Utilization Review Nurse $40,000 jobs

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RN Wound Care Nurse- Rose Amputation Prevention Center
Rose Medical Center 27 reviews - Colorado
framework of the State Nurse Practice Act and follows... education, changes in patient’s status, supply utilization and charges on approved forms, using approved...
Sponsored by HealthONE - 30+ days ago
Clin. Doc. Specialist Coord
Baltimore Washington Medical Center 31 reviews - Glen Burnie, MD
performs concurrent review of inpatient medical... of one of the following certifications: Registered Nurse (RN), Registered Health Information Administrator...
Sponsored by University of Maryland Medical System - 30+ days ago

Call Center Nurse (RN PREFERRED) Tampa

WellPoint, Inc 429 reviews - Tampa, FL
This level works with more complex elements and requires review of more complex benefit plans. May also serve as a resource to less experienced staff....
WellPoint - 11 hours ago - save job - email - more...

UM Prior Authorization Nurse

Alameda Health Consortium/Community Health Center... - San Leandro, CA
Position Title UM Prior Authorization Nurse. Do you want to make a positive contribution to healthcare Get personal and professional satisfaction from joining...
3 days ago - save job - email - more...


State of Arizona 113 reviews - Phoenix, AZ
The Habilitation Nurse II will assess health needs and complete nursing assessments of individuals with developmental disabilities.... $52,820 - $63,941 a year
1 hour ago - save job - email - more...

Utilization Review Nurse

Newport Academy - Bethlehem, CT - +1 location
Newport Academy, the premiere residential adolescent treatment program, is seeking a Utilization Review and Discharge Specialist responsible for prospective,...
1 day ago - save job - email - more...

Utilization Review Nurse

University of Utah Health - Salt Lake City, UT
Applies approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review....
2 days ago - save job - email - more...

Utilization Review Nurse

American International Group 330 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
4 days ago - save job - email - more...

Utilization Review Nurse

Cigna 662 reviews - Baltimore, MD - +1 location
The Pre-Certification Home Health Nurse is responsible for supporting the Medical Director and Director of Pre-Certification....
6 days ago - save job - email - more...

Telephonic RN Case Manager

CorVel Corporation 86 reviews - Nashville, TN
This opportunity is for a registered nurse licensed in the state of Tennessee. The Medical Case Manager researches and recommends resources and creates flexible...
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1 day ago - save job - email - more...

Telephonic Utilization Review Nurse - Daytona, FL

Humana 637 reviews - Daytona Beach, FL
Be a part of our Clinical Space – as a Utilization Review Nurse you will engage our members to develop lifelong wellbeing and health....
13 days ago - save job - email - more...

Utilization Review Nurse 1

McKesson 732 reviews - Pensacola, FL
accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination,...
1 day ago - save job - email - more...
Clinical Nurse Reviewer - Work from home!
CareCore National - Bluffton, SC
Nurse with strong technical/computer skills. An understanding of Utilization Review is highly preferred... Professional Nurse or Licensed Practical Nurse with...
Sponsored by CareCore National - 8 days ago
Manchester CONTRACT Nurse Case Manager (RN) - Managed Care
CareNational Healthcare Services, LLC - Manchester, NH
management team, the Nurse Case Manager plays an... experience with pre-authorization, utilization review, utilization management, case management, care... $30 - $44 an hour
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago
Utilization Review Nurse 8020
Vail Valley Medical Center 8 reviews - Vail, CO
recent experience in acute care hospital Utilization Review, Discharge Planning or equivalent. Maximizes... based on resource utilization issues. Provides a...
Sponsored by Vail Valley Medical Center - 9 days ago

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Company with Utilization Review Nurse $40,000 jobs
CareCore provides comprehensive, customized programs to clients that seek to manage appropriate utilization of diagnostic imaging services.
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