Clinical Nurse Utilization Management jobs in Hickam AFB, HI

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Utilization Management, RN - Honolulu, HI
UnitedHealth Group 1,820 reviews - Honolulu, HI
Utilization Management experience. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by UnitedHealth Group - 10 hours ago
Utilization Management, RN
United Health Group 1,820 reviews - Honolulu, HI
Utilization Management experience. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by NurseJobsNationwide.com - 12 days ago

Nurse Reviewer (Fraud and Abuse)

HMSA 8 reviews - Honolulu, HI
Two years clinical care experience. Irregularities would include DRG upcoding, high utilization of ancillary services, overbilling, etc....
Hawaii Medical Service Association - 5 days ago - save job - email - more...

Utilization Management, RN - Honolulu, HI

UnitedHealth Group 1,820 reviews - Honolulu, HI
Utilization Management experience. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
20 days ago - save job - email - more...

RN or SW Field Service Coordinators - Honolulu, HI - Telecom...

UnitedHealth Group 1,820 reviews - Honolulu, HI
Experience in utilization review, concurrent review and/or risk management. This includes coordination of services, disease management, and medical management...
14 days ago - save job - email - more...

Service Coordinator RN- Kapolei, Hawaii

WellCare 96 reviews - O‘ahu, HI
Uses discretion and independent judgment when applying criteria in determining case management and service needs, and other matters of clinical significance....
11 hours ago - save job - email - more...

Case Manager, RN - Case Management

Hawaii Pacific Health 10 reviews - Honolulu, HI 96826 (Mxcully-Moiliili area)
Current Case Management or Utilization Management certification. Current Hawai‘i Registered Nurse license....
30+ days ago - save job - email - more...

NCLEX RN Faculty PT Honolulu, HI

Kaplan 569 reviews - Honolulu, HI
5+ years clinical nursing experience. Current, unencumbered license as a Registered Nurse. The Kaplan Faculty Member is a qualified nurse educator or clinical...
21 days ago - save job - email - more...

Supervisor, Medical Operations (Hawaii)

TriWest Healthcare Alliance 87 reviews - Honolulu, HI
O Managed care or operational experience in medical management systems, including referral management/prior authorization, health care office processes or...
11 days ago - save job - email - more...

Service Coordinator RN- HI

WellCare 96 reviews - O‘ahu, HI
Uses discretion and independent judgment when applying criteria in determining case management and service needs, and other matters of clinical significance....
29 days ago - save job - email - more...

Manager, Authorization Support (Hawaii)

TriWest Healthcare Alliance 87 reviews - Honolulu, HI
O Managed care and operational experience in medical management systems, including referral management/prior authorization or utilization management....
11 days ago - save job - email - more...

Outpatient Nurse Care-Hawaii

WellCare 96 reviews - O‘ahu, HI
Determines appropriate utilization management of services requested. 2+ years clinical experience in acute clinical/surgical experience, current experience in...
30+ days ago - save job - email - more...
Care Management Specialist
Synectics 14 reviews - United States
Utilization Management/Case Management experience 3-5 years. HMO managed care (Health Plan or Medical Group) with prior experience in ambulatory case management...
Sponsored by Resume-Library - 4 days ago
System Director of Care Management | Beautiful Coastal North...
Galileo Search, LLC - United States
The System Director of Care Management, through an integrated process, manages the areas of Utilization Management, Discharge Planning, and Social Services....
Easily apply
Sponsored by galileo search, llc - 30+ days ago
Manager, Decision Support & Management Reports
Queen's Health Systems - Honolulu, HI
Manager, Decision Support & Management Reports Department:. Responsible for management of, and analysis resulting from, the organizationís decision support...
Sponsored by CareerBuilder - 4 days ago

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Company with Clinical Nurse Utilization Management jobs
1,820 reviews
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