Utilization Review Nurse jobs

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Case Management/Utilization Review RN
Boulder City Hospital - Boulder City, NV
The Utilization Review Nurse will report to the Chief Nursing Officer. Utilization Review RN will comply with health plans, guidelines and perform patient...
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Sponsored by Boulder City Hospital - 30+ days ago
Clinical Appeals RN - Telecommute - US
UnitedHealth Group 1,879 reviews - Washington, DC
1+ year Utilization Review, Case Management or Medical Appeal Review experience. RN, Registered Nurse, Case Manager, Utilization Review, Appeals, Grievances,...
Sponsored by UnitedHealth Group - 5 days ago
Cardiac Nurse Navigator/ Part Time / Rose Medical Center
Rose Medical Center 34 reviews - Denver, CO
Care Assure Nurse Navigator. Reviews medications /educates patient as needed, Initiates communication regarding dashboard triggers with care team....
Sponsored by HCA Inc - 1 day ago

Utilization Review Nurse, Appeals

Ascend Management Innovations - Franklin, TN 37067
Prior utilization review experience in a healthcare setting is preferred. Conducts utilization review of medical assessor documentation related to level of care...
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RN - Utilization Management (NAS)

Baptist Medical Center 177 reviews - Jacksonville, FL
Licensed Registered Nurse. The ideal candidate for the Utilization Management Nurse position at Baptist Health is Registered Nurse (BSN preferred) with a strong...

Telephonic Workers Compensation Case Manager (RN)

Broadspire 24 reviews - Portland, ME - +1 location
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

RN/Healthy @ Home/Salary

Carolinas HealthCare System 143 reviews - Charlotte, NC
Reviews patient records monthly and participates in utilization and compliance reviews and substantiates in writing any deviation from care plan with...

Utilization Review Case Mgr

The University of Texas Medical Branch 11 reviews - Houston, TX
Utilization Review Case Mgr. Prefer Utilization Management and/or Case Management experience. Performs technical and administrative work required to evaluate...

Registered Nurse Case Management/Utilization Review

Specialists Hospital Shreveport - Shreveport, LA 71101 (Highland-Stoner Hill area)
Duties Include: Case Management. CMS and State of Louisiana Regulations. Interaction and communication with physicians and extenders. Hospital wide quality
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Clinical Care Reviewer Utilization Management

AmeriHealth Caritas 47 reviews - Harrisburg, PA - +1 location
Current Unrestricted Pennsylvania Registered Nurse License required. Reviews inpatient and outpatient services requiring Plan approval;...

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....

Clinical Review Specialist Commercial Insurance

Liberty Mutual 786 reviews - Wausau, WI
Previous hospital bill auditing or utilization review experience a plus. Current unrestricted registered nurse (R.N.)....

RN-Utilization Management

Children's Physicians Medical Group - San Diego, CA
At least two years managed care experience, with utilization review management. Registered Nurse with current unrestricted California License....
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Quality Improvement RN
Kline Galland Home Health and Hospice - Seattle, WA
┬░Coordinates activities related to clinical record review for data collection. ┬░Registered nurse with current licensure to practice professional nursing in the...
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Sponsored by Kline Galland Home Health and Hospice - 6 days ago
Case Management Manager, Registered Nurse
South Austin Medical Center 6 reviews - Austin, TX
Accurate and timely utilization review of patient charts to insure appropriate utilization of hospital resources and facilities....
Sponsored by HCA Inc - 30+ days ago
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