Utilization Review Nurse $40,000 jobs

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Utilization Review Nurse, RN
Christian Health Care Center 24 reviews - Wyckoff, NJ
Monitors physician ordered support services for appropriate over/under utilization. Must be a Registered Nurse in the state of New Jersey....
Utilization Review Nurse
Mercy 116 reviews - Des Peres, MO
Assessment/Referral and Utilization Management:. Prepares and refers cases to Medical Director for review appropriately....
Clinical Care Reviewer Utilization Management (RN)
AmeriHealth Caritas 77 reviews - Harrisburg, PA
Current Unrestricted Pennsylvania Registered Nurse License required. Reviews inpatient and outpatient services requiring Plan approval;...


Epic Management 11 reviews - United States
Concurrent review, utilization review, and telephonic review. The UM Nurse position may involve many different functions including but not limited to:....
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Clinical Trainer, Healthcare Services (Care Management)

Molina Healthcare 176 reviews - Cincinnati, OH
Records and trends individual and department review results on weekly, monthly, quarterly and annualized basis....

Med Review and Appeals RN

BCN 6 reviews - Southfield, MI
Registered Nurse with current unrestricted Michigan Registered Nurse license required. Two (2) to four (4) years of clinical experience which may include acute...


Department of Veterans Affairs 1,199 reviews - Northampton, MA
 Registered Nurse Quality Management Specialist. The incumbent works collaboratively with other members of Quality Management, whose positions include...

Case Manager/Care Coordinator II-TELECOMMUTING OPTION! (AZ:...

Health Net, Inc. 8 reviews - Tempe, AZ 85281  +1 location
Performs prospective, concurrent and retrospective reviews and first level determination approvals for assigned members, as appropriate, or refers reviews to...

Utilization Review Nurse (Traveler) - Temporary - Utilizatio...

Alaska Native Tribal Health Consortium 20 reviews - Anchorage, AK
Performs utilization review in accordance with all state mandated regulations. Obtains and reviews necessary medical reports and subsequent treatment plan...

Utilization Manager

Centene Corporation 258 reviews - New Orleans, LA  +1 location
Knowledge of utilization review procedures, mental health and substance abuse community resources and network providers....

Utilization Review Coordinator (32 hrs/wk, evenings)

Providence Health & Services 190 reviews - Portland, OR 97240 (Hosford area)
Knowledge of Utilization Review. Providence is calling a Utilization Review Coordinator (Part time 32 hrs/week, Evenings) to Providence Portland Medical Center...

Care Transition Nurse

Lutheran Senior Services 21 reviews - St. Louis, MO
The Care Transitions Nurse participates in continuous Quality Improvement and stays current with transition of care best practices....

Supervisor Case Management

Molina Healthcare 176 reviews - Springfield, IL  +5 locations
Functions as hands-on supervisor for daily Case Management activities including medical necessity review, initital assessments, continued stay review, discharge...
Utilization Review RN-possible 1 day per week remote or 4/10...
Cancer Treatment Centers of America 100 reviews - Atlanta, GA
Conducts documentation reviews for compliance and completeness. Registered Nurse with a minimum of three years clinical experience....
RN/LPN - Work from Home!
eviCore healthcare - Colorado Springs, CO
An understanding of Utilization Review is highly preferred. Must be a Registered Professional Nurse or Licensed Practical Nurse....

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Company with Utilization Review Nurse $40,000 jobs
CHCC provides family-centered care services for adults and seniors and mental-health services in a compassionate and loving environment.