RN Utilization Review jobs

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Utilization Review Coordinator (RN, LPN,LISW, LSW)
Promedica 23 reviews - Cincinnati, OH
RN, LPN, LSW, LISW. Minimum 2-3 years recent clinical, utilization review or case management experience in the mental health and/or chemical dependency field....
Sponsored by ProMedica - 30+ days ago
Clinical Nurse Reviewer - Work from home!
CareCore National - Bluffton, SC
An understanding of Utilization Review is highly preferred. Utilization Management experience highly preferred....
Sponsored by CareCore National - 27 days ago

RN Clinical Appeals - Work from home- Anywhere in US

UnitedHealth Group 1,739 reviews - Texas
Utilization review and/or case management experience is preferred. Claims, RN, Appeals, Telecommute, Work from home....
7 hours ago - save job - email - more...

RN Access Specialist

United Regional - Wichita Falls, TX
Review patient medical records for postoperative patients on the day of surgery when handed off by a Utilization Review Specialist....
2 days ago - save job - email - more...

Provider Support Specialist (RN) - Region 9

Magellan Health Services 122 reviews - West Palm Beach, FL 33401
Perform medical record reviews as needed. Work with our providers to transform data into actionable information at the practice and member level e.g. gaps in...
2 days ago - save job - email - more...

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 422 reviews - Woodland Hills, CA 91367 - +9 locations
Healthcare Management/Certified Utilization Review (CPUR) is desired. Minimum 3+ years of experience with utilization review in the hospital setting is required...
1 hour ago - save job - email - more...

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

Aetna 422 reviews - New Albany, OH - +17 locations
Licensed RN in good standing. Click here to review the benefits associated with this position. Thorough review and clinical interpretation of hand written and...
5 hours ago - save job - email - more...

Appeals Analyst (Home Health RN)

BlueCross BlueShield of South Carolina 19 reviews - Columbia, SC
Active RN licensure in state hired or active compact multistate RN license as defined by the Nurse Licensure Compact (NLC)....
3 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 422 reviews - Phoenix, AZ 85040 (South Mountain area)
Managed care/utilization review experience is preferred. This position requires an unrestricted active RN license....
1 day ago - save job - email - more...

Utilization Review Coordinator (O343)

Universal Health Services - Birmingham, AL - +5 locations
This person provides assistance to the utilization management department. Hill Crest Behavioral Health Services is the only freestanding, full-service...
10 hours ago - save job - email - more...

RN Appeals & Reimb Specialist

Cancer Treatment Centers of America 72 reviews - Zion, IL
Current Illinois RN license. RN Appeals & Denials Reimbursement. The review activity may be conducted prospectively, concurrently, or retrospectively....
7 days ago - save job - email - more...

Health Planning & Support / Clinical Access Telephonic RN

Humana 786 reviews - San Antonio, TX
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with other health care...
2 days ago - save job - email - more...
utilization review nurse
Newport Academy - Bethlehem, CT
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
Sponsored by Newport Academy - 30+ days ago
RN Care Coordinator - Community Internal Medicine Job
Mayo Clinic 281 reviews - Scottsdale, AZ
Prior experience in case management, discharge and/or utilization review required or directly related experience. Current Arizona RN Licensure required....
Sponsored by Mayo Clinic - 17 days ago
Registered Nurse - Care Manager Utilization Review 1.0 Varia...
Providence Health & Services 143 reviews - Olympia, WA
Perform resource utilization review studies in collaboration with medical records and quality management staff....
Sponsored by Providence Health & Services - 24 days ago

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Company with RN Utilization Review jobs
CareCore provides comprehensive, customized programs to clients that seek to manage appropriate utilization of diagnostic imaging services.