Utilization Management Nurse jobs

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Registered Nurse (RN) - Medicaid Prior Auth Utilization Nurs...
Aetna 344 reviews - Phoenix, AZ
Prior Authorization Nurse Conducts prospective... and communicate all aspects of the utilization/benefit management program. Applies critical thinking and...
Sponsored by Aetna - 7 days ago
Nurse Clinician RN (Cross Functional)
Express Scripts 695 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing... advocates within the Prior Authorization/Utilization Management department. Identify and track trends for...
Sponsored by Express Scripts - 13 days ago

Clinical Education Data Analyst RN Required

McKesson 756 reviews - Work from Home
Our solutions reduce unnecessary healthcare utilization while improving outcomes;. operationalize complex volume- and value-based payment models;....
1 day ago - save job - email - more...

Case Manager Utilization Management - Sanford Health Plan

Sanford Health 57 reviews - Sioux Falls, SD
The Case Manager Utilization Management Nurse is responsible for reviewing information submitted by internal or external referral sources regarding medical...
2 days ago - save job - email - more...

Licensed Utilization Management Nurse Associate (LPN/LVN)

Aetna 344 reviews - Orlando, FL
Aetna's Specialty Medical Precertification program is a medication management program that helps ensure prescribing compliance by comparing the medication...
6 hours ago - save job - email - more...

Manager, Utilization Management - Honolulu - Sign on Bonus

UnitedHealth Group 1,480 reviews - Honolulu, HI
RN, Nurse, UM, Utilization Management, Manager, Leadership, Clinical, Case Management, Medicaid, Medicare, High Risk, Community and State, UHC, United....
1 day ago - save job - email - more...

Registered Nurse (RN) - Utilization Review Nurse - FT

Centennial Medical Center 43 reviews - Nashville, TN
Clinical Review Nurse – Quality/Risk Management. Our 657 bed hospital is both nationally and locally recognized, including being named as one of the nation's...
HCA Inc - 19 hours ago - save job - email - more...

MediConnect Case Manager

Regal Medical Group - Northridge, CA - +1 location
Communicates appropriately and clearly with physicians, in patient case managers and Prior-Authorization nurses....
Easily apply
10 hours ago - save job - email - more...

Care Manager

Indiana University Health 66 reviews - Indianapolis, IN
Accountable for multiple performance and utilization risk components such as:. (1) patient flow and throughput, (2) quality initiatives, (3) discharge planning,...
3 days ago - save job - email - more...

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

Aetna 344 reviews - Jacksonville, FL - +21 locations
Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization. Consults and lends expertise to other internal and...
1 day ago - save job - email - more...

Utilization Management Case Manager

Evolent Health 3 reviews - Dayton, OH - +2 locations
Evolent Health is looking for a Utilization Management Case Manager to be a key member of the Population Health Team at Dayton, OH....
5 days ago - save job - email - more...

Manager-Utilization Review RCS

Indiana University Health 66 reviews - Indianapolis, IN
The incumbent provides direction and leadership to assigned personnel and ensures that all Utilization Review RN functions, Medical Necessity Denials and...
3 days ago - save job - email - more...
Registered Nurse (RN) Utilization Management (UM)/Concurrent...
Aetna 344 reviews - New Albany, OH
Utilization Management (UM)/Concurrent Review Nurse... aspects of the utilization/benefit management program. Fundamental Components: The UM Nurse Consultant...
Sponsored by Aetna - 7 days ago
Telephonic RN Case Manager (Behavioral Health) - Telecommute...
UnitedHealth Group 1,480 reviews - Baltimore, MD
Management experience Certified Case Manager (CCM) Experience in Med Surg, home care or case management... Registered Nurse, RN, case manager, case management...
Sponsored by UnitedHealth Group - 28 days ago
High Risk Case Manager - RN
The Carle Foundation - Urbana, IL
management of members with multiple, ongoing medical and social concerns that account for a disproportionate share of health care costs and utilization. The...
Sponsored by The Carle Foundation - 30+ days ago

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Company with Utilization Management Nurse jobs
695 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.
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