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Case Manager Registered Nurse (RN) - Full Time (Days)
Performs admission and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan....
Sponsored by HCA Inc
RN Manager of Clinical Practice & Quality Assurance- We are...
Kindred At Home - 24 reviews - Portland, OR
Current Registered Nurse. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts...

Utilization Review Nurse - Quincy

SIHO Insurance Services - Quincy, IN
Utilization Review Nurse. Nurse, medical, utilization. The position is responsible for case management, utilization review and disease management activities...

Utilization Review Specialist

Universal Health Services - Orlando, FL  +1 location
Records of the Utilization Review department. Currently seeking a full time Utilization Review Specialist....

Utilization Management Nurse Reviewer-Care Authorizations

Medical Mutual of Ohio - 49 reviews - Cleveland, OH
Manages initial, concurrent and retrospective review of cases, including appeals. Registered Nurse with 3 years recent nursing experience with State of Ohio...

Utilization Review Coordinator - Linden Oaks - PT

Edward Hospital & Health Services - 4 reviews - Naperville, IL 60540
>At least one year of utilization review experience. Provides comprehensive education and ongoing education to staff on topics of utilization review and...

Case Manager RN - Tonawanda, NY

UnitedHealth Group - 3,953 reviews - Tonawanda, NY  +2 locations
Experience in utilization review, concurrent review and/or risk management. Registered Nurse, RN, case manager, case management, managed care, telephonic,...

Utilization Review Coordinator

St. Joseph Regional Medical Center - 23 reviews - Lewiston, ID
Utilization and/or case management certifications preferred. The Utilization Review Coordinator analyzes and evaluates concurrent admission information and...

Clinical Appeals Registered Nurse

Evolent Health - 16 reviews - Arlington, VA 22203 (Bluemont area)
Medical claims review experience. Active, unrestricted Registered Nurse license. Prepare cases for Medical Director and/or External Review....


BlueCross BlueShield of Louisiana - 3,261 reviews - Baton Rouge, LA
This position reports to a Manager in Utilization Review. A Professional Utilization Review Certification (CPUR) is required or must meet qualifications to...


Los Angeles County Fire Fighters Local 1014 H&W Pl... - El Monte, CA
$75,000 a year
Understanding of utilization review techniques including all aspects of the medical review function, including pre-authorization, concurrent review and...
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Utilization Review Case Management Specialist

Universal Health Services - Dover, DE
Perform internal utilization reviews as. Maintain other appropriate records of the Utilization Review. Information for reviews....
Utilization Review Coordinator
Veritas Collaborative iscurrently seeking a skilled Full Time Utilization Review Coordinator. Work collaboratively with therapeuticassistants, nursing staff,...
Utilization Review Nurse
Recovery Institute of America - Dana Point, CA
Previous experience in Utilization Review. Utilization Nurses are critical to our mission.*. With treatment team as needed as part of the utilization review...
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Utilization Review Specialist - Physician Advisory Services
The Utilization Review Specialist will determine the appropriate cases for review, utilizing client specific guidelines....
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