Utilization Review Nurse $40,000 jobs

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Utilization Review Manager, RN
VNA Homecare 3 reviews - Syracuse, NY
Performs utilization review in accordance with all state mandated regulations. Utilization Review Manager, RN is needed to provide development, oversight and...
Sponsored by VNA Homecare - 30+ days ago
Inpatient Review Nurse - RN (Commercial)
eQHealth Solutions - Tampa, FL
Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. Strong working knowledge and experience in utilization management and/or...
Sponsored by eQHealth Solutions - 18 days ago

RN-Nurse Audit Sr

Anthem, Inc. 582 reviews - United States
Responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment...

Nurse Reviewer I or Nurse Reviewer Associate - Westchester,...

Anthem, Inc. 582 reviews - Westchester, IL 60154 - +1 location
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. AIM is certified by the National Committee for Quality Assurance...

Registered Nurse - Utilization Revew/Case Management

Department of Veterans Affairs 973 reviews - Orlando, FL
The Utilization Review Nurse collects, interprets and communicates clinical data from external reviewing sources for the Medical Center, keeping the Primary...

Utilization Review Nurse (RN)

Fort Washington Medical Center - Fort Washington, MD 20744
Fort Washington Medical Center is seeking a full-time Utilization Review nurse to conduct admission, concurrent, and retroactive reviews of patient in...
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Utilization Nurse Coordinator

ArchCare - Brooklyn, NY
Licensed to practice as a registered nurse in New York. Enters all data from meeting onto appropriate approved form or through EMRParticipates in Performance...

RN Utilization Review - Knoxville, TN

Humana 914 reviews - Knoxville, TN
Humana is seeking a Utlization Review Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

CDI Specialist - Nurse

LifeCare Hospitals of Wisconsin 6 reviews - Pewaukee, WI
Must be currently licensed as a Registered Nurse. We have an immediate opportunity for Clinical Documentation Improvement Specialist Nurses....

Patient Care Coordinator Case Manager

Kaiser Permanente 2,284 reviews - San Rafael, CA - +8 locations
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

RN Case Manager, Population Health

Valence Health 7 reviews - Trevose, PA
Licensed registered nurse (current and unrestricted). The RN Case Manager may also perform utilization activities, and may be responsible for performing...

RN Care Case Manager

ABCBS 13 reviews - Little Rock, AR
Utilization Management (Pre-cert./Pre-notification). Arkansas Registered Nurse with current license and in good standing with clinical practice experience....
RN - Nurse Medical Management I / II / Sr. - Metairie, LA or...
Anthem, Inc. 582 reviews - Baton Rouge, LA
Nurse Medical Management I. Nurse Medical Management II. RN - Nurse Medical Management I / II / Sr. Conducts pre-certification, continued stay review, care...
Sponsored by Anthem, Inc. - 11 days ago
RN-Utilization Review Specialist
Gulf Coast Regional Medical Center - Panama City, FL
Minimum of 3 years Utilization Review experience required. The primary purpose of the Utilization Review nurse is to serve as principal liaison between medical...
Sponsored by HCA Inc - 17 days ago
Utilization Review Nurse
Aspire Health Plan - Monterey County, CA
The Utilization Review Nurse will:. Participate in quality audits, chart audits, and reviews of medical records as needed for either complex high cost cases or...
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Sponsored by Aspire Health Plan - 30+ days ago

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