, TX

Baylor Scott & White Health - 326 reviews - Marble Falls, TX  +1 location
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...

Health Planning & Support Telephonic RN - Work at Home

Humana - 2,726 reviews - San Antonio, TX 78229
Previous case management or utilization review. Humana is seeking a Health Planning and Support (HPS) nurse to provide Humana members with general nurse advice;...

Nurse Reviewer, Utilization 3

Mitchell International, Inc. - 3 reviews - Texas
Mitchell’s Nurse Reviewers are Registered Nurses and will typically have at least 3 years clinical experience and one year within utilization review....
Registered Nurse Case Manager (Utilization Review) - Full Ti...
Least one year experience in utilization review, resource management, discharge. And continued stay reviews. Purposes of efficient resource utilization....
Case Manager Registered Nurse - Utilization Review ( Full Ti...
Providence Health & Services - 817 reviews - Santa Monica, CA 90407
Minimum of 3 years experience in case management, discharge planning, and/or utilization review. Current California Registered Nurse license....
RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 57 reviews - Madison, WI
Recent experience as an inpatient utilization review nurse or UM coordinator. The Utilization Review (UR) Specialist has well-developed knowledge and skills in...
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