Utilization Management RN jobs

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RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 60 reviews - Madison, WI
The Utilization Review (UR) Specialist has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status...
Utilization Management Specialist, RN
Also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management....
Utilization Management RN
Medical Staffing Network - 544 reviews - Milwaukee, WI
$39 - $44 an hour
2 years of strong experience with utilization management. Current WI RN License. Allied Health Group & Medical Staffing Network is currently seeking experienced...
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Remote Based Utilization Management Nurse

AllyAlign Health - Louisville, KY
Demonstrated experience in health plan utilization management, facility concurrent review discharge planning, and transfer coordination preferred....
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Utilization Review - LVN, RN, DC or PT

EK Health Services - Remote
RN, LVN, DC or PT. EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and...
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Telephonic Utilization Management Nurse (RN) - Work at home...

Humana - 2,815 reviews - San Antonio, TX 78229
Previous experience in utilization management, case management, discharge planning and/or home health or rehab....

Registered Nurse, RN - Utilization Review (Work From Home)

Richmond FSC - Richmond, VA
Registered Nurse, RN - Utilization Review (Work From Home). Experience with Midas (or other utilization review programs)....

Appeals Medical Reviewer

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 22 reviews - Albuquerque, NM
Experience in Utilization Management or audit. This position is responsible for coordinating appeals for all lines of business;...

RN Nurse Case Manager Lead - Work From Home

Anthem, Inc. - 2,241 reviews - Chicago, IL 60654 (Loop area)
Case Management experience required. Requires knowledge of care management assessment technique, provider community, and community resources....

RN Onsite Utilization Review - Jackson, MS

Humana - 2,815 reviews - Jackson, MS 39206 (Hanging Moss East area)
Active Compact RN license in MS. Examine clinical programs information to identify members for specific case management and / or disease management activities...

UM Nurse Consultant

Aetna - 2,355 reviews - Chantilly, VA  +17 locations
The Utilization Management Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management...

Clinical Reviewer - Utilization

KePRO - 27 reviews - United States
Clinical Reviewer - Utilization. Active unrestricted RN license. KEPRO is a rapidly growing national quality improvement and care management organization....

RN- Appeals Nurse Consultant- Registered Nurse

Aetna - 2,355 reviews - Atlanta, GA
Concurrent review, appeals, pre-cert or utilization management experience preferred. Organizational skills, effective time management and ability to manage...
RN Utilization Management Exchange
Professional and clerical staff, Customer Service, Care Management, Nurse Navigators, Utilization Management Supervisors, Utilization Management Coordinator,...
RN Utilization Management Nurse
Professional and clerical staff, Customer Service, Care Management, Nurse Navigators, Utilization Management Supervisors, Utilization Management Coordinator,...

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