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Utilization Review Nurse RN
Utilization Review (UR) Case Manager RN. Entities, ( ie. physicians, health plans, review nurses, clerical personnel). And Utilization Director....
Utilization Review/Case Management Nurse
Jai Medical Systems Managed Care Organization, Inc. - Hunt Valley, MD
Prior Utilization Review experience preferred, but not required. Managed Care Organization, based in Hunt Valley, is now seeking full-time, licensed registered...
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Clinical Care Manager
Aetna - 2,145 reviews - Dallas, TX 75207
Click here to review the benefits associated with this position. This position is strictly telephonic in a fast paced, production environment....

Prior Authorization Nurse II

Trillium Community Health Plan - 8 reviews - Washington, DC  +1 location
Participate in utilization management committees and work on special projects related to utilization management as needed....

Case Manager, RN

UnitedHealth Group - 5,198 reviews - Eden Prairie, MN 55344
Experience in utilization review, concurrent review or risk management. Previous experience in a telephonic role Careers with Optum....

Local Care Model Telephonic Te

Aetna - 2,145 reviews - Chantilly, VA
Nursing/Registered Nurse is required. 1-3 years of telephonic clinical experience; Click here to review the benefits associated with this position....

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services (CNHS) - Orange, CA 92868
$48 an hour
CONTRACT Concurrent Review Nurse (RN)*. Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient...
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Case Management Utilization Nurse **Remote

McBee - Wayne, PA 19087
Case Management Utilization Nurse. Utilization Review experience and knowledge of InterQual criteria is required....
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Utilization Management LVN

UnitedHealth Group - 5,198 reviews - La Palma, CA 90623
Perform utilization management, utilization review, or concurrent review (on - site or telephonic inpatient care management)....

Utilization Management LPN

UnitedHealth Group - 5,198 reviews - Eden Prairie, MN 55344  +4 locations
Function is responsible for Utilization Management which includes Concurrent Review (on-site or telephonic Inpatient Care Management)....

Telephonic Complex Case Manager

Medix - 65 reviews - Westmont, IL
Registered Nurse in the state of Illinois. We are hiring for a Complex Telephonic Case Manager that will be working with a large health system on their...

RN Telephonic Complex Case Manager Job

HealthPartners - 161 reviews - Bloomington, MN
Minimum of 3 years relevant utilization review, discharge planning, or case management experience; Registered Nurse with current unrestricted license in the...

Utilization Management Nurse (RN) - Dublin, OH

Humana - 2,539 reviews - Dublin, OH
Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...
Nurse Care Advocate
Landmark Health - 6 reviews - Ontario, CA 91761
1-2 years of utilization management experience a must. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care...
Registered Nurse Concurrent Review
Registered Nurse Concurrent Review*. Position will require reviewing appropriate utilization of medical services by performing concurrent review from...
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