Utilization Management Nurse jobs

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Registered Nurse (RN) - Utilization Management
UCHealth - 341 reviews - Colorado Springs, CO
Registered Nurse (RN) – Utilization Management. UCH Utilization Management Schedule:. Provides focused support to various areas such as utilization management,...
PATIENT CARE NAVIGATOR RN
Inova Physician Services Corp - Falls Church, VA
Provides clinical advice and guidance on appropriate utilization of services.. Incorporates data and information to continuously improve services and care...
Clinical Care Reviewer, Utilization Management
Minimum 2 years’ experience in utilization management, preferably within managed care. Current, unrestricted FL Registered Nurse license....

Utilization Management Nurse

Humana - 3,144 reviews - Centennial, CO
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Quality Improve-Review Coord

Samaritan Health Services - 42 reviews - Lebanon, OR 97355
Current unencumbered Oregon Licensure as a Registered Nurse or degree in Health Information Management required (If degree in Health Information, previous...

Telephonic Utilization Review Nurse - Centennial, CO or Phoe...

Humana - 3,144 reviews - Centennial, CO
Previous experience in utilization management, discharge planning and/or home health or rehab. Humana is seeking a Utilization Management Nurse for our Front...

Utilization Review Nurse

Valley Health - 168 reviews - Winchester, VA
Prior Utilization Management preferred. Serves as a resource in utilization management process. 20 C Nurse Educator....

Utilization Review - Transition of Care - RN - 9a-6p CST

Humana - 3,144 reviews - Omaha, NE 68164
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Utilization Mgmt Nurse

Concerto HealthCare - 15 reviews - Albuquerque, NM   +1 location
Requires four (4) years’ utilization management experience. Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management....

Staff Nurse RN IV Resource Team/FT/Days-Vascular Access/PICC...

Detroit Medical Center - 245 reviews - Commerce, MI
Licensed to practice as a Registered Nurse (RN) in the state of Michigan. The Registered Nurse (RN) is a member of the Patient Care Services Team....

Utilization Management Nurse Consultant

Aetna - 2,594 reviews - San Antonio, TX   +7 locations
The Utilization Management Nurse Consultant include Precertification, Concurrent Review, and Retro Review. Nursing/Registered Nurse is required....

Utilization Management Representative I

Anthem, Inc. - 2,425 reviews - Andover, MA   +2 locations
Utilization Management Representative. Referring calls and cases requiring clinical review to a Nurse reviewer as needed through performing outreach, working...

Care Review Clinician, (RN)-Prior Authorization

Molina Healthcare - 649 reviews - North Charleston, SC 29405
Utilization Management Certification (CPHM). 3-5 years clinical practice with managed care, hospital nursing or utilization management experience....
Supervisor, Utilization Management Review
Under the supervision of the Manager for Utilization Management, this position is responsible for providing daily oversight of UM Nurses, UM Technicians and...
Registred Nurse (RN) - Utilization Management Part-Time
UCHealth - 341 reviews - Colorado Springs, CO
Registered Nurse (RN) – Utilization Management. UCH Utilization Management Schedule:. Provides focused support to various areas such as utilization management,...