Utilization Review Nurse jobs

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RN Admissions Coordinator/Utilization Review - Psychiatry Jo...
Peacehealth 37 reviews - Eugene, OR
Unit as a RN Admissions Coordinator/Utilization Review. This is a 28 hr/wk, day shift position. This... Licensure: Registered Nurse - Oregon The above... $33.84 an hour
Sponsored by PeaceHealth - 14 days ago
Registered Nurse, Clinical Consultant - Virtual
Prudential 526 reviews - Pittsburgh, PA
pursuant to developmental goals and business needs. This is not a Utilization Review position. For candidates with Disability Industry RN, Clinical...
Sponsored by Prudential - 28 days ago
Show:  all jobs - only 'Easy Apply' jobs

DOM-Medicaid Program Nurse II

State of Mississippi - Hinds County, MS
The DOM-Medicaid Program Nurse II practices professional nursing under the direct or indirect supervision of the Medicaid Nurse Administrator or the DOM... $52,703.40 a year
7 hours ago - save job - block - email - more...

Utilization Review Nurse California & Chattanooga TN or WAH...

Cigna 635 reviews - United States
One year or more experience in Managed Care preferred. The nurse decision-making is based on Cigna's accepted clinical criteria sets, regulatory requirements,...
6 days ago - save job - block - email - more...

Advice Nurse - Regional ( Job Number: 269566 )

Kaiser Permanente 1,587 reviews - Atlanta, GA
Ability to communicate effectively. Understands, interprets and acts on a variety of statistical measurement of individual and call center performance;....
5 hours ago - save job - block - email - more...

RN Utilization Review

Christus Health 74 reviews - Alexandria, LA
Monitors for appropriateness of admission, continuing stay criteria, and refers deficiencies to appropriate personnel and/or medical staff....
3 days ago - save job - block - email - more...

Utilization Management Specialist

Sanford Health 53 reviews - Sioux Falls, SD
Currently licensed with the applicable State Nursing Board and/or possess multistate licensure privileges as required by position if appropriate....
9 days ago - save job - block - email - more...

RN Care Manager- Mental Health .85fte FSS (0000)

Catholic Health Initiatives 85 reviews - Tacoma, WA
License/Certifications:. Assesses, plans, and coordinates care on select patient population. Seeks and evaluates available options and services to meet an...
7 days ago - save job - block - email - more...

Inpatient Review Nurse-Miami

Cigna 635 reviews - Miami, FL
In conjunction with and under the supervision of physicians and LMCHP UM staff regarding a treatment plan, members’ discharge plans, and available covered...
4 days ago - save job - block - email - more...

Util Review/Case Mgmt Nurse

Children's Hospital & Health System - Milwaukee, WI
Previous experience in care of the child/family preferred. Independent judgment, analytical ability, systems thinking and interpersonal communications necessary...
8 days ago - save job - block - email - more...

Chemical Dependecy Utilization Review Nurse - LVN

The Champion Center - Lompoc, CA
Provides concurrent and initial reviews when necessary to third party payors by phone, in person, and in written correspondence....
Easily apply
7 days ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management (UM) Current...

Aetna 318 reviews - South Jordan, UT 84095
Option for telework will be evaluated after a certain period of employment. Aetna is about more than just doing a job....
7 days ago - save job - block - email - more...
RN - Utilization Management (UM)
Department of Veterans Affairs 657 reviews - Dallas, TX
The Utilization Management (UM) Nurse provides direct... UM Nurse assesses and collects health data based upon the InterQual review. The UM nurse communicates with...
Sponsored by Department of Veterans Affairs - 11 days ago
Nurse Coder
Health Care Excel - Indianapolis, IN
The position of Nurse Coder is responsible for conducting a detailed review of inpatient and /or... Document review findings in designated review...
Easily apply
Sponsored by Health Care Excel - 30+ days ago
Clinical Appeals & Coding RN - Telecommute Opportunity
UnitedHealth Group 1,371 reviews - Tampa, FL
Medical record review/ appeal review experience... Keywords: RN, registered nurse, utilization, case management, appeals, chart review, coding, telephonic...
Sponsored by UnitedHealth Group - 13 days ago

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