Utilization Review Nurse $40,000 jobs

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Utilization Review Nurse
Newport Academy - Bethlehem, CT
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
Sponsored by Newport Academy - 16 days ago
RN Clinical Care Manager
Buckingham's Choice 3 reviews - Adamstown, MD
They also conduct a 45 day comprehensive review on each resident. Care Management is a collaborative practice model which includes our residents, nurses, social...
Sponsored by EMA Senior Care - 2 days ago

Population Care Mgr RN

Florida Blue 68 reviews - Miami, FL - +10 locations
Facilitate daily meetings with concurrent review nurses, transition of care nurses, skilled nursing, acute inpatient rehabilitation, long term care nurses and...
Blue Cross Blue Shield of Florida - 1 day ago - save job - block - email - more...

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

Aetna 365 reviews - Albany, NY 12201 - +18 locations
Review services to assure medical necessity. Apply clinical expertise to assure appropriate benefit utilization....
1 day ago - save job - block - email - more...

Telephonic Care Manager - UPMC Health Plan

UPMC 221 reviews - Pittsburgh, PA
Review member's current medication profile; Refers member for Comprehensive Medication Review as appropriate....
2 days ago - save job - block - email - more...

Care Management Associate

Aetna 365 reviews - Wichita, KS - +3 locations
Supports comprehensive coordination of written utilization review decisions to providers and members. Efficient use of Word and Excel in support of the...
6 days ago - save job - block - email - more...

NCLEX RN INSTRUCTOR- St Clairsville OH

Kaplan 518 reviews - Saint Clairsville, OH
Current, unencumbered license as a Registered Nurse. Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual....
1 day ago - save job - block - email - more...

Registered Nurse - Care Management/Utilization Review

Providence Health & Services 129 reviews - Mission Hills, CA
Providence is calling a Laboratory Clerk, Client Services Representative, Specimen Processor to Providence Holy Cross Medical Center in Mission Hills, CA. In
8 hours ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 365 reviews - San Antonio, TX 78201 (Jefferson-Monticello Park area) - +12 locations
UM Nurse Consultants require:. Nursing/Registered Nurse (RN) is required. Precertification, pre determination, concurrent review, retro review and discharge...
5 hours ago - save job - block - email - more...

NCLEX RN INSTRUCTOR- Steubenville, OH

Kaplan 518 reviews - Steubenville, OH - +68 locations
Current, unencumbered license as a Registered Nurse. Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual....
1 day ago - save job - block - email - more...

CSHCS Review Nurse

Meridian Health Plan 26 reviews - Detroit, MI
Review denied cases to determine potential appeal. Review existing data bases regarding border babies currently hospitalized, historical CSHCS data provided...
7 hours ago - save job - block - email - more...

Lead Medicare Claims Reviewer (RN)

Catapult Consultants - Arlington, VA - +20 locations
Must be a Graduate from an accredited school of nursing and has an active license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)....
5 hours ago - save job - block - email - more...
Chief Nursing Officer (CNO) Platte County Memorial Hospital
Banner Health 317 reviews - Wheatland, WY
Must possess licensure as a professional nurse (RN) in the state of practice. Understands utilization management and case management and their importance to the...
Sponsored by Banner Health - 30+ days ago
Emergency Room Nurse Case Manager Part Time Variable Parker...
Centura Health 89 reviews - Parker, CO
Experience in case management, utilization review, nursing clinical quality or discharge planning preferred....
Sponsored by Centura Health - 15 days ago
Primary Nurse Case Admin I
Blue Cross Blue Shield 1,246 reviews - Albuquerque, NM
The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; Registered Nurse (RN) with current, valid, unrestricted...
Sponsored by HCSC - 15 days ago

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