Utilization Management RN jobs

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Registered Nurse/Case Management/Utilization Review Nurse -...
Sunrise Hospital and Medical Center 44 reviews - Las Vegas, NV
Case Management Certification (CCM) or CPUR (Certified Professional Utilization Review) preferred. Current NV RN License....
Sponsored by HCA Inc - 30+ days ago
Baltimore Utilization Review Nurse (RN) - Managed Care
CareNational Healthcare Services, LLC - Baltimore, MD
$70,000 - $80,000 a year
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
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Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

Utilization Management Specialist II

AnMed Health 20 reviews - Anderson, SC
Responsible for performing daily operations of Utilization Management (UM) program including certification management, medical necessity determinations,...
3 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 402 reviews - Richfield, OH - +17 locations
Registered Nurse with a current, active, unrestricted RN license. The UMNC utilizes clinical skills in a collaborative process to assess, plan, implement,...
4 hours ago - save job - email - more...

Certified Case Manager, MSW, CCM preferred

HealthSouth Corporation 146 reviews - Vineland, NJ
For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. Must be qualified to independently complete an assessment...
3 days ago - save job - email - more...

Denials Manager, Contiuum of Care-Case Management - Full Tim...

Arnot Health 6 reviews - Elmira, NY
The denial manager will perform utilization review and appeal as appropriate for concurrent and retrospective denial activities for Arnot Health....
7 days ago - save job - email - more...

RN - Supervisor Case Management (LTC)

Molina Healthcare 113 reviews - El Paso, TX - +2 locations
Oversees, coordinates and monitors all Case Management team clinical and non clinical team activities to facilitate integrated proactive utilization management....
2 days ago - save job - email - more...

Utilization Management Nurse (RN) - Utilization Mg

Utilization Management Nurse (RN) - Utilization Mg... - United States
2 years clinical experience in case management preferred. Join the Baton Rouge General Healthcare team and be appreciated....
General Health System - 3 days ago - save job - email - more...

Manager of Case Management - Greater Panama City/Tallahassee...

UnitedHealth Group 1,669 reviews - Panama City, FL - +3 locations
Experience in chronic disease management. Active, unrestricted RN license in the state of Florida. Experience in case management to include assessment, planning...
2 days ago - save job - email - more...

Utilization Management Specialist RN

Fairview Health Services 30 reviews - Minnesota
Three years of utilization review, hospital case management or experience within a health plan preferred. The utilization management specialist is responsible...
2 days ago - save job - email - more...

Case Manager

Sharp HealthCare 60 reviews - San Diego, CA - +2 locations
62349, Case Manager, RN, RN Case Management, Utilization Management, UM, Sharp Rees Stealy, SRS. Proficient knowledge and understanding of utilization...
5 days ago - save job - email - more...

RN - Supervisor, Case Management | Health Plans

The University of Arizona Health Network 12 reviews - Tucson, AZ
Certification in Case Management. Current Arizona State RN License. A minimum of three years experience in an acute care environment, and two years experience...
7 days ago - save job - email - more...
Utilization Review Nurse RN Registered Nurse
Med-Scribe, Inc. - Rochester, NY
RN UTILIZATION REVIEW #1113142*. Prior Utilization Management experiences a plus. Demonstrated understanding of utilization management, treatment and discharge...
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Sponsored by Med-Scribe, Inc. - 30+ days ago
Director of Case Management
Memorial Hospital 328 reviews - Jacksonville, FL
Florida RN License. This position requires knowledge of Resource Management, under and over utilization, discharge planning and familiarity with quality control...
Sponsored by HCA Inc - 30+ days ago
Utilization Review Coordinator
Pyramid Healthcare 18 reviews - Wilkinsburg, PA
Utilization Review Coordinator Knowledge/Professional/Experience:. Utilization Review Coordinator Job Scope:. Minimum requirement is a RN or related Bachelor’s...
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Sponsored by Pyramid Healthcare - 30+ days ago

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