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
RN Oasis Quality Review- Home Health
ContinuCare Health Services - Chattanooga, TN
This RN will ensure OASIS-C assessments support services ordered and demonstrate appropriate utilization. Licensed RN in the State of Tennessee....
Sponsored by ContinuCare Health Services
Utilization Review Specialist, Full Time, Highline Medical C...
CHI Franciscan Health 11 reviews - Burien, WA
Necessity reviews of both inpatient and outpatient services using. Daily to RN Care Manager or Discharge Planning/Social Work staff....
Sponsored by CHI Franciscan Health

Utilization Management Nurse

Gateway Community Health - Detroit, MI
Prepares monthly utilization reports. Functions as a clinical resource for licensed and non-licensed utilization management staff....
Easily apply

Lead Utilization Management Case Manager

Sharp HealthCare 77 reviews - San Diego, CA
1-2 years Utilization Management/Concurrent Review experience. Current, unencumbered California RN license....

Utilization Management Nurse Reviewer - Care Transitions 201...

Medical Mutual of Ohio 40 reviews - Toledo, OH  +1 location
Utilization Management Nurse Reviewer. Manages initial, concurrent , and retrospective review of cases, including appeals....

Onsite Clinical RN Advocate - Chicago, IL Area

Humana 987 reviews - Chicago, IL
Active RN license. Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with...

Nurse - Clinical Utilization Management Elevation

CareCentrix - Tampa, FL
Communicates utilization issues to supervisor /manager for logging and resolution. Reviews and adheres to all Company policies and procedures and the Employee...
Easily apply

Utilization Case Manager

Oakwood Hospital-Dearborn - Dearborn, MI
3-5 years clinical RN experience or 5-7 years clinical LPN experience in Case Management, Quality Management, Utilization Review, Home Care or Discharge...

Utilization Reviewer

Commonwealth Care Alliance 12 reviews - Charlestown, MA
Conducts clinical decision review for services requiring prior authorization by the Clinical Decision Support Team (CDST ) and works closely with CCA Clinicians...

Utilization Management Nurse, OB

HealthSmart Care Management Solutions - Franklin, OH
Experience in Utilization Review, Case Management or DM and in insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and...

Utilization Management Nurse

MHM Services, Inc. - Westborough, MA  +2 locations
Utilization management experience. We are currently seeking a Utilization Review Nurse to join our team in MA....
Easily apply

Authorization RN - Utilization Review, Silver Spring Summit...

Kaiser Permanente 2,472 reviews - Kensington, MD
Utilization management experience is preferred. Focuses utilization review activities on targeted areas as identified by the Regional UM Committee and Quality...
Clinical Consultant
LifePlans, Inc. - Waltham, MA
Licensed RN with minimum 2 years’ experience required. Care plan development, case management, or utilization management....
Sponsored by LifePlans, Inc.
Registered Nurse
Visiting Nurse Association & Hospice of VT and NH - West Lebanon, NH
Appropriate treatment intervention, evaluation of outcomes, and utilization of services to ensure that patient care needs are met....
Sponsored by Visiting Nurse Association & Hospice of VT and NH

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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.