Utilization Review Nurse $100,000 jobs

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Care Manager
Athens Regional Health System - Athens, GA
appropriate resource utilization, and assesses... Maintains current clinical knowledge in area of review and patient population. Promotes own professional...
Sponsored by Athens Regional Health System - 30+ days ago
Director of Admissions and Utilization Review
Gosnold on Cape Cod - Falmouth, MA
managed care and utilization management companies and... to-day operations of the Admissions and Utilization Review Departments. Must have excellent communication...
Easily apply
Sponsored by Gosnold on Cape Cod - 12 days ago

Patient Care Coordinator/Nurse Manager-Home Health

Nurse On Call - Houston, TX - +1 location
Nurse On Call, Inc. is a home healthcare provider that is committed to providing the high quality skilled nursing, rehabilitation and related services that our...
MedJump.com - 7 hours ago - save job - block - email - more...

Pediatric Nurse Care Manager - University Health Plans

University of Utah Health - Murray, UT
Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality...
11 hours ago - save job - block - email - more...

Case Manager - Health Plan

UPMC 200 reviews - Pittsburgh, PA
Review UPMC Health Plan data for services the member has received and identify gaps in care based on clinical standards of care....
7 days ago - save job - block - email - more...

Behavioral Health Case Manager - Middle

BlueCross BlueShield of Tennessee 29 reviews - Nashville, TN
Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply Behavioral Health clinical criteria and render...
6 days ago - save job - block - email - more...

Medical LTC Case Manager Needed!

HealthCare Talent - Garden Grove, CA
Review and evaluate proposed services utilizing medical criteria and/or established policies and procedures....
6 days ago - save job - block - email - more...

Utilization Management Coordinator - University Health Plans

University of Utah Health - Murray, UT
This position is responsible for assisting with coordination of case management clients, utilization review, concurrent review and medical necessity review....
7 days ago - save job - block - email - more...

Clinical Evaluation Manager

Visiting Nurse Service of New York 96 reviews - Manhattan, NY
Coordinates with VNSNY CHOICE Care Coordination management, subject matter experts, physicians, member representatives, and discharge planners in utilization...
19 hours ago - save job - block - email - more...

Care Manager - Select

Beth Abraham Family of Health Services - Bronx, NY
promotes effective utilization of resources, and assumes a leadership role within the interdisciplinary team to achieve optimal clinical and resource outcomes....
14 hours ago - save job - block - email - more...

Director of Care Management

County of Santa Clara 24 reviews - Santa Clara, CA
manage and evaluate the operations of the care mangement division within nursing and patient care services, including discharge planning, utilization... $73.13 - $93.71 an hour
6 days ago - save job - block - email - more...

Clinical Manager

Kindred at Home 2 reviews - Vero Beach, FL - +1 location
Reviewsavailable patient information related to case, including disciplines required,to determine home health or hospice needs....
1 day ago - save job - block - email - more...
On Site Case Mgmt Coord
HCSC 24 reviews - Houston, TX
This position conducts on-site reviews and assessments, reviews service requests, collects clinical and... Degree in Nursing *Utilization management experience
Sponsored by HCSC - 30+ days ago
Care Manager
Greater Baltimore Medical Center 61 reviews - Towson, MD
reimbursement for the hospital through the utilization review process. Responsible for discharge planning... of Maryland Registered Nurse license · Bachelor of...
Sponsored by Greater Baltimore Medical Center - 1 day ago
South Seattle RN Manager of Utilization Management - Managed...
CareNational Healthcare Services, LLC - South Seattle, WA
of process and quality review programs that maximize... quality or utilization implications and bring these items to the attention of the Utilization Management... $90,000 - $110,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

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