Utilization Management Nurse jobs in Bluffton, SC

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RN Manager of Clinical Practice and Quality Assurance
Kindred At Home - 221 reviews - Savannah, GA 31406
RN, Registered Nurse, Nurse, nursing, homecare, home care, home health, home healthcare, OASIS, RN case manager, Medicare, visit nurse, admission nurse, case...
Hospice Nurse Administrator (RN)
Medical Services of America Hospice LowCounty (MSA) - Beaufort, SC
Registered Nurse (RN). A Registered Nurse (RN). General oversight of patient care and effective management of utilization of services....
Easily apply
Medical Director
Medical management experience. Also participates in population based care management, public health efforts, and provides guidance in the appropriate...
Easily apply

Clinical Nurse Reviewer - RN/LPN

eviCore healthcare - 172 reviews - Bluffton, SC
Requirements for the Clinical Reviewer/Registered Nurse (RN)/Licensed Practical Nurse (LPN)*. Trains in clinical certification, utilization management, URAC and...
Easily apply

Registered Nurse/Clinical Reviewer RN

eviCore healthcare - 172 reviews - Bluffton, SC
Responsible for all clinical certification activities, which include but are not limited to evaluating telephone, fax or WEB requests for authorization of...

CLINICAL DOCUMENTATION SPECIALIST FULL TIME

Hilton Head Hospital - 8 reviews - Hilton Head, SC
Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff, and health information...

Nurse Case Manager (Savannah, GA)

KBRWyle - 131 reviews - Savannah, GA 31403
Nurse Case Manager (Savannah, GA). Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and...

Case Management Director

Memorial Med Center Savannah - Savannah, GA
Facility development of Hospital Case Management Program and Utilization Plan. Case Management Program Administration:....

Oncology Nurse Guide/Navigator

RN Cancer Guides Solutions - Savannah, GA
Experience in case management, discharge planning, eligibility or membership, utilization management. Case Management Certification, and utilization review...

Hospice Nurse Administrator (RN)

Medical Services of America Hospice LowCounty (MSA... - Beaufort, SC
Registered Nurse (RN). A Registered Nurse (RN). General oversight of patient care and effective management of utilization of services....
Easily apply

Registered Nurse

Healogics - 125 reviews - Savannah, GA
Providing case management for patients. The Nurse complies with hospital and nursing standards. Monitoring the Cases of patients for whom the Nurse is...

Registered Nurse (RN) Case Manager - Naval Hospital

Nurses Etc Staffing - 14 reviews - Beaufort, SC
Registered Nurse (RN). Integrate CM and utilization management (UM) and integrate nursing case management with social work case Prepare routine reports and...
Easily apply

EWH Practice Nurse

Effingham Health System - 15 reviews - Rincon, GA 31326
Must have and maintain an unencumbered current Georgia Licensed Practical Nurse license or Registered Nurse license, and Basic Life Support CPR certification....
Clinical Nurse Reviewer - RN
EviCore Healthcare - 172 reviews - Bluffton, SC 29910
Trains in clinical certification, utilization management, URAC and NCQA principles, policies, and procedures....
Clinical Nurse Reviewer - RN/LPN
Requirements for the Clinical Reviewer/Registered Nurse (RN)/Licensed Practical Nurse (LPN)*. Trains in clinical certification, utilization management, URAC and...
Easily apply