RN Utilization Review jobs

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RN Case Manager Utilization Review, FT
The Medical Center of Aurora 14 reviews - Aurora, CO
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Current licensure as an RN....
Sponsored by HealthONE - 2 days ago
Clinical Nurse Reviewer - Work from home!
CareCore National - Bluffton, SC
An understanding of Utilization Review is highly preferred. Utilization Management experience highly preferred....
Sponsored by CareCore National - 24 days ago

RN Clinical Appeals - Work from home

UnitedHealth Group 1,660 reviews - Cypress, CA
Utilization review and/or case management experience is preferred. Claims, RN, Appeals, Telecommute, Work from home....
1 day ago - save job - email - more...

Field Based RN Case Manager - Omaha

UnitedHealth Group 1,660 reviews - Omaha, NE - +2 locations
Experience in utilization review, concurrent review and/or risk management. Responsibilities for the Field Based RN Case Manager:....
1 day ago - save job - email - more...

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

Aetna 396 reviews - San Antonio, TX - +18 locations
Positions include Precertification, Concurrent Review, and Retro Review. Precertification, pre determination, concurrent review, retro review, and discharge...
9 hours ago - save job - email - more...

Clinical Review Specialist

Ridgeview Medical Center 14 reviews - Waconia, MN
Previous utilization review experience. This position is responsible for utilization review activities and the provision of clinical quality support....
6 days ago - save job - email - more...

Transitional RN Case Manager - Davidson County

UnitedHealth Group 1,660 reviews - Nashville, TN
RN, nurse, case manager, utilization review, managed care, Medicaid, CCM, certified case manager, Nashville, TN, Tennessee....
6 days ago - save job - email - more...

RN, Utilization Review

Lovelace Medical Center 17 reviews - Albuquerque, NM
*Lovelace Medical Center- Utilization Review focus in the Emergency Department**. Responsible for applying professional clinical skills and expertise in the...
Lovelace Health System - 3 hours ago - save job - email - more...

Registered Nurse ( Job Number: 308730 )

Kaiser Permanente 1,923 reviews - Aurora, CO - +1 location
Review and monitor therapy and treatment patient plans. Manages populations of patients to ensure appropriate utilization of health care resources....
13 hours ago - save job - email - more...

RN Utilization Review

UNM Sandoval Regional Medical Center - Rio Rancho, NM
RN Utilization Review. Perform concurrent reviews on assigned patients; Licensed RN, or Licensed Master's Social Worker (LMSW), or Licensed Mental Health...
1 day ago - save job - email - more...

Utilization Review Nurse

Guard.com - Wilkes-Barre, PA
Utilization Review Nurse Wilkes-Barre,...
2 days ago - save job - email - more...

Nurse Reviewer - RN LPN - Utilization Management

KePRO - Tampa, FL
Abstracts review related data/information accurately and timely on appropriate review tool by the required means....
18 hours ago - save job - email - more...
R.N. Case Manager
ABC Home Health Care Personal Services Inc. - Pueblo, CO
Support and carry out agency quality improvement initiation by participating in utilization review, QI projects, or other activities as indicated....
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Sponsored by ABC Home Health Care Personal Services Inc. - 30+ days ago
UBC Nurse Clinician RN (Case Manager)
Express Scripts 783 reviews - Morgantown, WV
Previous clinical criteria review experience preferred. The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
Sponsored by Express Scripts - 14 days ago
Nurse Case Manager - RN - Work From Home
Centene 162 reviews - Fort Wayne, IN
Working knowledge of utilization review procedures, and familiarity with mental health community resources. Nurse Case Manager – RN - Work From Home....
Sponsored by Personified - 9 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.