Utilization Management Nurse jobs

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Registered Nurse (RN) - Utilization Review - 8:30a - 16 Week...
Centra Healthcare Solutions 5 reviews - Washington, DC
2 years of recent experience in Utilization Review working as a Registered Nurse / RN. As well, the Registered Nurse (RN) will perform according to nursing...
Sponsored by Centra Healthcare Solutions
RN Oasis Quality Review- Home Health
ContinuCare Health Services - Chattanooga, TN
This RN will ensure OASIS-C assessments support services ordered and demonstrate appropriate utilization. Identifies OASIS inconsistencies and educates staff on...
Sponsored by ContinuCare Health Services
Registered Nusre - Utilization Management
University of Colorado Health 138 reviews - Fort Collins, CO
Provides case management and/or consultation for complex cases. Unrestricted RN license from the State of Colorado Board of Nursing or compact privileges under...
Sponsored by University of Colorado Health

Prior Authorization Nurse I (Marketplace)

Centene Corporation 224 reviews - Jackson, MS  +12 locations
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Preservice Review Nurse RN - Phoenix, AZ

UnitedHealth Group 2,129 reviews - Phoenix, AZ  +2 locations
Utilization management, prior authorization, and case management experience. RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization...

Utilization Review Nurse I

Health Net, Inc. 3 reviews - Hampton, VA 23666 (Northampton area)
Answers Utilization Management directed telephone calls; Identifies and refers potential cases to Disease Management, Case Management, Demand Management and...

RN Care Coordination Supervisor

Moda Health 22 reviews - Portland, OR 97204 (Downtown area)
Minimum of 3 years of Utilization Management, Care Coordination, or Case Management experience with a health plan or similar organization....

RN Case Manager - Continuing Care, Springfield Medical Cente...

Kaiser Permanente 2,465 reviews - Springfield, VA
Demonstrated competence with medication management is required. Demonstrated competence with vascular access management is required....

Access Care- Utilization Management Coordinator Job

Henry Ford Health System 478 reviews - Detroit, MI
Previous utilization management or case management experience preferred. Access Care- Utilization Management Coordinator....

Utilization Management LVN

Valence Health 8 reviews - Austin, TX
Appropriately identifies potential cases for Case Management and Disease Management. One to three years of utilization and case management activities,...

Nurse - Clinical Utilization Management Elevation

CareCentrix - Tampa, FL
The Nurse must have expertise/prior experience in Utilization Management, knowledge of Medical Guidelines, and experience with governmental home health agency...
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CDI Specialist - Nurse

LifeCare Hospitals of Pittsburgh - Monroeville Cam... - Monroeville, PA
This position provides integration of the patient’s condition with the medical record documentation, facilitates coding and supports strong utilization...

Utilization Review Nurse

Independent Health 30 reviews - Buffalo, NY
The Utilization Review Nurse (URN) performs clinical reviews to determine the medical necessity of requested services....
Registered Nurse (RN) - Utilization Review
Centra Healthcare Solutions 5 reviews - Phoenix, AZ
As well, the Registered Nurse (RN) will perform according to nursing standards and is accountable in managing patient care and assisting others in the...
Sponsored by Centra Healthcare Solutions
Prior Authorization Nurse Supervisor - $3K Sign On Bonus - H...
UnitedHealth Group 2,129 reviews - Honolulu, HI
Registered Nurse, RN, Supervisor, Manager, Charge Nurse, Utilization Management, Milliman, MCG, Medicaid, Medicare, Honolulu, HI, Hawaii....
Sponsored by UnitedHealth Group

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Company with Utilization Management Nurse jobs
Centra Healthcare Solutions, Inc. was established with the mission to provide first class staffing services and concierge customer service.