RN Utilization Review jobs

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Utilization Review Nurse 8020
Vail Valley Medical Center 8 reviews - Vail, CO
recent experience in acute care hospital Utilization Review, Discharge Planning or equivalent. Maximizes... based on resource utilization issues. Provides a...
Sponsored by Vail Valley Medical Center - 6 days ago
Utilization Review Nurse
Kelly Services 2,547 reviews - Scottsdale, AZ
Utilization Review Nurse in Scottsdale, AZ Kelly... Utilization Review Nurse, RN in Scottsdale, AZ Responsible for the telephonic delivery of the Utilization...
Sponsored by Kelly Services - 28 days ago

Utilization Review Nurse

Riverside Physician Network - Riverside, CA
We are looking for a CA Licensed RN or LVN with minimum 2 years HMO/managed care experience doing clinical guideline review of requested services based on...
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6 hours ago - save job - block - email - more...

RN Utilization Review

Tampa Community Hospital - Tampa, FL
Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least...
HCA Inc - 13 hours ago - save job - block - email - more...

Utilization Management Nurse (RN) - Work from Home - NorthEa...

UnitedHealth Group 1,474 reviews - Rhode Island, RI - +1 location
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...
4 days ago - save job - block - email - more...

Telephonic Utilization Management RN - Work from Home in Tex...

UnitedHealth Group 1,474 reviews - Dallas, TX - +2 locations
RN, Registered Nurse, Utilization Management, Case Management, Utilization Review, Work From Home, Texas, TX, Dallas, Houston, Austin....
21 hours ago - save job - block - email - more...


BayCare Health - Tampa, FL
Coordinates utilization appropriateness and admission documentation completeness. Communicates to and educates staff regarding utilization and paperwork issues....
BayCare - 9 hours ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 343 reviews - Boynton Beach, FL - +20 locations
The work setting is a fast paced environment where all members of the team conduct onsite reviews at hospitals, SNF's, LTAC's and acute rehab facilities....
1 hour ago - save job - block - email - more...

Clinical Documentation Specialist-RN-(FT)-(Days)

Glenwood Reg Med Ctr, LP - West Monroe, LA
Reports concurrent chart review and query outcomes to hospital. departments and committees at designated intervals....
IASIS Healthcare - 1 day ago - save job - block - email - more...

Utilization Management RN - Care Management

Legacy Health System 11 reviews - Portland, OR
Acts as the primary denials prevention agent by performing admission and continued stay reviews as per government and commercial payor contractual requirements,... $34.11 - $49.62 an hour
20 days ago - save job - block - email - more...

Case Mgr - RN FT Days

Skyline Medical Center 7 reviews - Nashville, TN
Case Manager (RN) – Acute Care. has recently been recognized for excellence in quality by receiving the Leapfrog Group “A” Hospital Safety Score....
HCA Inc - 4 days ago - save job - block - email - more...

Utilization Review Specialist - Medical Management

United Regional - Wichita Falls, TX
Conduct concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by...
3 days ago - save job - block - email - more...
RN Clinical Managed Care Organization /Utilization Reviewer...
Providence Health & Services 122 reviews - Beaverton, OR
Be accountable for utilization management activities... of clinical experience; minimum 2 years of utilization review or quality assurance experience Documented...
Sponsored by Providence Health & Services - 4 days ago
Clinical Documentation Specialist
Southern Regional Health 46 reviews - Riverdale, GA
Must have a current GA RN license. This position... in a Windows environment. Experience in coding, case management and or Utilization Review preferred.
Sponsored by Southern Regional Health - 13 days ago
Kettering Health Network - Miamisburg, OH
coordinates Case Management, Social Services, Utilization Review, Clinical Documentation Improvement (CDI... KHNIND2014 • Current Ohio RN licensure required...
Sponsored by Kettering Health Network - 30+ days ago

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KHN is a not-for-profit network of eight hospitals, eight emergency rooms, and more than 50 outpatient facilities southwest Ohio.
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