RN Utilization Review jobs

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Utilization Review RN (Sheridan WY)
Sheridan Memorial Hospital 4 reviews - Wyoming
The Utilization Review Nurse performs utilization review of all patients presenting for hospitalization to assist in identifying patients appropriate for...
Sponsored by Sheridan Memorial Hospital - 15 days ago
Utilization Review Nurse- (RN)
Winchester Medical Center 74 reviews - Winchester, VA
Prior Utilization Management preferred. Graduate of an accredited nursing program;...
Sponsored by Valley Health (Virginia) - 14 days ago
Registered Nurse (RN) - Utilization Review - 8:30a - 16 Week...
Centra Healthcare Solutions 5 reviews - Washington, DC
2 years of recent experience in Utilization Review working as a Registered Nurse / RN. Centra Healthcare Solutions is seeking to hire an experienced Registered...
Sponsored by Centra Healthcare Solutions - 2 days ago

Clinical Consultant

Nuance 103 reviews - United States
RN:. RN - License & Certifications:. Compliant Documentation Management Program (CDMP)® review of client clinical records for CDMP® assessments and continuing...

Clinical Reviewer- RN, LCPC, LCSW, Licensed Preferred

Magellan Health Services 137 reviews - Helena, MT 59601
Utilization review experience preferred. Title Clinical Reviewer- RN, LCPC, LCSW, Licensed Preferred. Responsible for performing clinical reviews, assessments,...

Population Health Management Nurse RN - Rogers, AR

Humana 898 reviews - Rogers, AR
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with other health care...

Utilization Review Nurse

HealthSmart Care Management Solutions - Lubbock, TX - +4 locations
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...

Utilization Review Coordinator - Full time

Lakeside Behavioral Health System - Memphis, TN 38133
Psychiatric care, utilization review and insurance reimbursement. Utilization review activities with other departments to ensure....

Staff Nurse (Utilization Review)

Department of Veterans Affairs 949 reviews - Montgomery, AL - +1 location
Conducting SC reviews using Quadramed and also assists with clinical reviews as directed by the CBO:. The Staff Nurse (Utilization Review) Nurse is responsible...

Utilization Review Nurse

MemorialCare Medical Foundation Nautilus Healthcar... - Newport Beach, CA
Utilization Review Nurse, RN, to make clinical determination for manage care referrals based on criteria, benefit and clinical guidelines from the Health plan...

Nurse Reviewer

GENEX 70 reviews - Dallas, TX
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Responsible for the performance of Utilization Review...

RN Preservice Review, Optum Medical Network - Las Vegas, NV

UnitedHealth Group 1,942 reviews - Las Vegas, NV
RN, Prior Authorizations, Pre service Review, Clinical Review, Managed Care, Las Vegas, NV, Nevada. Knowledge of utilization review process and prior...

Utilization Review

Universal Health Services - Austin, TX
RN, LMSW, LPC, LCSW, LMFT. Meridell is currently seeking Utilization Reviewer to assist Meridell in continuing a tradition of excellence in the health care...
Utilization Review Manager, RN
VNA Homecare 3 reviews - Syracuse, NY
Utilization Review Manager, RN is needed to provide development, oversight and direction to the Utilization Management Program for MLTC....
Sponsored by VNA Homecare - 30+ days ago
RN, Complex Case Manager - Health Plan
Gundersen Health System 14 reviews - Onalaska, WI
RN Complex Case Manager. RN, Complex Case Manager - Health Plan. Demonstrate experience with Recovery Audit Contractor reviews....
Sponsored by Gundersen Health System - 22 days ago

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Company with RN Utilization Review jobs
74 reviews
Valley Health is a nonprofit serving the healthcare needs of people in and around the Top of Virginia, as well as parts of WV and MD