Utilization Management Nurse jobs

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Case Manager
Winchester Medical Center 31 reviews - Winchester, VA
JOB SUMMARY The Nurse Case Manager utilizes the... an acute care setting. Prior Case Management or Utilization Management preferred. Skills needed include...
Sponsored by Valley Health (Virginia) - 30+ days ago
Clinical Documentation Specialist
Winchester Medical Center 31 reviews - Winchester, VA
of Virginia as a Registered Nurse. Baccalaureate in... and chosen specialty. Previous Utilization Management/Case Management or coding experience preferred...
Sponsored by Valley Health (Virginia) - 28 days ago

Utilization Review Specialist - LPN

Florida Hospital Tampa 17 reviews - Tampa, FL
resources on major disease areas, including cardiovascular care, women's services, cancer treatment, pediatrics, orthopaedics and diabetes management...
Florida Hospital Tampa Bay Division - 1 day ago - save job - block - email - more...

Utilization Management Representative I - Newbury Park, CA

WellPoint, Inc 447 reviews - Newbury Park, CA - +2 locations
Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in...
WellPoint - 4 days ago - save job - block - email - more...

Clinical Claim Review RN - Telecommuting in Salt Lake City,...

UnitedHealth Group 1,508 reviews - West Valley City, UT
Broad knowledge of medical conditions, procedures and management. Ability to learn and differentiate between company products and the benefits....
6 days ago - save job - block - email - more...

RN - Clinical Analyst

HealthNow New York Inc. - Buffalo, NY
The incumbent will assist in containing costs of healthcare services by detecting, resolving and preventing improper utilization of member benefits....
22 hours ago - save job - block - email - more...

Utilization Review\Management Analyst

Sharp HealthCare 54 reviews - La Mesa, CA
CM/UR Analyst, RN, RN Case Management, Utilization, Nursing Jobs, Nurse....
14 hours ago - save job - block - email - more...

Medical Director Primary Care - Chicago

Cigna 696 reviews - Chicago, IL
The medical director is a physician supervisor who manages other physicians, nurse practitioners, physician assistants, nurses and other clinical personnel....
5 days ago - save job - block - email - more...

RN Clinical Consultant - NY/NJ

Cigna 696 reviews - Albany, NY - +1 location
Conducting periodic reviews of OLAM (On Line Account Management System) to ensure clear communication of client specific needs on assigned accounts....
3 days ago - save job - block - email - more...

Facility Based Intensive Care Advocate - Maryland Heights, M...

UnitedHealth Group 1,508 reviews - Maryland Heights, MO
Healthcare is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health...
1 day ago - save job - block - email - more...

Utilization Review Specialist- CSCC U.D.P

Nationwide Children's Hospital 96 reviews - Columbus, OH
The Utilization Review (UR) Specialist Nurse implements and supports the philosophy, mission, values, standards, policies and procedures of Nationwide Children...
11 days ago - save job - block - email - more...

RN Clinical Consultant- Denver, CO

Cigna 696 reviews - Denver, CO
Conducting periodic reviews of OLAM (On Line Account Management System) to ensure clear communication of client specific needs on assigned accounts....
2 days ago - save job - block - email - more...
Registered Nurse (RN) - Utilization Management (UM) Nurse Co...
Aetna 350 reviews - San Antonio, TX
utilization. Fundamental Components: UM Nurse... and communicate all aspects of the utilization/benefit management program including but not limited to;...
Sponsored by Aetna - 1 day ago
Registered Nurse (RN) - Utilization Management Nurse Consult...
Aetna 350 reviews - San Diego, CA
administration of the utilization management function... Nursing/Registered Nurse (RN) is required Healthcare Management/Certified Utilization Review (CPUR) is...
Sponsored by Aetna - 7 days ago
Care Manager
Athens Regional Health System - Athens, GA
change management, organizational and time management... in acute care performing utilization management, discharge planning, case management, or care coordination...
Sponsored by Athens Regional Health System - 30+ days ago

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