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PATIENT CARE NAVIGATOR RN
Inova Physician Services Corp - Falls Church, VA
RN VA License. Monitoring, self-management support, medication review and adjustment. Provides clinical advice and guidance on appropriate utilization of...
RN Case Manager / Utilization Review
Specialty Professional Services - 4 reviews - Fairfax, VA
$46 - $50 an hour
Know an RN friend?*. VA or Compact RN License. Looking for 10 RN’s Case manager with 2+ years experience....
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Clinical Documentation Improvement Specialist
Utilization review and / or coding experience preferred. Review and analysis of health records to identify relevant diagnoses....

Nurse Medical Management I - (United States- Remote)

Anthem, Inc. - 2,423 reviews - Indianapolis, IN   +1 location
Utilization Management experience preferred. Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of...

Utilization Review Nurse - Remote

Change Healthcare - 267 reviews - Pensacola, FL
5+ years Utilization Review experience. On March 1, 2017 McKesson Corporation (NYSE MCK) and Change Healthcare Holdings, Inc., formed a new healthcare...

Nurse Auditor, Remote

LexiCode - 49 reviews - Remote
Utilization Review experience. RN with current license in state of residence. Ability to efficiently review large volumes of documents with high comprehension...

Utilization Management Nurse Consultant

Aetna - 2,592 reviews - San Antonio, TX   +7 locations
The Utilization Management Nurse Consultant include Precertification, Concurrent Review, and Retro Review....

Licensed Utilization Review I/II/III

Anthem, Inc. - 2,423 reviews - Albany, NY   +2 locations
Licensed Utilization Review I. Licensed Utilization Review II. Licensed Utilization Review I/II/III, Albany, NY (136511)....

RN Utilization Review (Remote)

R.A.M. Healthcare Consulting Group, Inc. - New York, NY
In this position, the utilization review nurse will:. Utilization review/case management:. Be responsible for utilization review and discharge planning for...
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RN Case Manager- Telecommute (TX)

Tenet Healthcare - 1,426 reviews - Frisco, TX   +3 locations
Pre-certification/Pre-notification Identifies and utilizes the applicable utilization review/management tools, while performing pre-certification/pre...

Utilization Review Coordinator

Universal Health Services - 230 reviews - Leesburg, VA 20176   +2 locations
With new services being added we are seeking a Utilization Review Coordinator. Notifies and alerts Director of UR of potential utilization review problems or...

Nurse Case Manager (Remote)

Change Healthcare - 267 reviews - Pensacola, FL
On March 1, 2017 McKesson Corporation (NYSE MCK) and Change Healthcare Holdings, Inc., formed a new healthcare information technology company, setting an...

Nurse Case Manager (Remote)

Karna LLC - 8 reviews - Remote
Active RN license. Training and/or experience in Utilization, Case or Quality Management. Review authorization activity and claim reports recommending placement...
Supervisor, Utilization Management Review
Participates in process reviews and the development of new and/or revised work processes, policies and procedures relating to Utilization Review....
Utilization Review RN
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....