Utilization Review Nurse jobs

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DC CONTRACT Utilization Review Nurse (RN) -- Managed Care
CareNational Healthcare Services, LLC - Washington, DC
$35 - $40 an hour
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
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Sponsored by CareNational Healthcare Services, LLC - 23 days ago
Utilization Review Nurse/Case Manager (LPN or RN
Kelly Services 2,888 reviews - Philadelphia, PA
Licensed practical nurse, RN, registered nurse, practical nursing, LVN, licensed vocational nurse, medical review nurse....
Sponsored by Kelly Services - 21 hours ago
Pre-Authorization Nurse
Aviation West Charters - Scottsdale, AZ
Ensures Revenue cycle goals and productivity standards are managed across team for optimum utilization. Creates dashboard reports, through data mining, to...
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Sponsored by Aviation West Charters - 30+ days ago

Patient Utilization Registered Nurse

Beth Israel Medical Center 377 reviews - Manhattan, NY
Patient Utilization Review Nurse. Patient Utilization Registered Nurse. Patient Utilization Review Nurses will also ensure that patients receive optimal and...
Mount Sinai Health System - 1 day ago - save job - email - more...

RN Registered Nurse QI Quality Improvement Clinical Data Spe...

Northside Hospital 167 reviews - Atlanta, GA
Monitors/collects data for established clinical indicators and utilization indicators. Performs data review and evaluation on a case by case basis in a timely...
2 days ago - save job - email - more...

Utilization Management RN

Evolent Health 4 reviews - Baltimore, MD
Performs Telephonic prospective, concurrent and retrospective utilization reviews. A current valid, unrestricted Registered Nurse License or licensed practical...
2 days ago - save job - email - more...

Registered Nurse (Utilization Management)

Department of Veterans Affairs 843 reviews - Spokane, WA - +1 location
RN Utilization Manger. Utilization Management experience preferred. Qual criteria t conduct pre-admission, admission and continued stay reviews....
21 hours ago - save job - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Charleston, WV
Experience in Utilization Review, Case Management or DM and in insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and...
HealthSmart - 5 days ago - save job - email - more...

OASIS Review Specialist

Jordan Health Services 37 reviews - Addison, TX - +1 location
Experience with quality and utilization review preferred. The OASIS Review Specialist is a Registered Nurse with certifications in OASIS (COS-C) and ICD-9...
5 days ago - save job - email - more...

OASIS Review RN

Spartanburg Medical Center - Spartanburg, SC
Reviews visit utilization for appropriateness as per care guidelines and patient condition; The OASIS Review RN is responsible for the prospective review of...
Spartanburg Regional Healthcare System - 1 day ago - save job - email - more...

RN Utilization Review Nurse - Nashville, TN

Cigna 783 reviews - Birmingham, AL - +1 location
RN Utilization Review Nurse - Nashville, TN. Current licensure as a Register Nurse (RN), Licensed Practical Nurs At least three years of clinical experience....
2 days ago - save job - email - more...

Registered Nurse (RN) - Workers' Comp Telephonic Case Manage...

Aetna 422 reviews - Chicago, IL 60606 (Loop area) - +4 locations
Utilization Review experience preferred. Nursing/Registered Nurse (RN) is required. Working At Aetna -- the Value To You....
7 days ago - save job - email - more...

Registered Nurse\Utilization Review Excel Lewisville

Universal Health Services - Lewisville, TX
The Utilization Review Registered Nurse is responsible for managing the treatment activities offered to patients, including the appropriate clinical screening...
1 day ago - save job - email - more...
ER Case Manager - Case Management
McLeod Health 23 reviews - Florence, SC
1-2 years utilization review experience preferred. South Carolina Registered Nurse required. Registered Nurse from an NLN accredited school of nursing required....
Sponsored by Mcleod Health - 8 days ago
Registered Nurse, RN Utilization Management
Platinum Business Corporation - Hill AFB, UT
Outstanding Registered Nurse Clinical Nurse Utilization Management Opportunity at Hill AFB, Ogden, UT. If unsure, coordinates with TRICARE Regional Office...
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Sponsored by Platinum Business Corporation - 16 days ago
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