Utilization Review Nurse $40,000 jobs

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Registered Nurse Case Manager - Case Management (FT Days) -...
Methodist Specialty & Transplant Hospital - San Antonio, TX
Prefer at least one year experience in utilization review, resource management, discharge planning or case management....
Sponsored by HCA Inc - 30+ days ago
Pediatric Care Coordination Registered Nurse
eQHealth Solutions - West Palm Beach, 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 - 8 days ago
CDI Specialist - Nurse
LifeCare Hospitals of Shreveport - Shreveport, LA
Must be currently licensed as a Registered Nurse. We have an immediate opportunity for Clinical Documentation Improvement Specialist Nurses....
Sponsored by LifeCareJobBoard.com - 30+ days ago

Case Review Manager

MAXIMUS 527 reviews - McLean, VA
Review all pending denials for each regional Nurse Assessor in real-time. Regional Nurse Managers oversee a unit of Assessment Nurses, assigned by geographic...
3 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 402 reviews - Richfield, OH - +17 locations
Nursing/Registered Nurse is desired. Registered Nurse with a current, active, unrestricted RN license. Click here to review the benefits associated with this...
16 hours ago - save job - email - more...

Case Manager Utilization Review

Silver Lake Medical Center 8 reviews - Los Angeles, CA
Prefer prior experience in case management or utilization review. Responsible for concurrent review of all medical inpatient admissions to determine proper...
3 days ago - save job - email - more...

Concurrent Review Benefit Determination Case Manager

Essence 9 reviews - Maryland Heights, MO
Manager of Utilization Review. Complete retrospective chart reviews and pended claims reviews as requested. In addition this position will require the nurse to...
Essence Group Holdings Corporation - 7 days ago - save job - email - more...

Care Management Associate

Aetna 402 reviews - High Point, NC - +3 locations
Click here to review the benefits associated with this position. Initial review of tasks and other administrative type activities that support the unit....
16 hours ago - save job - email - more...

Utilization Management Nurse Reviewer

Dean Health 7 reviews - Madison, WI
Previous experience in utilization management or prior authorization reviews. Responsible for performing medical management reviews including precertification,...
3 days ago - save job - email - more...

Medicaid Health Systems Administrator 1-RN

State of Ohio 102 reviews - Franklin County, OH
$27.93 - $36.59 an hour
Evaluates Medicaid providers’ utilization review processes (e.g. Assists with the day-to-day management of Utilization Review contractors....
5 days ago - save job - email - more...

UM Nurse Consultant

Aetna 402 reviews - Overland Park, KS 66212 - +6 locations
Nursing/Registered Nurse is desired. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness...
7 days ago - save job - email - more...

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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15 days ago - save job - email - more...

Care Management

Aetna 402 reviews - Shelton, CT
Nursing/Registered Nurse (RN) is desired. Active and unrestricted Nursing/Registered Nurse (RN) License. Managed Care/Certified Managed Care Nurse, CMCN is...
2 days ago - save job - email - more...
Clinical Program Specialist - RN (Alzheimers/Dementia)
Peoples Health, Inc. 10 reviews - Metairie, LA
Reviews, evaluates and reports on Peoples health statistical data. Completes an annual review and revision, when appropriate, of the Program Description and...
Sponsored by Peoples Health, Inc. - 20 days ago
Navigator - RN (New Orleans Market)
Peoples Health, Inc. 10 reviews - New Orleans, LA
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....
Sponsored by Peoples Health, Inc. - 20 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.