RN Utilization Review jobs

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Registered Nurse - RN - Case Manager
Maxim Healthcare Services 439 reviews - Youngstown, OH
Assurance and Utilization review activities, as... Minimum RN with Bachelors in Nursing, Master in Nursing or Public Health preferred. • Current RN License...
Sponsored by Maxim Healthcare Services - 6 days ago
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 - 9 days ago

Medical Review Examiner Nurse

CommunityCare, Inc. - Tulsa, OK
properly. The Medical Review Examiner Nurse also... operations (for example utilization review, quality improvement, clinical claims review). Experience or...
Easily apply
22 hours ago - save job - block - email - more...

Inpatient Review Nurse-Miami

Cigna 636 reviews - Miami, FL
providing concurrent review of hospitalized members... of 1-2 years managed care experience in utilization review or case management. Excellent oral and written...
22 hours ago - save job - block - email - more...

Medical Review RN

Quality Health Strategies - Easton, MD - +1 location
Review RNs. This is a mid-level professional position that performs medical record and claims review for... in conducting utilization reviews, ICD-9 coding, CPT...
7 hours ago - save job - block - email - more...

Orthopedic Office RN HFMG VH Ortho Surgery FT Days

Health First Medical Group LLC - Viera, FL
Demonstrate an understanding of medication utilization and complications for the orthopedic patient... fears and concerns *Review and prep patient chart...
Health First - 14 hours ago - save job - block - email - more...

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

Aetna 320 reviews - Harrisburg, PA - +17 locations
Nurse (RN) is required FUNCTIONAL EXPERIENCES Functional - Nursing/Medical-Surgical Care/1-3 Years Functional - Clinical / Medical/Clinical claim review &...
14 hours ago - save job - block - email - more...

Utilization Review Clinician

Beacon Health Strategies, LLC - Louisville, KY - +4 locations
Review Clinician performs utilization review and initial authorization determination of mental health and... staff providing utilization review services will have...
1 day ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 320 reviews - San Antonio, TX - +7 locations
all aspects of teh utilization/benefit management... EXPERIENCES Functional - Nursing/Utilization Management/Concurrent Review/discharge planning/prior...
2 days ago - save job - block - email - more...

Case Manager Utilization ( Job Number: 269167 )

Kaiser Permanente 1,593 reviews - San Diego, CA
daily clinical reviews for utilization/quality... during case review or other activities. • Reviews, analyses and identifies utilization patterns and...
4 days ago - save job - block - email - more...

Medical Review Examiner Nurse

CommunityCare of Oklahoma - Tulsa, OK
properly. The Medical Review Examiner Nurse also... operations (for example utilization review, quality improvement, clinical claims review). Experience or...
Tulsa World - 13 hours ago - save job - block - email - more...

Registered Nurse - Medical Review

ARC 106 reviews - Jacksonville, FL
Nurse with medical claims review experience for a 6... Healthcare industry experience 2 or more years Utilization Management experience SKILLS Attention to...
Easily apply
2 days ago - save job - block - email - more...
RN - Utilization Review (FT)
Beebe Healthcare 2 reviews - Lewes, DE
RN - Utilization Review (FT) Lewes, DE Beebe... of more than 4,500 hospitals nationwide. RN - Utilization Review (FT) RN licensed in the State of Delaware...
Sponsored by Healthcare Jobs on Display - 12 days ago
MGR, OR SERVICE GROUP - 144434
UMass Memorial Medical Center 76 reviews - Worcester, MA
and economical utilization of material resources and... review statistical and budgetary information and synthesize information appropriately. MA RN license & BLS...
Sponsored by UMass Memorial Medical Center - 23 days ago
RN, Case Manager
Visiting Nurse Association & Hospice of VT and NH - Bradford, VT
of outcomes, and utilization of services to ensure... primary care givers upon admission. Periodically reviews the patient care plan and recertifies the patient...
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 30+ days ago
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