Utilization Review Nurse jobs

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Utilization Review Nurse
Virginia Mason - 101 reviews - Seattle, WA 98127
Experience in utilization review:. Performs a review of the clinical assessment for medical necessity for all hospitalized patients using utilization review...
RN Review Analyst I
Registered nurse license in the state of Arkansas. Utilization management experience or background in medical economics preferred....

Nurse Reviewer, Utilization 3

Mitchell International, Inc. - 3 reviews - Texas
Mitchell’s Nurse Reviewers are Registered Nurses and will typically have at least 3 years clinical experience and one year within utilization review....

Prior Authorization Nurse

UnitedHealth Group - 5,549 reviews - Wakefield, MA 01880  +4 locations
Utilization Management experience. Perform / support clinical appeals (e.g., notes, previous reviews, obtain rationales) RN....

Clinical RN-with Utilization Management, Case Management

Care1st Health Plan - 31 reviews - San Diego, CA
Registered Nurse (RN). The HEDIS Network Support Nurse is responsible for performing medical record review and audit, data extraction, maintaining the HEDIS...
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Prior Authorization Nurse I

Granite State Health Plan - 454 reviews - Bedford, NH 03110
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Prior Authorization Nurse I

Buckeye Community Health Plan - 454 reviews - Columbus, OH 43215 (Downtown area)
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Medical Review Nurse (RN or LPN with Provider billing exp)

JSP Recruitment Services - Clayton, MO
$57,100 - $70,500 a year
Medical Review Nurse*. Qualifications of the Medical Review Nurse*. Salary for the Medical Review Nurse $57,100 - $70,500....
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Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna - 2,278 reviews - High Point, NC  +1 location
As a Registered Nurse (RN) Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the...

Utilization Review Specialist (RN) Job

HealthPartners - 180 reviews - Bloomington, MN
We currently have an exciting new opportunity for a Utilization Review Specialist (RN). Currently licensed Registered Nurse....

Concurrent Review Nurse I

IlliniCare Health Plan - 454 reviews - Westmont, IL
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

RN- Uttilization Management Consultant - Registered Nurse

Aetna - 2,278 reviews - Downers Grove, IL
Nursing/Registered Nurse (RN). You will conduct concurrent reviews. Have exposure to various clinical reviews....
Registered Nurse (RN)--Utilization Review
Utilization Review Nurse. The Utilization Review Nurse performs medical necessity reviews on all commercial payor admissions to obtain authorization for care...
Utilization Review Nurse
Mercy - 219 reviews - Chesterfield, MO
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management....
RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 57 reviews - Madison, WI
Recent experience as an inpatient utilization review nurse or UM coordinator. The Utilization Review (UR) Specialist has well-developed knowledge and skills in...
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