RN Utilization Review jobs

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Utilization Review Case Manager RN
Porter Medical Center 7 reviews - Middlebury, VT
Utilization Review Case Manager. Utilization Review Case Manager RN (posted 7/17/15) Full time position. RN licensure required....
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Care Review Clinician II (Tampa)
Molina Healthcare 190 reviews - Tampa, FL
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
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Office Nurse
Sheridan Memorial Hospital 5 reviews - Wyoming
Fully engages in the utilization of the electronic medical record ensuring thoroughness and completeness....
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Licensed Utilization Review II - Tampa/Plantation, FL - #113...

Anthem, Inc. 674 reviews - Fellsmere, FL  +1 location
Licensed Utilization Review II. 2 years of clinical or utilization review experience. Requires an active LPN, LVN, or RN license;...

Manager of Clinical Reimbursement Integrity - The Christ Hos...

Tenet Healthcare 1,071 reviews - Cincinnati, OH
Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Current, valid RN licensure....

Utilization Management Case Manager - Coordination of Care

Cape Fear Valley Health System 47 reviews - Fayetteville, NC
Maintains compliancy with regulation changes affecting utilization management and performs utilization review in accordance with all state mandated regulations....

Case Manager Utilization RN

Kaiser Permanente 2,817 reviews - San Diego, CA  +1 location
Reviews, analyses & identifies utilization patterns & trends, problems or inappropriate utilization of resources & participates in the collection & analysis of...

Continuing Care Utilization Review Coordinator, RN

Kaiser Permanente 2,817 reviews - San Jose, CA  +4 locations
Reviews utilization patterns, identifies trends and problems areas for special studies. Conducts utilization review for in-house patients and/or those members...

Utilization Management Nurse

Affinity Health Plan 91 reviews - Bronx, NY 10461 (Parkchester area)
Perform utilization management, utilization review, or concurrent review. The Utilization Management Nurse will conduct reviews of current inpatient....

Utilization Management Nurse Consultant

Aetna 624 reviews - Omaha, NE  +3 locations
RN licensure active and unrestricted. Click here to review the benefits associated with this position....

Manager, Health Care Quality Management

Aetna 624 reviews - Wurtsboro, NY
Click here to review the benefits associated with this position. Health Services strategies, policies, and programs are comprised of utilization management,...

UM Nurse Consultant

Aetna 624 reviews - San Antonio, TX 78218 (Camelot area)  +5 locations
Must have an RN. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness of Healthcare...

Director of Utilization Review

Hickory Trail Hospital 17 reviews - DeSoto, TX 75115
Trail Hospital currently has a Director of Utilization Review. Train and manage staff for utilization. Reviews for continued psychiatric care, Provide discharge...
Case Manager
Saint Francis Health System 92 reviews - Tulsa, OK
Utilization review or discharge planning preferred. The Case Manager applies clinical expertise and medical appropriateness criteria to resource utilization and...
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Company with RN Utilization Review jobs
Licensed for 88 beds, Sheridan Memorial Hospital is a progressive, state-of-the-art facility providing exemplary service to our patients.