Utilization Review Nurse jobs

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Travel Case Manager RN/Case Manager Registered Nurse
MSN 375 reviews - Ridley Park, PA
1 year full time Hospital case management utilization review experience within the last 2 years. Current state registered nurse license....
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Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 16 reviews - Walnut Creek, CA
$49 - $52 a day
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
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Supvr, Clinical Hlth Svc

Aetna 625 reviews - Urbandale, IA  +1 location
Direct supervision of Acute Utilization Management Staff to Include Nurses and non-clinical staff. Nursing/Registered Nurse is REQUIRED....

Texas Licensed RN - Prior Authorization

Maxary - Austin, TX 78727
$40 an hour
The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. The Registered Nurse will work with physicians in interpreting appropriateness of...
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Telephonic Nurse Case

Brown & Brown Insurance 27 reviews - Altamonte Springs, FL  +1 location
Recognizing the need for utilization review process, including pre-certification, concurrent review and retrospective review....

Utilization Review RN - Central Office

State of Nebraska 60 reviews - Lincoln, NE
$25.11 an hour
Performs medical/independent professional reviews and utilization reviews in Clinics and Skilled Nursing Facilities....

Registered Nurse: Utilization Management (FT, 0700-1530)

Memorial Hospital of South Bend 9 reviews - Indiana
Which impact utilization review activities. Two years of progressively responsible experience in a utilization review environment is preferred....

Clinical Documentation Specialist

County of Santa Clara 29 reviews - San Jose, CA
$53.32 - $64.61 an hour
Initiates and performs concurrent documentation reviews of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or...

Utilization Review Management / Registered Nurse

Robert Half Healthcare Practice - Indianapolis, IN 46204
$30 an hour
6+ months of recent Utilization Review experience preferred. The Robert Half Healthcare Practice is currently seeking a Utilization Review Manager with at least...
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Clinical Review Nurse-UM-Part Time-Days-THR

Texas Health Resources 192 reviews - Arlington, TX 76011 (East area)
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory....

RN Clinical Documentation Improvement (CDI) Specialist - Gra...

Tenet Healthcare 1,074 reviews - Grand Island, NE
Active state Registered Nurse license. And (b) initiate a review worksheet. Intermediate knowledge of disease pathophysiology and drug utilization....

Utilization Review / Intake Nurse

Blueridge Vista - Cincinnati, OH
UR responsibilties - participates in utilization review and/or quality assurance programs; Conducts various types of case reviews for quality and appropriate...
RN/LPN - Clinical Reviewer
eviCore healthcare - Bluffton, SC
An understanding of Utilization Review is highly preferred. Must be a Registered Professional Nurse or Licensed Practical Nurse with at least two years'...
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Nurse Case Manager (Utilization Management)
RCM Health Care Services 3 reviews - Manhattan, NY
$90,000 a year
A minimum of two years of experience in utilization management and /or utilization review. Performs utilization and case management, including inpatient, rehab,...
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Utilization Review Case Manager RN
Porter Medical Center 7 reviews - Middlebury, VT
Utilization Review Case Manager. Utilization Review Case Manager RN (posted 7/17/15) Full time position....
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