Utilization Management Nurse jobs

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Case Manager/Utilization Review RN - FT - $5K Sign On Bonus
Piedmont - 11 reviews - Atlanta, GA
Utilization across the continuum. Georgia as a Registered Nurse. Certification in Case Management, UR, or Quality....
Utilization Review Nurse
Mercy - 116 reviews - Des Peres, MO
Assessment/Referral and Utilization Management:. Prefer Certification in Case Management. At least five years direct clinical experience in psychiatric setting...
Nurse Medical Management I/II/Sr (Future Telecommuting!) Vir...
Utilization management experience. Nurse Medical Management I/II/Sr. Nurse Med Mgmt I. Nurse Med Mgmt II....

Utilization Review Nurse

Berkley Medical Management Solutions - Woodbridge, VA  +1 location
Certified Professional Utilization Management (CPUM). Knowledgeable in the use of Utilization Review/Case Management software and computer systems....

RN - Utilization Review/Care Manager

St. Mary's Janesville Hospital - 2 reviews - Janesville, WI
Case management experience preferred. Current Registered Nurse (RN) license as granted by the State of Wisconsin....

Durable Medical Equipment (DME) Utilization Management Nurse...

Medica - 41 reviews - Minnetonka, MN
Durable Medical Equipment (DME) Utilization Management Nurse Reviewer. Previous utilization management experience in a managed care environment preferred....

Preservice Review RN - International Air and Ambulance

UnitedHealth Group - 2,358 reviews - Rockville, MD  +1 location
Utilization management, prior authorization, and case management experience. RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization...

Clinical Review Specialist

Healthways - 122 reviews - Sterling, VA
Utilization review, project management, reporting, and quality management. Utilization review, regulation, accreditation,....

Onsite Utilization Management Nurse - Pensacola

Humana - 1,105 reviews - Tampa, FL
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Utilization Review Nurse

Unite Here Health - Las Vegas, NV
This position is responsible for conducting telephonic utilization management activities in accordance with Utilization Management policies and procedures....

Nurse Reviewer-Case Management

Banner Health - 508 reviews - Phoenix, AZ
A working knowledge of utilization management and patient services is required. Requires Registered Nurse (R.N.)....

Utilization Review/Management Intern

BSRC - Newport Beach, CA
Effective time management. Experience in providing utilization review. Registered Nurse with Psychiatric training and experience....
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Nurse Reviewer

Banner Health - 508 reviews - Phoenix, AZ
A working knowledge of utilization management and patient services is required. Requires Registered Nurse (R.N.)....
Utilization Review Nurse (Full-Time, Benefits)
Meritage Medical Network - Novato, CA
HMO, Health plan, Medicare, Utilization Management, Case Management. This position coordinates utilization review and case management activities for commercial...
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Utilization Review Nurse- LPN or RN (Work From Home Option)
Mercy - 116 reviews - Springfield, MO
Screens and refers appropriate health plan members for full continuum case management, disease management, Nurse on Call or other care management strategies as...

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Company with Utilization Management Nurse jobs
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.