Utilization Management Nurse jobs

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Utilization Review Case Manager RN
Utilization Review Case Manager. Case management and discharge planning experience required. Utilization Review Case Manager RN (posted 7/17/15) Full time...
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Case Manager/Registered Nurse (RN), Utilization Review, FT W...
Georgia as a Registered Nurse. Certification in Case Management, UR, or Quality. Follow Medicare guidelines regarding utilization review (Condition Code 44, 2MN...
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Utilization Review Nurse
Recovery Institute of America - Dana Point, CA
Utilization Nurses are critical to our mission.*. Previous experience in Utilization Review. For Registered Nurses, a Bachelor’s Degree in Nursing....
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Utilization Management Representative I-III - Norfolk, VA -...

Anthem, Inc. - 674 reviews - Norfolk, VA  +3 locations
Utilization Management Representative I-III. Refers cases requiring clinical review to a Nurse reviewer. May act as liaison between Medical Management and...

Primary Nurse Case Admin I

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Chicago, IL
This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single...

Utilization Management Representative (I, II, or III) - IHM...

Anthem, Inc. - 674 reviews - Albany, NY
Utilization Management Representative (I, II, or Sr.). Referring calls and cases requiring clinical review to a Nurse reviewer as needed through performing...

Spec Utilization Management (LPN)

BlueCross BlueShield of WNY - 5 reviews - Buffalo, NY
Licensed Practical Nurse. Utilization Management (UM) tasks and actions require interaction with provider offices, facilities, vendors, member and external...

CARE COORDINATOR RN (ACO / Population Health)

JFK Medical - 133 reviews - Edison, NJ
Minimum 2-3 years’ clinical experience in an acute care hospital and managed care case management or utilization review is preferred....

Intake Coordinator/Nurse (RN or LPN)

Blueridge Vista - Cincinnati, OH
Coordinating with the insurance companies and utilization management to initiate inpatient pre-certification....

RN- Care Coordinator

Kishwaukee Hospital - 6 reviews - DeKalb, IL
At least two years of acute care and ED hospital experience, along with one year experience in utilization management and case management....

Integrated Care Coordinator - RN

Wisconsin Physicians Service Insurance Corporation - Madison, WI 53713
Utilization management experience. Document the case summary and follow established utilization management policies for referrals to medical directors....

RN Care Coordinator-Care Coordination

WestCare Health System - Sylva, NC
Case Management certification required or within 2 years of employment. Monitoring and evaluating all aspects of services and care (in-hospital, community, and...

RN, Care Coordinator

APS Healthcare - 79 reviews - Atlantic City, NJ  +1 location
Analytical and interpretation skills including departmental, utilization, financial and operationsdata. Manage patients in current disease management programs,...
Registered Nurse (RN), Utilization Review, FT Evenings (3p-1...
Three years Utilization or Case Management experience. Current License in the State of Georgia as a Registered Nurse....
Sponsored by Piedmont
Utilization Review Nurse
ArchCare - New York, NY
Other Duties and Responsibilities for all UR Nurses:. The Utilization Review Nurse at any time may have to assume the responsibilities of covering the Inpatient...
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