Jobs 1 to 10 of 172
Upload your resume - Let employers find you
Nurse Reviewer Associate, Westchester IL-Recent RN Graduates...
Anthem, Inc. - 2,420 reviews - Westchester, IL 60154
Documents the results of the initial clinical review and determination in the precertification computer system....
Precert Nurse Consultant
Proficient in the application of InterQual medical criteria, and the online precertification system. Provide nursing expertise for precertification and...
Utilization Management Nurse
Innovative Care Management, Inc. - Milwaukie, OR
Unencumbered Oregon RN license, with licenses in other states required after hire (reimbursement available). Innovative Care Management, Inc....
Easily apply

UM Nurse Consultant

Aetna - 2,587 reviews - Albany, NY
Unrestricted NYS RN license. Positions include Precertification, Concurrent Review, and Retro Review. Responsible for the review and evaluation of clinical...

Precert Nurse Consultant

Blue Cross and Blue Shield of Kansas - 9 reviews - Topeka, KS
Proficient in the application of InterQual medical criteria, and the online precertification system. Provide nursing expertise for precertification and...

Nurse Reviewer Associate, Glendale CA-Recent RN Graduates

Anthem, Inc. - 2,420 reviews - Glendale, CA 91205   +1 location
Documents the results of the initial clinical review and determination in the precertification computer system....

Utilization Management Nurse Consultant

Aetna - 2,587 reviews - San Antonio, TX
An RN license is required. This position requires an RN with an unrestricted active license. Precertification, pre determination, concurrent review, retro...

RN

Anthem, Inc. - 2,420 reviews - Hanover, MD
Requires current active unrestricted RN license to practice as a health professional within the scope of practice in the state of Maryland....

RN, Targeted Review 2 of 2

Kaiser Permanente - 5,784 reviews - Atlanta, GA
Utilizes established criteria to perform precertification and referral review for all members requiring a procedure or service or with an admission diagnosis on...

RN Specialty - Penn Care for Women

University of Pennsylvania Health System - 142 reviews - Philadelphia, PA
The Registered Nurse will be responsible for Phone Triaging OB/GYN patients, administering injections, aides with medication refills, symptom management,...

Utilzation Reviewer - Resource Center

Allegheny Health Network (Corporate) - 15 reviews - Pittsburgh, PA
Position Number: DURRC Location: AHN ALBANESE BUILDING Department: Case Management Status: Full-time Shift: M-F, Business hours. This position will require...

RN Util Mgmt Nurse-SmartHealth / US Health Holdings/ ABS / F...

Ascension (System Office) - Sterling Heights, MI 48310
RN Util Mgmt Nurse-ABS. RN Util Mgmt Nurse-SmartHealth / US Health Holdings/ ABS / FT Days. Provides advice and counsel to precertification nurses and clinical...

UR Nurse Reviewer

HMS - 582 reviews - Charlestown, MA
Unrestricted RN license required. Receives requests for precertification of procedures via telephone, fax, or Web....
Case Manager-Rehab RN/Social Worker
Mercy - 258 reviews - Chesterfield, MO
Seeking experienced Case Manager - RN or Social Worker. You’ll also need a current RN license in our state. Maintains current knowledge of online verification/...
Registered Nurse (RN) - Eating Disorder
Castlewood Treatment Center - Monterey, CA 93940
Obtains insurance updates to get precertification for medications and other coverage. RN CA State licensure and graduate of accredited school of nursing....
Easily apply