Utilization Management Nurse jobs

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RN Field Svc Coord Clinician LTSS -Crystal City/Carrizo Spri...
Anthem, Inc. 512 reviews - Crystal City, TX
Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health services....
Sponsored by Anthem, Inc. - 7 days ago
Nurse Coach
St. Joseph's Hospital 7 reviews - Syracuse, NY
Bachelor ’ s prepared nurse with 2 years experience in medical primary care, patient coaching or outpatient case management....
Sponsored by St. Joseph's Hospital - 17 days ago

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

Aetna 422 reviews - Albany, NY 12203 (Campus Area-University District area) - +18 locations
Apply clinical expertise to assure appropriate benefit utilization. Utilizes clinical skills to coordinate, document and communicate all aspects of the...
41 minutes ago - save job - email - more...

Utilization Nurse – Global Business Solutions Job

Mayo Clinic 279 reviews - Rochester, MN
Utilization Nurse – Global Business Solutions. Case management experience or prior experience in utilization management preferred....
20 hours ago - save job - email - more...

UM Nurse Consultant

Aetna 422 reviews - Charles Town, WV 25414 - +6 locations
Nursing/Registered Nurse is required. You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility....
1 day ago - save job - email - more...

Utilization Nurse - Growing Health Plan Org!

Fallon Health 30 reviews - United States
2 years’ experience as a Utilization Management nurse in a managed care payer preferred. Oversee utilization management decisions completed by Senior Nurse Case...
6 days ago - save job - email - more...

RN, Case Management

Hillcrest Medical Center 37 reviews - Tulsa, OK
Previous Case Management experience required. The case manager will perform utilization review in accordance with Inter....
Hillcrest Healthcare System - 21 hours ago - save job - email - more...

Patient Utilization Registered Nurse

Beth Israel Medical Center 377 reviews - Manhattan, NY
Patient Utilization Registered Nurse. Along with discharge planning, case management, and disease management experience....
Mount Sinai Health System - 22 hours ago - save job - email - more...

Utilization Management Nurse

Munson Healthcare 40 reviews - Traverse City, MI
$23.35 - $34.97 an hour
Reports to Manager of Utilization Management. Previous utilization review and/or case management experience preferred....
1 hour ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 422 reviews - Phoenix, AZ 85040 (South Mountain area)
As a Registered Nurse (RN) Utilization Management Clinical Consultant, you will utilize your clinical skills to coordinate, document and communicate all aspects...
41 minutes ago - save job - email - more...

Acute and Post-Acute Utilization Management

Humana 786 reviews - Centennial, CO
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...
13 days ago - save job - email - more...

Utilization Review / Intake Nurse (Behavioral Health)

Diamond Healthcare Corporation 23 reviews - Lorain, OH - +1 location
UR responsibilties - participates in utilization review and/or quality assurance programs; Admissions responsibilities - taking inbound phone calls, performing...
2 days ago - save job - email - more...
RN High Risk Case Manager
The Carle Foundation - Urbana, IL
Registered Nurse Illinois. The Health Alliance Medical Plans RN High Risk Case Manager (HRCM) is responsible for case management of members with multiple,...
Sponsored by The Carle Foundation - 28 days ago
Chief Nursing Officer (CNO) Platte County Memorial Hospital
Banner Health 354 reviews - Wheatland, WY
Understands utilization management and case management and their importance to the organization. Must possess licensure as a professional nurse (RN) in the...
Sponsored by Banner Health - 12 days ago
Registered Nurse - Care Manager Utilization Review 1.0 Varia...
Providence Health & Services 143 reviews - Olympia, WA
Previous experience preferred in case management, utilization review, quality management and/or discharge planning....
Sponsored by Providence Health & Services - 30+ days ago

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Company with Utilization Management Nurse jobs
512 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.