Utilization Review Nurse $40,000 jobs

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RN Oasis Quality Review- Home Health
ContinuCare Health Services - Chattanooga, TN
The OASIS Quality Review Nurse is an RN with a minimum of three years Home Health experience, certified ICD – 9 / ICD-10 Coder and preferably OASIS certified....
Sponsored by ContinuCare Health Services
In-House Pool Registered Nurse
Walworth County, WI - Elkhorn, WI
Nurse License Verification. Education & Experience Review. Assume charge nurse duties, as appropriate. Participate in the evaluation of supplies and monitor...
Sponsored by Walworth County, WI
Registered Nurse
Visiting Nurse Association & Hospice of VT and NH - Brattleboro, VT
Come Join Our Great Team of Experienced Nurse Professionals! Supervises ancillary personnel (HCA and Licensed Practical Nurses) and delegates responsibilities...
Sponsored by Visiting Nurse Association & Hospice of VT and NH

Intake RN JV

UPMC 296 reviews - Pittsburgh, PA
2 years utilization review experience preferred. UPMC Jefferson Regional Home Health is hiring a full-time Intake RN JV to support the Central Intake Department...

UR Nurse & Case Manager

Physicians Health Plan of Northern Indiana, Inc - Fort Wayne, IN
Utilization Review/Case Management Nurses do not issue denials. Utilizing approved criteria and/or policies, performs initial utilization reviews, including pre...

Medical Record Case Review Specialist

ANALYTICA - Henrico, VA
Previous utilization review experience. LPN (Licensed Practical Nurse). Medical Record Case Review Specialist Position Requirements:....
Easily apply

Registered Nurse

Sono Bello - Lake Success, NY  +4 locations
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...

Nurse Reviewer, Utilization

Mitchell International, Inc. - Texas  +1 location
Performs utilization review on workers' compensation related prospective, concurrent and retrospective treatment referrals....

Nurse - Clinical Utilization Management Elevation

CareCentrix - Tampa, FL
The Nurse must have expertise/prior experience in Utilization Management, knowledge of Medical Guidelines, and experience with governmental home health agency...
Easily apply

Medical Review Nurse

NCI Information Systems, Inc. 133 reviews - Omaha, NE
As the Medical Review Nurse ( Medical Reviewer ), you are responsible for conducting clinical reviews of medical records during the course of fraud...

Utilization Review Nurse I

Health Net, Inc. 3 reviews - Hampton, VA 23666 (Northampton area)
The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization....

Utilization/Case Management Registered Nurse

Humana 982 reviews - Louisville, KY
Conduct admission review, continued stay reviews and discharge planning. Previous experience in utilization management, case management, discharge planning, sub...

Case Manager FT - Kindred Nursing & Rehab - Hacienda, Sierra...

Kindred Healthcare 1,002 reviews - Sierra Vista, AZ
Prefer experience in Case Management, Quality Management, Utilization Review, or discharge planning. Follows patients throughout the continuum of care and...
Bilingual Nurse
Mid-Atlantic Health Solutions, LLC - Franklin, VA
Telephonic utilization review and case management company seeking nurse with fluent Spanish/English language skills-verbal and written....
Easily apply
Sponsored by Mid-Atlantic Health Solutions, LLC
Utilization Review RN, Social Work , MH, FT, 8:30A-5:30P
Mariners Hospital 2 reviews - Tavernier, FL
Registered Nurse License. Certification in utilization, quality or case management. Facilitates the communications between insurance companies, review agencies...
Sponsored by Baptist Health South Florida

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Company with Utilization Review Nurse $40,000 jobs
VNH is home to the foremost team of home health experts for communities in Vermont and New Hampshire.