Utilization Management Nurse jobs

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RN - Utilization Review (FT)
Beebe Healthcare - Lewes, DE
nationwide. RN - Utilization Review (FT) RN licensed... in Case Management including knowledge of Interqual criteria and Utilization Management preferred. Skills...
Sponsored by Healthcare Jobs on Display - 10 days ago
Registered Nurse Case Manager
Saint Jude Hospice - Council Bluffs, IA
each patient, and case management to hospice patients... Current license in good standing as a Registered Nurse. *Minimum of 2 years nursing experience; hospice...
Easily apply
Sponsored by Saint Jude Hospice - 15 days ago

CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

Coast Healthcare - Lakewood, CA
CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT. Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred....
Tenet Healthcare - 5 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna - San Antonio, TX - +7 locations
Nursing skills and critical thinking are utilized on a daily basis. Gathers clinical information and applies appropriate clinical criteria/guidelines, policy,...
15 hours ago - save job - email - more...

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

Aetna - San Diego, CA - +17 locations
3-5 years of clinical experience required. RN with CA license. Requires gathering clinical information and the application of clinical criteria and guidelines...
21 hours ago - save job - email - more...

RN-Care Manager, Care Management 1.0 days Highline (0000)

Catholic Health Initiatives - Burien, WA
that demonstrates attainment of the requisite job knowledge skills/abilities. Incumbents are also accountable for demonstrating a strong commitment to promoting...
4 days ago - save job - email - more...

RN Weekend Utilization Review - Louisville, KY

Humana - Louisville, KY
Previous experience in utilization management, discharge planning in a hospital or home health environment. Examine clinical programs information to identify...
5 days ago - save job - email - more...

2014:30: Quality Improvement Consultant- Coordination of Car...

TMF Health Quality Institute - Oklahoma, TX
Bachelor’s degree from an accredited college or university in nursing, public health or a related discipline....
2 days ago - save job - email - more...

RN Utilization Review

Christus Health - Alexandria, LA
Monitors for appropriateness of admission, continuing stay criteria, and refers deficiencies to appropriate personnel and/or medical staff....
4 days ago - save job - email - more...

Utilization Management (UM) Nurse Associate (LPN /LVN)

Aetna - Sandy, UT - +1 location
Internal candidates can report to any Aetna office. The Utilization Management Nurse Associate utilizes clinical skills to support the coordination,...
5 days ago - save job - email - more...

Registered Nurse- Consultant, Utilization Mangement RN

Department of Veterans Affairs - White River Junction, VT
Mon - Fri, 8am-4:30pm, occasional evenings may be required. The Fee Services/Utilization Management Nurse II makes program specific decisions that reflect the...
6 days ago - save job - email - more...

Medical Group Care Manager (Patient Care Management)

Renown Health - Reno, NV
Ability to obtain and maintain a State of. Demonstrates strong interpersonal communication skills both verbal and written....
4 hours ago - save job - email - more...
Utilization Management Specialist (1849)
L.A. Care Health Plan - Los Angeles, CA
management and processes. QUALIFICATIONS & REQUIREMENTS EDUCATION: Required Registered Nurses (RN... admissions; Utilization Management experience at HMO...
Sponsored by L.A. Care Health Plan - 30+ days ago
Registered Nurse, Service Line Coordinator-CV/Thoracic (Surg...
Ministry Health Care - Saint Joseph, WI
Nurse Association Scope and Standards for Nurse... Nurse Association Scope and Standards for Nurse Administrators (1996) and the Code of Ethics for Nurses...
Sponsored by Ministry Health Care - 30+ days ago
Utilization Management Specialist (Full-Time)
L.A. Care Health Plan - Los Angeles, CA
management and processes. QUALIFICATIONS & REQUIREMENTS EDUCATION: Required Registered Nurses (RN... admissions; Utilization Management experience at HMO...
Sponsored by L.A. Care Health Plan - 22 days ago
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