Utilization Management Nurse jobs

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Utilization Review Nurse- (RN)
Winchester Medical Center 74 reviews - Winchester, VA
Prior Utilization Management preferred. Licensed as a registered nurse, or eligible for licensure in Commonwealth of VA....
Sponsored by Valley Health (Virginia) - 12 days ago
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 - 6 days ago
Registered Nurse
Celtic Healthcare - Luzerne County, PA
Will also educate the patient/caregiver in the management of their illness and promote the home health support systems to decrease re-hospitalization and...
Sponsored by Celtic Healthcare - 30+ days ago

Clinical Nurse Reviewer - Work from Home!

CareCore National | MedSolutions - Colorado Springs, CO - +1 location
Utilization Management experience preferred. Must be a Registered Professional Nurse or Licensed Practical Nurse....

Dir Utilization Management

Molina Healthcare 131 reviews - Remote
Evaluates Utilization Management statistics including plan utilization, staff productivity, cost effective utilization of services, management of targeted...

Clinical Nurse Reviewer, LPN

Unum 77 reviews - Chattanooga, TN - +3 locations
Licensed Practical Nurse. Set goals with management for personal and professional growth. Position requires utilization of critical thinking skills and...

Utilization Management Nurse Consultant

LanceSoft Inc. - Fort Lauderdale, FL 33323 - +6 locations
Health Services strategies, policies, and programs are comprised of utilization management, case management, quality management, and clinical coverage and...
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Utilization Management Nurse Reviewer

Dean Health Plan, Inc. - Middleton, WI
Perform other duties as assigned by Utilization Management Manager or Director of Care Management. Work directly with UM Supervisor(s), Utilization Management...

Utilization Management Manager - Concurrent Review

Central California Alliance for Health 5 reviews - Scotts Valley, CA
Participating as a team member in all Alliance Utilization Management Department trainings, activities, and projects;...

Utilization Management Representative I, II or III-FEP

Anthem, Inc. 563 reviews - Indianapolis, IN
Utilization Management Rep I. Utilization Management Rep II. We have multiple openings for Utilization Management Representatives in our Indianapolis, IN office...

Care Continuum Coordinator - Care Coordination

Saint Agnes Medical Center 29 reviews - Fresno, CA
This includes discharge planning, utilization management, care coordination, and support for resource utilization....

Mgr - Utilization Review - Care Management New Job

MaineHealth System - Portland, ME
O Utilization Review Nurses. ED care management, utilization review, denial management, patient access management, triage access as relates to care management,...

Utilization Nurse - Growing Health Plan Org!

Fallon Health 33 reviews - Worcester, MA
2 years’ experience as a Utilization Management nurse in a managed care payer preferred. Oversee utilization management decisions completed by Senior Nurse Case...
Utilization Review RN (Sheridan WY)
Sheridan Memorial Hospital 4 reviews - Wyoming
HMO, managed care, PPO, Utilization Management/medical management experience preferred. We would like to add a highly skilled Utilization Review Nurse to our...
Sponsored by Sheridan Memorial Hospital - 12 days ago
Complex and Chronic RN Case Manager - Atlanta, GA
UnitedHealth Group 1,939 reviews - Atlanta, GA
RN, Nurse, BSN, Case Management, CCM, Chronic, Complex, High Risk, Comorbidity, Disease Management, Field Based, Home Health, Managed Care, Healthcare, UHG,...
Sponsored by UnitedHealth Group - 12 days ago

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Company with Utilization Management Nurse jobs
74 reviews
Valley Health is a nonprofit serving the healthcare needs of people in and around the Top of Virginia, as well as parts of WV and MD