Utilization Review Nurse $40,000 jobs

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AVP, Organizational Culture and Quality
Brightpoint Health - New York, NY
Monitors and reviews relevant clinical and utilization data to determine areas that may need improvement....
Sponsored by Brightpoint Health - 12 days ago
RN Case Manager
Pacific Medical Centers 8 reviews - Seattle, WA
Current Washington State Registered Nurse License. Coordinates care for Pacific Medical Centers’ Managed Care patient in order to assure cost effective,...
Sponsored by Pacific Medical Centers - 3 days ago

Utilization Review Nurse - Houston

Cigna 861 reviews - Houston, TX
Utilization Review Nurse - Houston. The Inpatient Review Nurse. Management Supervisor and Director of Inpatient Utilization Management, the Inpatient Review...


Gwinnett Medical Center 71 reviews - Lawrenceville, GA
Advanced degree from an accredited program, including nurse practitioner (NP), clinical nurse specialists (CNS), physician assistant (PA) and/or related...

Nurse, Utilization Review

Methodist College - United States
Nurse, Utilization Review. JOB SUMMARY To provide concurrent and retrospective clinical review of inpatient medical records to evaluate the utilization of acute...

Clinical Reviewer

CareCentrix - Tampa, FL
The core function is to review utilization information concerning patient care for Care. Follows Utilization Management and URAC standards....
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Central Carolina Hospital 9 reviews - Sanford, NC
Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

UR Nurse Reviewer

GENEX 69 reviews - Philadelphia, PA
Utilization Review/ Case Management and/or Workers' compensation-related experience strongly preferred. Responsible for the performance of Utilization Review...

Registered Nurse- Utilization Management Nurse Consultant

Aetna 460 reviews - Richfield, OH
2 years utilization review and/ or discharge planning experience. Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with...

Utilization Review Nurse I

Zurich North America 212 reviews - Schaumburg, IL
The Utilization Review Nurse (URN) performs medical necessity review of proposed, concurrent, or retrospective clinical services for injured workers in...

Utilization Review Nurse I

Zurich Insurance Group 212 reviews - Schaumburg, IL
We are currently looking for a Utilization Review Nurse to join one of. The Utilization Review Nurse (URN) performs medical necessity review of proposed,...


Mount Sinai Health System 414 reviews - New York, NY
Description purn Category: Risk Mgmt/UR...
Registered Nurse (RN) - Case Manager
Aetna 460 reviews - Morehead, KY
Nursing/Registered Nurse (RN) is required. Active and unrestricted Nursing/Registered Nurse (RN) License. Managed Care/Certified Managed Care Nurse, CMCN is...
Sponsored by Aetna - 5 days ago
Claims Nurse Consultant
National Interstate Insurance Company 5 reviews - Fenton, MO
Review requests for Utilization Reviews and when approved, send the appropriate records and documentation for UR request to the state....
Sponsored by National Interstate Insurance Company - 30+ days ago
Pediatric Care Coordination Registered Nurse - RN (Panama Ci...
eQHealth Solutions - Panama City, FL
Prospective Review Urgent/Non-urgent, Concurrent Review and Retrospective Review. Provides first level utilization review for all inpatient and outpatient...
Sponsored by eQHealth Solutions - 19 days ago

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Company with Utilization Review Nurse $40,000 jobs
eQHealth Solutions is a non-profit, multi-state medical management company that provides a wide range of solutions to our clients.