Utilization Review Nurse $40,000 jobs

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Utilization Review Manager, RN
VNA Homecare 2 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 - 7 days ago
Intake Nurse
Access Nursing Services 5 reviews - New York, NY
Collaborates with the hospital’s case managers, discharge planning personnel, utilization review. NY1, Intake Nurse, Intake RN, Intake Registered Nurse, UAS,...
Sponsored by Access Nursing Services - 30+ days ago
Utilization Review Case Manager
CorVel 23 reviews - Cincinnati, OH
Strong cost containment background, such as utilization review or managed care preferred. Performs claim re-activation reviews....
Sponsored by CorVel - 6 days ago

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

Aetna 451 reviews - Blue Bell, PA - +12 locations
Nursing/Registered Nurse (RN) is required. Registered nurse (RN) with unrestricted state license. Click here to review the benefits associated with this...

Registered Nurse Case Management/Utilization Review

Specialists Hospital Shreveport - Shreveport, LA 71101 (Highland-Stoner Hill area)
Duties Include: Case Management. CMS and State of Louisiana Regulations. Interaction and communication with physicians and extenders. Hospital wide quality
Easily apply

Medical Management Manager

Physicians Health Plan of Northern Indiana, Inc - Fort Wayne, IN
Supervises personnel engaged in delivering utilization review, case management, and disease management programs....

RN / LPN / LSW Healthcare Transition Coach II (Remote; Field...

Molina Healthcare 126 reviews - Orlando, FL
Concurrent review, utilization review, case manage, ambulance, ambulatory,. O Review Discharge Checklist....

Clinical Care Reviewer Utilization Management Registered Nur...

AmeriHealth Caritas 49 reviews - Charleston, SC - +1 location
Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and...

Case Coordinator

Cigna 840 reviews - Nashville, TN
Current licensure as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) and or Registered Nurse (RN)....

UR Services Nurse

York Risk Services Group Inc. - Mandeville, LA - +4 locations
Experience in utilization review/health care industry helpful. Ensure that turnaround times are met with a quality review....

Telephonic Workers Compensation Case Manager (RN)

Broadspire 24 reviews - Portland, ME - +1 location
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

Medical Only Claim Specialist

The Travelers Companies, Inc. - Walnut Creek, CA
Engage/refer to nurse resource for utilization review when appropriate and or on CM Plus accounts. Identify the need for a Utilization Review (UR) referral....

Registered Nurse Utilization Case Management Specialist

Wisconsin Physicians Service Insurance Corporation 2 reviews - De Pere, WI
Reviews requests for utilization of medical services to determine appropriateness. Licensed Practical Nurse....
DC CONTRACT Utilization Review Specialist (RN or SW) - Hospi...
CareNational Healthcare Services, LLC - Washington, DC
The Utilization Review Specialist is responsible for utilization management, utilization review, or concurrent/retrospective review of the patient’s care....
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago
RN - Concurrent Review Nurse
Molina Healthcare 126 reviews - San Antonio, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
Sponsored by Molina Healthcare - 30+ days ago

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Company with Utilization Review Nurse $40,000 jobs
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