Utilization Review Nurse $40,000 jobs

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Utilization Management (UM) Case Manager
International Technologies 3 reviews - Fort Lauderdale, FL
Currently looking for an experienced registered nurse (RN) with a thorough knowledge of utilization management and clinical nursing to fill the vacant role of...
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Sponsored by International Technologies  - 3 days ago
Utilization Review Nurse
Multiple Location Third Party Payor Company - Lubbock, TX
Experience in Utilization Review, Case Management or DM insurance preferred. Provide pre-procedure, pre-admission, admission, concurrent and retrospective...
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Sponsored by Multiple Location Third Party Payor Company  - 26 days ago
Registered Nurse
Visiting Nurse Association & Hospice of VT and NH - Brattleboro, VT
Come Join Our Great Team of Experienced Nurse Professionals! Supervises ancillary personnel (HCA and Licensed Practical Nurses) and delegates responsibilities...
Sponsored by Visiting Nurse Association & Hospice of VT and NH  - 30+ days ago
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Utilization Management Nurse

Avosys - Tucson, AZ
Utilization Management, nurse, managed care, TRICARE, BSN. If unsure, coordinate with TRICARE Regional Office Clinical Liaison Nurse or reviews TRICARE...

Inpatient Care Nurse

WellCare 119 reviews - Brentwood, TN - +1 location
Required 2 years of experience in a clinical setting with general nursing exposure in utilization management to include pre-authorization, utilization review,...

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....

Nurse Reviewer

HMS 395 reviews - East Windsor, NJ - +1 location
Utilization review or medical abstraction experience necessary. Is responsible for performing clinical reviews of medical information and quality assurance as...

Utilization Review Nurse

Care1st Health Plan Arizona - Phoenix, AZ 85016(Camelback East area)
This will include concurrent, retrospective and medical claims reviews. Reviews member in-patient medical records and conducts review to assess the...

Case Manager - RN - Pediatric Telephonic

WellCare 119 reviews - Tampa, FL
Required Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret...

Medical Review Nurse

HMS 395 reviews - Miramar, FL - +1 location
Medical Review Nurse. >1 year experience performing medical records review or utilization review preferred....

Utilization Review Nurse

Care1st Health Plan - Arizona
Reviews member in-patient medical records and conducts review to assess the appropriateness of the hospital setting....

Utilization Review Nurse

TalentCare LLC - Austin, TX
Prior Authorization RNs review requests for prior authorization of medical services such as office visits, transportation, and elective and outpatient...

Care Review Clinician I

Molina Healthcare 147 reviews - Long Beach, CA - +2 locations
Hospital utilization management. Managed Care Utilization Management. Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good...
Registered Nurse (RN) - Case Management
Millennium Travel Nursing - Boston, MA
Utilization Review, Discharge planning and Leveling preferred. We offer a wide range of job opportunities for nurses (Registered Nurse and LPN) and Allied...
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Sponsored by Millennium Travel Nursing  - 30+ days ago
RN Field Nurse
At Home Healthcare - Texas - Centerville, TX
Accurately reviews all verbal physician orders received by nursing personnel; Responsible for evaluating utilization of patient services and patient progress;...
Sponsored by At Home Healthcare  - 3 days ago

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