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Nurse Care Advocate
Landmark Health - Latham, NY
1-2 years of utilization management experience a must. Reviews medical information collected including medical records and/or performs additional assessment to...
Case Manager
Cedars-Sinai - 186 reviews - Los Angeles, CA
Manager, Social Worker, Nurse Practitioner. Preferred accomplishments include previous case management, Certified Case manager (CCM) certification for RN’s,...
OrthoNet Specialty Consultant, Orthopedics,Utilization Manag...
UnitedHealth Group - 3,880 reviews - White Plains, NY
Performs utilization management reviews for pre-certification, concurrent review and retrospective reviews including appeals....

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna - 1,610 reviews - Omaha, NE 68102
1-3+ years of Managed Care and/or Utilization Review experience preferred. Fundamental Components of the Utilization Management (UM) Nurse Consultant role...

RN Care Manager Utilization Management SHP

Healthfirst - 470 reviews - New York, NY
Attend telephonic department meetings. Registered Nurse (RN) with Bachelor’s Degree. New York State Registered Professional Nurse license....

Telephonic Utilization Management Nurse (RN) - Intermountain...

Humana - 1,876 reviews - Salem, OR
Humana is seeking a Utilization Management Nurse for our senior segment who will collaborate with other health care givers in reviewing actual and proposed...

UM Nurse Consultant

Aetna - 1,610 reviews - Denver, CO
Telephonic Utilization Review nurse with RN degree. Ability to multi-task between telephonic reviews and data entry of clinical information....

Concurrent Review Nurse

Medica - 44 reviews - Minnesota
Concurrent Review Nurse. The Concurrent Review nurse reviews inpatient admissions to assure appropriate level of care....

Clinical Quality Improvement Coordinator Medicaid

PacificSource Health Plans - 18 reviews - Bend, OR
Ability to develop, review, and evaluate utilization reports. Assesses population through development and review of utilization reports....

Utilization Review Nurse

Berkley Medical Management Solutions - Chicago, IL  +2 locations
To perform the utilization review services of pre-certification, concurrent review, retrospective review, nurse research, and short-term disability review as...
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Prior Authorization Nurse I

Magnolia Health Plan - 6 reviews - Jackson, MS
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Registered Nurse, RN Disease Manager, Luke AFB, AZ

Platinum Business Corporation - 2 reviews - Glendale, AZ
American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); Outstanding Registered Nurse, RN Disease Manager Opportunity at...
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Inpatient Utilization Management Nurse (RN Only)

PremierOne Plus MSO - Cerritos, CA
Utilization Review experience. Responsible for utilization management, utilization review, or concurrent review (telephonic inpatient care management)....
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Nurse Case Manager
Telephonic case management experience. Is one of the industry’s most experienced international travel health insurance, trip cancellation, international...

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Company with Telephonic Utilization Review Nurse jobs
UnitedHealth Group is the most diversified health care company in the United States and worldwide leader helping people live healthier lives