Utilization Review Nurse jobs

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 326 reviews - Roanoke, VA
Hospital case management utilization review experience. Current state registered nurse license. Travel Case Manager RN/Case Manager Registered Nurse....
Sponsored by Medical Staffing Network - 14 days ago
RN/Healthy @ Home/Salary/WE
Carolinas HealthCare System 155 reviews - Lincolnton, NC
Reviews patient records monthly and participates in utilization and compliance reviews and substantiates in writing any deviation from care plan with...
Sponsored by Carolinas HealthCare System - 21 hours ago
Utilization Management Nurse RN - Telecommute in Atlanta, GA
UnitedHealth Group 1,996 reviews - Atlanta, GA
Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management)....
Sponsored by UnitedHealth Group - 5 hours ago

Medicaid Specialist - Utilization Management

Medicaid Specialist - Utilization Management Utili... - United States
Ensures accurate and prompt entry of all authorizations with prompt notification of any denials to the appropriate Utilization Review Nurse, Denials/Appeals...

RN Case Mgr (PT) - West Chester Hospital - UR

UC Health 32 reviews - West Chester, OH
The RN-Utilization Review Nurse/Case Manager will use established criteria and policy/procedures to perform pre-admission, admission, and continued stay reviews...

Utilization Review Coordinator - Per Diem

Del Amo Hospital 4 reviews - Torrance, CA 90505
The Utilization Review. Have a positions available for Per Diem Utilization Review. Monitors admission and concurrent reviews....

Utilization Review Nurse

CorVel 25 reviews - Central Islip, NY - +2 locations
The NY Utilization Review Nurse is responsible for all incoming requests that are associated with the NY Medical Treatment Guidelines....

Utilization Management Nurse

Affinity Health Plan 72 reviews - Bronx, NY
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...

Clinical Documentation Improvement RN

Community Health Network 77 reviews - Anderson, IN
Prefer documented recent clinical documentation improvement experience, utilization review or case management experience....

Medical Review Specialist

Provider Resources Inc - Lumberton, NC 28359
Medical Review Specialist. Maintain compliance with all regulation changes as they impact medical and utilization review practices....

Utilization Reivew Nurse, Part Time

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

Clinical Care Reviewer Utilization Management

AmeriHealth Caritas 61 reviews - Harrisburg, PA - +2 locations
Current Unrestricted Pennsylvania Registered Nurse License required. Reviews inpatient and outpatient services requiring Plan approval;...

Retro Medicaid RN

Shared Services - Houston - Houston, TX
Utilization Review, appeals, denials, managed care contracting, experienced preferred. Escalate medical review request and/or denial activities to....
Registered Nurse Case Manager Home Health Care (RN)
Harmony Home Health and Hospice 5 reviews - Murray, UT
Including in-services, utilization review and performance improvement committee. Currently licensed in the Operating State as a Registered Nurse....
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Sponsored by Harmony Home Health and Hospice - 14 days ago
AVP, Organizational Culture and Quality
Brightpoint Health - New York, NY
Monitors and reviews relevant clinical and utilization data to determine areas that may need improvement....
Sponsored by Brightpoint Health - 30+ days ago
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Company with Utilization Review Nurse jobs
1,996 reviews
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