Utilization Management Nurse jobs

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Registered Nurse (RN) - Utilization Management Clinical Cons...
Aetna 436 reviews - Phoenix, AZ
As a Registered Nurse (RN) Utilization Management Clinical Consultant, you will utilize your clinical skills to coordinate, document and communicate all aspects...
Sponsored by Aetna - 9 days ago
Clinical Program Specialist - RN (Alzheimers/Dementia)
Peoples Health, Inc. 11 reviews - Metairie, LA
Knowledge of chronic care management, utilization management, managed care and Medicare highly preferred. Provides education to market staff on topics related...
Sponsored by Peoples Health, Inc. - 30+ days ago
RN Case Manager Hospice/Homecare
Visiting Nurse Association & Hospice of VT and NH - Brattleboro, VT
Payer source documentation, including management of authorizations; Come Join Our Great Team of Experienced Nurse Professionals!...
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 30+ days ago

Case Manager I-Care Coodination

Johns Hopkins Hospital Nursing - Baltimore, MD
Utilization management and quality improvement processes. Additional case management/disease management or managed care experience preferred....
Johns Hopkins Medicine - 2 days ago - save job - email - more...

Registered Nurse (RN)-UM Clinical Consultant(Pre-auth)

Aetna 436 reviews - Detroit, MI 48207 (Elmwood Park area)
2 plus years of prior authorization, utilization management or utilization review experience is required. Nursing/Registered Nurse (RN) is required....
3 days ago - save job - email - more...

Quality Assurance Nurse, RN/LVN - Utilization Management

Inland Empire Health Plan 22 reviews - Rancho Cucamonga, CA
Two (2) or more years of utilization management experience in a health care delivery setting. Possession of a valid RN or LVN license issued by the State of...
3 days ago - save job - email - more...

Case/Utilization Manager RN

University of Colorado Health 128 reviews - Fort Collins, CO
Provides the Nursing and Utilization Management component to the multidisciplinary team and the management of complex patient/family care....
5 days ago - save job - email - more...

RN - Utilization Management (Medicaid)

Carewise Health 6 reviews - Louisville, KY 40223
RN - Utilization Management (Medicaid). The Utilization Management Nurse is responsible for the delivery of the Utilization Management process to include:....
6 days ago - save job - email - more...

Nurse (Utilization Review)

Department of Veterans Affairs 882 reviews - Fort Harrison, MT
The nurse's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses)....
4 days ago - save job - email - more...

Utilization Management Nurse

MDwise, Inc 2 reviews - Indianapolis, IN
The Utilization Management Nurse performs activities that support the clinical review and timely resolution of requests for prior authorization, concurrent...
17 days ago - save job - email - more...

Utilization Management Intake Specialist

AmeriHealth Caritas 42 reviews - Charleston, SC
Supports Utilization Management nurses with data entry. Accurately answers questions regarding Plan benefits and Utilization Management requirements for members...
2 days ago - save job - email - more...

Utilization Mgr-F/T Days RN

Health Quest 12 reviews - Poughkeepsie, NY
Under the general supervision of the Director, The Nurse Utilization Manager role provides clinically-based utilization review of all patients receiving care in...
3 days ago - save job - email - more...

Utilization Review Nurse

Mercy 96 reviews - Springfield, MO - +1 location
Utilization Review Nurse. The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to...
1 day ago - save job - email - more...
Director Case Management PMH
Piedmont Healthcare 105 reviews - Jasper, GA
Director Case Management PMH Job Number:. The Director of Case Management is directly responsible for the planning, coordination and monitoring of care and...
Sponsored by Piedmont Healthcare - 30+ days ago
Utilization Review Coordinator (RN, LPN,LISW, LSW)
Promedica 26 reviews - Cincinnati, OH
We are currently seeking qualified Registered Nurses, Licensed Practical Nurses, Licensed and non- licensed Social Workers interested in a Utilization...
Sponsored by ProMedica - 30+ days ago

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Company with Utilization Management Nurse jobs
105 reviews
For more than a century, Piedmont Healthcare has been a recognized leader in delivering expert care.