Utilization Management Nurse jobs

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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
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
Prior Authorization Nurse Supervisor - $3K Sign On Bonus - H...
UnitedHealth Group 2,130 reviews - Honolulu, HI
Registered Nurse, RN, Supervisor, Manager, Charge Nurse, Utilization Management, Milliman, MCG, Medicaid, Medicare, Honolulu, HI, Hawaii....
Sponsored by UnitedHealth Group

Appeals & Denials RN

Barbara Ann Karmanos Cancer Institute - Detroit, MI
Two years of case management or utilization review experience. Assists in performing concurrent utilization reviews as needed....

Medical Claims Review Nurse

Alliant Health Solutions - Atlanta, GA 30346
Previous Utilization, Case Management, Quality Assurance and/or claims auditing experience desirable. Registered Nurse with current Georgia license;...
Easily apply

RN Quality Documentation Specialist

Phelps Memorial Hospital Center 15 reviews - Sleepy Hollow, NY
QRM (Quality Risk Management). C urrent / valid NYS license as Registered Nurse. E xperience in Clinical Quality Assurance or Utilization preferred;...

Nurse Medical Management I/II - Houston or Dallas

Anthem, Inc. 617 reviews - Grand Prairie, TX
3-5 years acute care clinical experience or case management, utilization management or managed care experience....

RN Unit Manager Clinical Operations - Centennial Care

Blue Cross Blue Shield 1,660 reviews - Farmington, NM
This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or...

Director Utilization Review- FT- Day, Saint Luke's Hospital

Saint Luke's Health System 27 reviews - Kansas City, MO 64101
Experience with implementing or overseeing a case management program and extensive knowledge of payer mechanisms and clinical utilization management....

Prior Authorization Nurse I

Centene Corporation 225 reviews - Columbus, OH  +12 locations
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Appeals RN

AmerisourceBergen 336 reviews - Frisco, TX
In addition, having at least two to three years’ experience in case management, discharge planning, and/or utilization review is preferred....

Utilization Management Triage Intake Representative

Mountain Limited - Mishawaka, IN
Utilization Management Triage Intake Rep Triage incoming faxes from medical providers and internal customers and enter into appropriate system for nurse to...
Easily apply

Clinical Coverage Review RN - Shelton, CT

UnitedHealth Group 2,130 reviews - Shelton, CT
The Utilization Management Nurse is responsible for the medical necessity review; The Utilization Management Nurse works under the direct supervision of an RN...
Utilization Review Registered Nurse
Kelly Services 3,453 reviews - New York, NY
Telephonic case management or utilization review experience a plus. We are currently recruiting for an exciting contract opportunity as a Nurse Reviewer with...
Sponsored by Kelly Services
Utilization Review Nurse-RN
Baker County Medical Services, Inc - Macclenny, FL
UR Hospital Case Management:. 1+ years current UR/Case Management Experience in a Hospital setting. UR/Case Manager RN-New Full Time Position to facilitate with...
Easily apply
Sponsored by Baker County Medical Services, Inc

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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.