RN Utilization Review jobs

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RN Wound Care Nurse- Rose Amputation Prevention Center
Rose Medical Center 27 reviews - Colorado
patients with wounds. The RN accepts responsibility... related activities. Reviews minutes when unable to attend. Health and Safety - The RN will organize and...
Sponsored by HealthONE - 30+ days ago
Nurse (RN) Supervisor/ Rose Amputation Prevention Center
Rose Medical Center 27 reviews - Colorado
include: • Utilization of skills in organization... knowledge related to wound care by the ability to review cases for quality. • Management, formulating...
Sponsored by HealthONE - 30+ days ago
Clinical Nurse Reviewer - Work from home!
CareCore National - Bluffton, SC
computer skills. An understanding of Utilization Review is highly preferred. Must be a Registered... years' clinical experience. Utilization Management...
Sponsored by CareCore National - 8 days ago

Telephonic RN Case Manager

CorVel Corporation 86 reviews - Nashville, TN
Need RN with background in case management for this role (can include hospital case management or an insurance background in utilization review)....
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1 day ago - save job - block - email - more...

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

Aetna 336 reviews - San Antonio, TX - +19 locations
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
8 hours ago - save job - block - email - more...

Utilization Review Nurse (Part-Time)

CorVel Corporation 86 reviews - Chicago, IL
The Utilization Review Nurse must identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client....
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1 day ago - save job - block - email - more...

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

Aetna 336 reviews - South Jordan, UT 84095 - +10 locations
The Utilization Management Nurse Associate utilizes clinical skills to support the coordination, documentation and communication of medical services and/or...
3 hours ago - save job - block - email - more...

Utilization Review Nurse

Newport Academy - Bethlehem, CT - +1 location
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
2 days ago - save job - block - email - more...

Concurrent Review Nurse

Meritage Medical Network - Novato, CA 94949
The Concurrent Review Nurse utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program which...
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1 day ago - save job - block - email - more...

RN - PI Education Manager

AssistedCare At Home - Leland, NC 28451
RN Manager of Performance Improvement/Education Assisted. Care has an opportunity for an RN to join our Home Health Team as a PI Education Manager....
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Association for Home and Hospice Care of North Carolina - 4 days ago - save job - block - email - more...

RN Case Manager In-Office Position for MLTC

Compass Healthcare Consulting & Placement - Brooklyn, NY
Compass Healthcare Consulting & Placement has been retained to search for Experienced RN Case Managers with MLTC or Case Management Home Care experience for an...
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8 hours ago - save job - block - email - more...

Utilization Review Clinician

Walden Behavioral Care - Waltham, MA
Full Time Major Responsibilities This position conducts the Utilization Review functions for eating disorder patients and psychiatric patients in their...
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3 days ago - save job - block - email - more...

Preservice Review Nurse - Multiple Openings

UnitedHealth Group 1,435 reviews - Cypress, CA
RN, Nurse, Preservice, UM, Utilization Management, UR, Utilization Review, CM, Case Management, Milliman, Managed Care, Healthcare, Health Insurance, telephonic...
1 day ago - save job - block - email - more...
Clin. Doc. Specialist Coord
Baltimore Washington Medical Center 31 reviews - Glen Burnie, MD
performs concurrent review of inpatient medical... of the following certifications: Registered Nurse (RN), Registered Health Information Administrator (RHIA...
Sponsored by University of Maryland Medical System - 30+ days ago
Utilization Review Specialist
Gosnold on Cape Cod - Falmouth, MA
available for RN or clinician to conduct treatment pre-certification, concurrent review and clinical... experience in healthcare utilization management and...
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Sponsored by Gosnold on Cape Cod - 15 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.
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