Utilization Review Nurse jobs

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Utilization Review Nurse
Aspire Health Plan - Monterey, CA
The Utilization Review Nurse will:. Participate in quality audits, chart audits, and reviews of medical records as needed for either complex high cost cases or...
Sponsored by Aspire Health Plan
Concurrent Review Nurse
Trillium Community Health Plan - Eugene, OR
Concurrent Review Nurse. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for...
Easily apply
Sponsored by Trillium Community Health Plan

Utlilization Review Nurse

UT Southwestern Medical Center - Dallas - Dallas, TX
Consistently relates utilization assessment to payers that are needed to justify continued stay review and to obtain pre-certification. CB....

Registered Nurse - Appeals and Grievances

Providence Health & Services 182 reviews - Beaverton, OR 97005 (Central Beaverton area)
Experience working with physicians in collaboration and management of patient care and/or utilization review....

Medicare Case Manager (RN) - Torrance, CA (work at home)

Humana 1,045 reviews - Torrance, CA
Previous experience in utilization management, case management, discharge planning and/or home health or rehab....

NCLEX RN Instructor - Springfield, MO

Kaplan 671 reviews - Springfield, MO  100+ locations
Utilization of the Faculty Manual. Current, unencumbered license as a Registered Nurse. Excellent classroom experiences through a guided review of application...

Utilization Review Nurse

MemorialCare Corporate - Fountain Valley, CA
In addition to multiple locations throughout Orange County, MemorialCare Medical Group offers Urgent Care Centers that are open 365 days-a-year, Telephone...

Registered Nurse -Office position -Utilization Review

Rising Medical Solutions, Inc - Chicago, IL
Perform all aspects of the Utilization Review process, which are listed below. Track ongoing status of all utilization review activity so that appropriate turn...
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Command Center Utilization Review Coord FT 8 hours

Community Regional Medical Center 54 reviews - Fresno, CA
Command Center - Utilization Review Coord - FT 8 hours. Registered Nurse (R.N.). Current California Registered Nurse license....

Public Service Administrator - Opt 8N

State of Illinois 114 reviews - Sangamon County, IL
$3,116 - $9,765 a month
Option 8N - Nurse Registered Il. Reviews data analysis results utilizing medical expertise; Requires licensure as a Registered Nurse in the State of Illinois....

Registered Nurse (RN) - UM Nurse Consultant

Aetna 570 reviews - Denver, CO 80237 (Southeastern Denver area)
The nurse uses clinical skills to coordinate, document and communicate all aspects of the utilization management program....

Authorization Nurse

University of Pittsburgh Medical Center (UPMC) 314 reviews - Pittsburgh, PA 15203 (Southside Slopes area)
Prior utilization review experience. Maintain collaborative relationships with utilization management and departments at payor organizations....
RN, Utilization Management - Greenville, South Carolina
Advicare Health - Charleston, SC
Appropriately considers and applies regulatory requirements in the review process; Advicare Health is currently looking for a Utilization Management, RN in...
Easily apply
Sponsored by Advicare Health
RN Clinical Documentation Improvement
Northside Hospital 231 reviews - Atlanta, GA
Minimum 5 years’ experience in nursing in an acute care setting through direct patient care, utilization review, case management or quality review....
Sponsored by Northside Hospital
Care Advisor Nurse
Patient First 93 reviews - Glen Allen, VA
Utilization review and call center experience a plus; Helping develop new members of the nurse call center; The responsibilities of the job include, but are not...
Sponsored by Patient First
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