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Utilization Review Nurse
Mercy - 158 reviews - Chesterfield, MO
Utilization Review Nurses coordinate and perform precertification, out of network precertification, inpatient concurrent review, retrospective review,...
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RN Case Manager--Workers' Comp
Managed HealthCare Northwest, Inc. - Portland, OR
The Nurse Case Manager carries out precertification, utilization review, and complex case management. The Nurse Case Manager demonstrates knowledge and...
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Utilization Mgmt RN Nurse Spec
Registered Nurse with current Illinois license. Knowledge of ICD~9, HCPCS, CPT coding and precertification practices....
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Utliization Review RN

nThrive, Inc. - Naples, FL
Licensed as a Registered Nurse. The UR Nurse monitor’s adherence to Hospital’s Utilization Review Plan to ensure the effective and efficient use of hospital...

RN Clinical Outpatient Reviewer

Tufts Health Plan - 97 reviews - Watertown, MA 02472
Registered Nurse or Physical Therapist with current a and unrestricted Massachusetts license required. Proactively identifies trends in Utilization Management...

RN Care Advisor, Utilization Management

Evolent Health - 19 reviews - Indianapolis, IN
Review precertification requests for medical necessity, referring to the Medical Director those that require additional expertise....

Precertification Nurse - Central Scheduling

Lutheran Hospital of Indiana - Fort Wayne, IN
Precertification Nurse - Central Scheduling. Reviews admitting department operations....

Clinical Nurse - Bettendorf OB/GYN

UnityPoint Health - 37 reviews - Bettendorf, IA
State of Iowa/Illinois for Registered Nurse. Graduate of an accredited program for Registered Nurses....

Nurse Reviewer

HMS - 482 reviews - Westerville, OH
Receives requests for precertification of procedures via telephone, fax, or Web. The....

Case Manager - RN (Franklin, WI)

Xerox - 7,532 reviews - Franklin, WI 53132
Registered nurse with active and unrestricted license to practice in the State of Wisconsin. The Case Manager (CM) is responsible for individual case management...

Clinical Nurse - Anamosa

UnityPoint Health - 37 reviews - Anamosa, IA  +2 locations
Graduate of an accredited program for Registered Nurses. Current license to practice nursing in the State of Iowa/Illinois for Registered Nurse....

Nurse Reviewer

Valence Health - Austin, TX 78704 (South Lamar-South Congress area)  +1 location
The Nurse Reviewer is responsible for performing precertification, prior approvals, concurrent and retrospective reviews, and coordination of discharge planning...
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Registered Nurse (RN)

Comprehensive Pain Specialists - Dunmore, PA
$21 an hour
Registered Nurse who graduated from an accredited school of nursing. Busy Pain Management Specialist looking for a part time nurse for one day a week, with...
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Medical Office Nurse
Hilton Head General & Laparoscopic Surgery - Hilton Head Island, SC
Nurse is also required to contact insurance carriers to obtain precertification for tests and procedures, to answer the office telephone if the receptionist and...
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Case Manager I
Facilitation of precertification and payor authorization processes. Current and valid license to practice as a Registered Nurse (ADN or BSN) in the state of...
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