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MSH CASE MANAGEMENT DISCHARGE NURSE FEATURED
Licensed Registered Nurse, in the State of Illinois. Respond to requests for clinical information, to assist in the precertification and authorization for...
Registered Nurse, Senior Case Management Leader
Revenue Cycle Operations - New Orleans, LA
Registered Nurse (RN). Registered Nurse, Senior Case Management Leader (Senior Director/Associate Vice President/Vice President), Clinical Revenue Cycle...
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RN Care Manager - Care Management - Altamonte Springs - Per...
Florida Hospital - 893 reviews - Altamonte Springs, FL
Active Florida State license as a Registered Nurse. Located north of Orlando in the community of Altamonte Springs, our facility is consistently named “Best...

Registered Nurse (RN)

Weill Cornell Medicine Center for Comprehensive Sp... - New York, NY
Registered Nurse (RN). Current NY State Registered Nurse License & Registration. Approximately 2 or more years of related work experience as a Registered Nurse....
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Utilization Management Representative I

Anthem, Inc. - 2,237 reviews - Virginia Beach, VA  +4 locations
Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and prior authorization review....

Utilization Management Nurse Associate

Aetna - 2,350 reviews - Pittsburgh, PA 15220
Precertification or prior authorization experience ; This position is for the nurse who wants challenge in a fast paced, always changing environment....

UM Nurse Associate

Aetna - 2,350 reviews - Atlanta, GA
The UM nurse associate utilizes their technical skills to multitask through multiple systems at a rapid pace in order to process precertification requests...

Nurse Reviewer

HMS - 558 reviews - Massachusetts  +1 location
Receives requests for precertification of procedures via telephone, fax, or Web. The....

Quality Management Nurse Consultant (RN) Registered Nurse

Aetna - 2,350 reviews - Bismarck, ND 58503
Registered Nurse (RN). Nursing/Registered Nurse is desired. Appeals, precertification, claim review experience preferred....

Nurse Reviewer SNF

HMS - 558 reviews - Ohio
Nurse Reviewer SNF. Receives requests for precertification of procedures via telephone, fax, or Web. The....

Managed Care Nurse (1.0 FTE)

Essentia Health - 114 reviews - Detroit Lakes, MN
Managed Care Nurse Certification or ability to obtain within two years of hire. The Managed Care Nurse conducts Managed Care Programs in conjunction with third...

Registered Nurse - Pharmacy Review

NJM Insurance Group - 18 reviews - West Trenton, NJ
Licensed Registered Nurse in NJ required; Identify and report on issues and trends identified during precertification, and/or utilization review processes....

Clinical Health Services Supervisor

Aetna - 2,350 reviews - Blue Bell, PA 19422
Registered Nurse (RN). The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing...
Registered Nurse-Specialty Clinic
Digestive Disease Consultants, Ltd. - Normal, IL 61761
This position will help coordinate patient care under the direction of the patient's caregiver including all aspects of patient phone triage for urgent...
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Manager - Admitting and Registration
Covenant HealthCare - Saginaw, MI
Registered Nurse (RN). • Registered Nurse with current licensure.*. • Develops and updates policies and procedures related to registration, scheduling and...
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