Utilization Review Nurse jobs

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RN Case Manager (part time)
Blake Medical Center 11 reviews - Bradenton, FL
accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every... and decrease resource utilization. Identifies and...
Sponsored by HCA West Florida - 6 days ago
Clinical Manager Franklin IN INDY OPEN HOUSE
Fresenius Medical Care 813 reviews - Franklin, IN
Standing Order Review and ICD-9 coding. Checks... inventory supply use analysis. Reviews and approves facility payroll. Reviews profit and loss statements...
Sponsored by Fresenius Medical Care - 5 days ago

Clinical Nurse - Utilization Management

QuarterLine - San Antonio, TX - +1 location
Kesson or a clinical specialty recognized by American Nurses Credentialing Center -OR- certification eligible with 3 years for ADN or 2 years for BSN experience...
1 day ago - save job - block - email - more...

Utilization Management RN

Indiana University Health 66 reviews - Muncie, IN
Responsible to participate, support, facilitate and serve as a resource for the hospital- wide Utilization Management process....
2 days ago - save job - block - email - more...

Quality/Resource Coordinator ( Job Number: 283112 )

Kaiser Permanente 1,703 reviews - Aurora, CO
Provides assessment and monitoring of resource utilization, coordinates outside referrals, provider practice patterns, quality of care, and coordination of our...
1 day ago - save job - block - email - more...

Onsite Nurse - RN -Little Rock, AR

Humana 662 reviews - Little Rock, AR
Humana is seeking an Onsite Nurse Advisor who will collaborate with other health care givers in reviewing actual and proposed medical care and services against...
1 day ago - save job - block - email - more...

Telephonic RN Case Manager in West Chester, Ohio

UnitedHealth Group 1,476 reviews - West Chester, OH
Click here to view the Realistic Job Preview:. As a Case Manager, you will be responsible for clinical operations and medical management activities across the...
4 days ago - save job - block - email - more...

Utilization Management Rep I

WellPoint, Inc 436 reviews - Woodland Hills, CA - +1 location
Responsible for coordinating cases for precertification and prior authorization review. Primary duties may includes, but are not limited:....
WellPoint - 1 day ago - save job - block - email - more...

Utilization Management Nurse-Inpatient

Korak Global Healthcare Services LLC - Bel Air, MD
Korak is seeking 2 Utilization Review Nurses - Inpatient. Responsible for utilization review and interdisciplinary coordination with a variety of providers, the...
Easily apply
12 hours ago - save job - block - email - more...

CLINICAL DOCUMENTATION SPECIALIST-FULL-TIME

Hialeah Hospital 684 reviews - Hialeah, FL
Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....
Tenet Healthcare - 5 days ago - save job - block - email - more...

Preservice Review RN Optum Medical Network - Las Vegas, NV

UnitedHealth Group 1,476 reviews - Las Vegas, NV
The Preservice Review Nurse is responsible for reviewing requests received from providers, using approved protocols and criteria (per United....
4 days ago - save job - block - email - more...

Medical Case Manager

Travelers 44 reviews - Houston, TX
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines. Utilize physician advisor program....
12 hours ago - save job - block - email - more...
Travel Utilization Review Registered Nurse (RN)
Next Medical Staffing 7 reviews - Quincy, CA
We are a national staffing agency that partners with premier healthcare facilities across the country to match your professional experience with their needs at...
Sponsored by Travel Nurse Source - 5 hours ago
Utilization Review/Quality Assurance Registered Nurse
Cross Country TravCorps' Nursing Division - Sitka, AK
opportunity in Sitka, AK for a Utilization Review/Quality Assurance Travel Nurse, however if this position... new and exciting Utilization Review/Quality Assurance...
Sponsored by Hospital Jobs Online - 5 days ago
Field Concurrent Review LPN / RN
HealthCare Support Staffing 26 reviews - Miami, FL
you! The Nurse, Inpatient, Utilization Management... on-site review Telephonic review Faxed clinical data review Electronic Medical Record (EMR) review, as... $30 - $33 an hour
Easily apply
Sponsored by HealthCare Support Staffing - 11 hours ago
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26 reviews
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