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Utilization Review Nurse
Banner Health is currently seeking a Utilization Review Nurse to join the Utilization Review Department supporting Banner Health Network (BHN)....
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Utilization Review Coordinator, RN
Visiting Nurse Association of Central New York Inc - Syracuse, NY
The Utilization Review Coordinator assists the utilization review processtaking on. Performs utilization review in accordance with all state mandatedregulations...
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Utilization Management Nurse (RN) - Centennial, CO

Humana - 1,907 reviews - Centennial, CO  +1 location
Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

Utilization Review Coordinator

St. Joseph Regional Medical Center - 23 reviews - Lewiston, ID
Utilization and/or case management certifications preferred. The Utilization Review Coordinator analyzes and evaluates concurrent admission information and...

Medical Case Management Nurse

BENEFIT & RISK MANAGEMENT SERVICES INC - Folsom, CA 95630
Provides statistical case reviews and generates utilization reports. The Medical Case Management Nurse (MCM Nurse) provides a variety of services with respect...

Nurse Consultant/ HCPI Investigator

North Carolina Office of State Human Resources - Pitt County, NC
$41,480 - $88,336 a year
Requires ability to conduct, review, gather, assess and evaluate information for compliance with applicable standards using observation, interviewing, and...

Nurse IV

Health & Human Services Comm - 5 reviews - Fort Worth, TX  +3 locations
$4,599 - $7,533 a month
Nurse IV The Nurse Reviewer plans and conducts reviews and investigations, prepares reports and makes appropriate notification....

OB Nurse

Specialty Nurses - Rice Lake, WI
$45 an hour
OB Registered Nurse:. Conflict resolution, competency assessments, job performance, and facilitation of peer review activities....
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Clinical Utilization Management Specialist Job

Blue Cross and Blue Shield of Minnesota - 3,267 reviews - Eagan, MN 55122
E.g. case management, utilization management and/or auditing experience. Registered nurse with current MN license without restrictions or pending restrictions....

Prior Authorization Nurse I

Nebraska Total Care - Omaha, NE
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Concurrent Review Nurse I

Coordinated Care - 9 reviews - Tacoma, WA
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Clinical Appeals Registered Nurse

Evolent Health - 16 reviews - Arlington, VA 22203 (Bluemont area)
Medical claims review experience. Active, unrestricted Registered Nurse license. Prepare cases for Medical Director and/or External Review....
Case Manager Registered Nurse (RN) - Full Time (Days)
Performs admission and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan....
Sponsored by HCA Inc
Utilization Review Nurse
Recovery Institute of America - Dana Point, CA
Previous experience in Utilization Review. Utilization Nurses are critical to our mission.*. With treatment team as needed as part of the utilization review...
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Utilization Review Specialist - Physician Advisory Services
The Utilization Review Specialist will determine the appropriate cases for review, utilizing client specific guidelines....
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