Utilization Review Nurse jobs

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Senior Clinical Practice Consultant - Telecommuter - New Yor...
UnitedHealth Group 1,811 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies,operational, NY, New York,...
Sponsored by UnitedHealth Group - 4 days ago
RN (Registered Nurse)
Maxim Healthcare Services 692 reviews - Arlington, VA
Participate in Quality Assurance and Utilization review activities, as directed. Follow State/Country mandated guidelines for the nurse case management programs...
Sponsored by Maxim Healthcare Services - 11 days ago
Pediatric Care Coordination Registered Nurse (West Palm Beac...
eQHealth Solutions - West Palm Beach, FL
Prospective Review Urgent/Non-urgent, Concurrent Review and Retrospective Review. Provides first level utilization review for all inpatient and outpatient...
Sponsored by eQHealth Solutions - 28 days ago

Registered Nurse (RN) Utilization Management Clinical Consul...

Aetna 436 reviews - Phoenix, AZ 85040 (South Mountain area) - +1 location
As a Registered Nurse (RN) Utilization Management Clinical Consultant/Prior Authorization Nurse, you will conduct prospective reviews of authorization requests,...
4 days ago - save job - email - more...

Clinical Review Nurse (Pharmacy)

York Risk Services Group Inc. - Peabody, MA
The Clinical Review Nurse utilizes Med. The Clinical Review Nurse communicates results of clinical review and rationale of need for case management intervention...
3 days ago - save job - email - more...

Registered Nurse

Sono Bello 10 reviews - Tampa, FL - +3 locations
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...
9 hours ago - save job - email - more...

Nurse (Utilization Review)

Department of Veterans Affairs 881 reviews - Fort Harrison, MT
The nurse's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses)....
3 days ago - save job - email - more...

Medical Review RN - Per-Diem

Dignity Health 473 reviews - Sacramento, CA
Completes medical necessity utilization reviews and documents those reviews in MIDAS+ within required timeframes....
18 hours ago - save job - email - more...

Utilization Management Nurse (RN)

Veritage (BCBSAZ Advantage) - Phoenix, AZ 85021 (North Mountain area)
Managed care or equivalent experience in the areas of utilization management, concurrent review, discharge planning, care coordination and case management, and...
3 days ago - save job - email - more...

RN

MDLIVE Inc - City of Sunrise, FL 33325
Apply clinical knowledge and assess the patient needs and correct follow up based on chart review. Composes and suggests creative and sustainable ideas for...
3 days ago - save job - email - more...

Resident Assessment/ MDS Nurse

Elmcroft Senior Living - Louisville, KY
Must hold a current unencumbered non-restricted nurse license in the state the position is held or be able to obtain such....
1 day ago - save job - email - more...

Appeals RN, Utilization Management

HealthSmart Care Management Solutions - Irving, TX
The Supervisor Utilization Management Nurse leads and manages the UM appeals process for compliance with URAC and PPACA....
HealthSmart - 9 days ago - save job - email - more...

Registered Nurse (RN) - Case Manager

Aetna 436 reviews - McLean, VA 22101 - +6 locations
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....
2 days ago - save job - email - more...
Utilization Management Review Nurse
Chinese Community Health Plan - San Francisco, CA
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
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Sponsored by Chinese Community Health Plan - 30+ days ago
Registered Nurse, RN
24/7 Home Health Care - Aurora, CO
Participates in utilization review of medical. Registered Nurse RN. Nurse, Home Health Aide. Participates in peer review and quality....
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Sponsored by 24/7 Home Health Care - 7 days ago
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Company with Utilization Review Nurse jobs
1,811 reviews
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