RN Utilization Review jobs

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RN Field Nurse
At Home Healthcare 19 reviews - Jacksonville, TX
for evaluating utilization of patient services and patient progress; review evaluation with the care team... forms. ยท Accurately reviews all verbal physician...
Sponsored by At Home Healthcare - 22 days ago
Case Management Registered Nurse (RN)
St. Helena Hospital - Napa Valley - Saint Helena, CA
* CA RN License * Prefer BS in nursing * 6+ months experience * *Performs the utilization review for... case management/utilization review/discharge planning...
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Sponsored by St. Helena Hospital - Napa Valley - 30+ days ago

Utilization Review Specialist

Utilization Review Specialist - Maryland
The Utilization Review Specialist conducts routine utilization and quality reviews for the client population in Villa Maria programs....
Associated Catholic Charities, Inc - 12 days ago - save job - email - more...

Utilization Review Coordinator- PRN

Dominion Hospital - Falls Church - Falls Church, VA
Utilizes and coordinates the multiple managed care companies pre-certification and continued certification processes and functions....
HCA Inc - 1 day ago - save job - email - more...

RN Utilization Review Nurse - Bedford, Teaxs

Cigna 553 reviews - Bedford, TX
Determines whether services provided to plan members were actually medically necessary. Maintains reporting system for Utilization Review....
1 day ago - save job - email - more...

RN Utilization Review Nurse - Bedford , Texas

Cigna 553 reviews - Bedford, TX
Determines whether services provided to plan members were actually medically necessary. Maintains reporting system for Utilization Review....
1 day ago - save job - email - more...

Registered Nurse (RN) - Utilization Review Nurse

Aetna 276 reviews - Hazelwood, MO 63042
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience....
1 day ago - save job - email - more...

Supervisor Utilization Review

American International Group 274 reviews - Dallas, TX
Proficient knowledge of workers' compensation or disability management. Proficient analytical, financial, accounting, and interpersonal skills....
1 day ago - save job - email - more...

Utilization Review RN

Qualis Health 3 reviews - Seattle, WA
A degree or diploma in nursing. 4 years of clinical experience (ICU/CCU, step-down, med/surg, E.D., home health, internal medicine, or family practice preferred...
8 days ago - save job - email - more...

Utilization Review - Coordinator PRN

River Oaks Hospital 12 reviews - Harahan, LA 70123
Licensed RN or LPN with the State of. energy environment. Must have excellent communication skills and able to work in a high....
Universal Health Services - 2 days ago - save job - email - more...

Utilization Review Nurse (Full Time) - Utilization Managemen...

Alaska Native Tribal Health Consortium 10 reviews - Anchorage, AK
Work involves the potential for exposure to infectious diseases. Some non-standard work hours are required. Knowledge of Alaskan culture....
17 hours ago - save job - email - more...

Utilization Review Coordinator

Veritas Collaborative - Durham, NC
Analyzes insurance benefits, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of...
1 day ago - save job - email - more...
Clinical Coding Auditor
El Camino Hospital-Mountain View Campus 11 reviews - Mountain View, CA
accuracy through collaborative discussion and utilization separate claims editor applications. AHIMA... MS-DRG analytic reviews with emphasis in APR DRG...
Sponsored by El Camino Hospital - 30+ days ago
Utilization Review Nurse
The HSC Health Care System 4 reviews - Washington, DC
areas: Inpatient (Hospital). The Utilization Review (UR) Nurse is responsible for the clinical review of... DC RN license. Certification in utilization review...
Sponsored by The HSC Health Care System - 30+ days ago
Registered Nurse Case Manager - Patient Centered Medical Hom...
Banner Health 252 reviews - Greeley, CO
and documents the utilization of resources and... possess knowledge of case management or utilization review as normally obtained through the completion of...
Sponsored by Banner Health - 14 days ago
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As part of Adventist Health, St. Helena Hospital provides the best in whole-person, compassionate care.
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