Utilization Management Nurse jobs

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Registered Nurse (RN) - Clinical Reviewer - Utilization Revi...
Telligen - 15 reviews - Boise, ID
Registered Nurse (RN) - Clinical Reviewer - Utilization Review Nurse. Requirements - Registered Nurse (RN) - Clinical Reviewer:....
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 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...

UM Clinician - BH

Aetna - 1,626 reviews - Sandy, UT 84070  +1 location
Ability to interact professionally with a wide range of providers and utilization management staff. Utilizes clinical skills to coordinate, document and...

Utilization Review Specialist

Universal Health Services - Orlando, FL  +1 location
Records of the Utilization Review department. Management companies, operating through its subsidiaries acute care....

Utilization Management Support Coordinator

Clover Health - San Francisco, CA
This role will support the Utilization Management Department. The Utilization Management Department is a core, strategic function of Clover Health that ensures...
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UM Nurse Associate

Aetna - 1,626 reviews - New Albany, OH 43054  +1 location
The Utilization Management Nurse Associate utilizes clinical skills to support the coordination, documentation and communication of medical services and/or...

Utilization Management Nurse

Clover Health - San Francisco, CA
2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
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Utilization Review Specialist

Vantage Point of Northwest Arkansas - Fayetteville, AR
3 to 5 years Experience in Utilization Management/Review, Intake or Case management preferred. Determines causation and trends for denials and failed appeals,...

Coordinator -Utilization Management/Registered Nurse

Henry Ford Health System - 609 reviews - Detroit, MI 48202 (New Center area)
Previous utilization management or case management experience. Registered Nurse with a valid, unrestricted State of Michigan License....
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Utilization Review Specialist

Mercy Health Services - 8 reviews - Baltimore, MD
The Utilization Review Specialist supports the efforts of the Case Management Department through the avoidance, investigation and appeal of denials of days of...

Medical Review Nurse Auditor

Performant Financial Corporation - 5 reviews - San Angelo, TX
Experience with utilization management systems or clinical decision making tools such as MCG or InterQual. And have experience using a case management system...

Utilization Management Nurse (LPN)

Quantum Health - Ohio
Utilization Management Nurse (LPN). We are looking for an LPN Utilization Management Nurse. Experience in health management desired....
Registered Nurse (RN) Case Manager FT: Friday, Saturday, Sun...
Certification in Case Management. Accurate and timely utilization review of patient charts to insure appropriate utilization of hospital resources and...
Sponsored by HCA Inc
Utilization Review Specialist - Physician Advisory Services
At least 2 years of hospital-based Utilization or Case Management Experience. The successful candidate must have hospital-based Utilization Review or Case...

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Company with Utilization Management Nurse jobs
Since 1924, St. David's Medical Center has offered unsurpassed healthcare.