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 - 15 days ago
HN55 - Utilization Review Nurse
Kelly Services 2,427 reviews - San Juan, PR
the quality and correct utilization of the services... Degree in Arts of Nursing. Current Puerto Rico RN license. Member of College of Nursing Professionals of...
Sponsored by Kelly Services - 17 days ago

Appeals Nurse Consultant

Aetna 323 reviews - Woodland Hills, CA
for the review and resolution of clinical documentation, clinical complaints and appeals. Reviews... as required. Requires an RN with unrestricted active...
3 days ago - save job - block - email - more...

UM Nurse Consultant

Aetna 323 reviews - City of Sunrise, FL 33323 - +2 locations
benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit...
6 hours ago - save job - block - email - more...

Utilization Management Specialist

Shadow Mountain Behavioral Health System 9 reviews - Tulsa, OK 74133
and organizes daily utilization reviews. Assumes responsibility for continues stay reviews for medical... management or utilization review. Physical/General...
Universal Health Services - 1 day ago - save job - block - email - more...

Registered Nurse (Utilization Management-Radiology)

Department of Veterans Affairs 669 reviews - Augusta, GA
The RN plans, designs, integrates, implements, and modifies utilization management activities for both service level and facility wide performance. The RN...
7 hours ago - save job - block - email - more...

RN Care Review Clinician II

Molina Healthcare 97 reviews - San Antonio, TX
the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at...
1 day ago - save job - block - email - more...

Utilization Review Nurse

American International Group 312 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in... and retrospective reviews to determine medical...
2 hours ago - save job - block - email - more...

MATCH Utilization Review Nurse

HealthCare Access Maryland 5 reviews - Baltimore, MD
health case plan reviews to ensure compliance with... unrestricted RN license in the state of Maryland required. P rior utilization review experience preferred...
3 hours ago - save job - block - email - more...

Coordinator Utilization Review

St. Elizabeths Medical Center 2 reviews - Brighton, MA
BSN is required. MA RN license is required. A job summary does not currently exist for this position. Please contact your local HR Advisor for assistance.
Steward Health Care - 4 hours ago - save job - block - email - more...

Utilization Review Nurse (Onsite - MMAI)

Cigna 638 reviews - Chicago, IL
Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care... differences. Require RN with current licensure along...
2 days ago - save job - block - email - more...

Utilization Review Nurse- SNF

Cigna 638 reviews - Chicago, IL
Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care... differences. Require RN with current licensure along...
2 days ago - save job - block - email - more...
RN Care Coordinator Outpatient Job
Peacehealth 37 reviews - Ketchikan, AK
the continuum of illness, promote effective utilization and monitoring of health care resources, and... the coordinated utilization of resources for... $31.68 an hour
Sponsored by PeaceHealth - 6 days ago
Manager Case Management
Advocate Health - Normal, IL
systems. State of IL RN License Resiliency and... Management. Responsible for Care Management, Utilization Review, Social Work and Hospitalist Services...
Sponsored by Advocate Health Care - 30+ days ago
Clinical Documentation Specialist - Clinical - FT, Days
St. Joseph Medical Center 69 reviews - Houston, TX
or LPN license required. RN License, preferred, state... management experience preferred RN's with utilization review experience preferred EDUCATION & TRAINING...
Sponsored by IASIS Healthcare - 5 days ago

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