RN Utilization Review jobs

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Utilization Review Nurse
Newport Academy - Bethlehem, CT
is seeking a Utilization Review and Discharge Specialist responsible for prospective, retrospective and concurrent Utilization Review, Discharge Planner and...
Sponsored by Newport Academy - 30+ days ago
Manager Utilization/Care Coord
St. Vincent Charity Medical Center 12 reviews - Cleveland, OH
Responsible for directing and supporting Utilization Review Coordinators, Discharge Coordinators, Pre-Cert... case management, utilization review and denials...
Sponsored by St. Vincent Charity Medical Center - 25 days ago

Nurse Case Manager - Dept. of Medicine

Intermountain Healthcare 142 reviews - Logan, UT
Current Registered Nurse (RN) License for state in which the nurse practices. This position requires verifiable current Healthcare Provider or Professional...
1 day ago - save job - block - email - more...

Utilization Management Nurse RN Work From Home

UnitedHealth Group 1,513 reviews - Columbus, OH - +1 location
Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management)....
17 hours ago - save job - block - email - more...

Utilization Management RN

Evolent Health 3 reviews - Atlanta, GA
Evolent Health is seeking an experienced nurse who has case management and utilization management experience to join the Piedmont Well....
2 hours ago - save job - block - email - more...

CM Utiliz RN-PD ( Job Number: 254458 )

Kaiser Permanente 1,732 reviews - Ventura, CA - +3 locations
• Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and...
10 days ago - save job - block - email - more...

Clinical Quality Review Specialist

Blue Cross Blue Shield 1,213 reviews - Chicago, IL
Registered Nurse (RN) with unrestricted license in state of operations. 5 years health claims and mainframe system experience....
HCSC - 22 hours ago - save job - block - email - more...

Clinical Review Nurse

Children's Healthcare of Atlanta 107 reviews - Atlanta, GA
The Clinical Review Nurse participates as a member of a multidisciplinary team in completing pre-screening assessments of prospective patients....
1 hour ago - save job - block - email - more...

RN-Utilization Review / Saint Thomas West Hospital / FT Days

Saint Thomas West Hospital - Nashville, TN
The RN-Utilization Review p rovides health care services regarding admissions, case management, discharge planning and utilization review....
A Member of Ascension Health - 1 day ago - save job - block - email - more...

Part-Medical Record Reviewer/Auditor

Medical Record Reviewer/Auditor - Urbana, IL - +2 locations
~~Part-Time Medical Record Reviewer/Auditor for federal entity. Data extraction of case management and other related files. - 5-8 8-hour days per month....
Easily apply
5 days ago - save job - block - email - more...

CM Ext Care Coord RN ( Job Number: 288375 )

Kaiser Permanente 1,732 reviews - Baldwin Park, CA
• Facilitates patients' return to normal daily activities by teaching and making appropriate referrals for outside services/continued care collaboratively....
22 hours ago - save job - block - email - more...

Registered Nurse (RN) - Prior Authorization Nurse

Aetna 353 reviews - Phoenix, AZ
Conducts prospective reviews of authorization requests, including medical treatment and services, elective hospital admissions, ancillary services and home care...
1 day ago - save job - block - email - more...
Coordinator, Utilization Review
Healthways - Sterling, VA
on our Utilization Review team. If you’re a versatile master of utilization management, join us in this unique opportunity: *COORDINATOR, UTILIZATION REVIEW... $35,000 - $42,000 a year
Easily apply
Sponsored by Healthways - 13 days ago
Area Director, Care Management
St. Joseph Humboldt County - Eureka, CA
Summary: Director of Care Management and Utilization Review is responsible for the development, planning... and retrospective utilization review is robust and...
Sponsored by St. Joseph Health - 30+ days ago
RN Case Manager Hospice/Homecare
Visiting Nurse Association & Hospice of VT and NH - Springfield, VT
of outcomes, and utilization of services to ensure... primary care givers upon admission. Periodically reviews the patient care plan and recertifies the patient...
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 6 days ago

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Company with RN Utilization Review jobs
12 reviews
Founded in 1865, St. Vincent Charity Hospital is Cleveland's oldest private hospital, located in the heart of Cleveland's revitalized downto