Utilization Review Nurse $60,000 jobs

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Utilization Review RN-possible 1 day per week remote or 4/10...
Conducts documentation reviews for compliance and completeness. Registered Nurse with a minimum of three years clinical experience....
Registered Nurse (RN) - Utilization Review - 8:30a - 16 Week...
2 years of recent experience in Utilization Review working as a Registered Nurse / RN. Centra Healthcare Solutions is seeking to hire an experienced Registered...
Utilization Review Specialist
BSRC - Newport Beach, CA
Experience in providing utilization review. Our Utilization Review Specialist is responsible for establishing and maintaining positive and effective...
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Behavioral Health Care Coordinator - Case Management

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 2 reviews - Albuquerque, NM  +2 locations
Utilization review experience. Registered Nurse (RN) with current license or Masters-level Behavioral Health Professional with current license to practice at...

Utilization Manager

Centene Corporation - 258 reviews - New Orleans, LA  +1 location
Knowledge of utilization review procedures, mental health and substance abuse community resources and network providers....

Clinical Review Specialist

Healthways - 122 reviews - Sterling, VA
Utilization review, regulation, accreditation,. Initial clinical review and support of the Utilization Review, Grievance, and....

Utilization Review Nurse

Unite Here Health - Las Vegas, NV
Experience in transplant utilization review or experince as a transplant nurse required. Experience in Utilization Review including prospective, concurrent and...

Case Management Nurse

Physicians Plus Insurance Corporation - Madison, WI
Experience in a managed care setting and case or disease management and/or utilization review experience is preferred....

Telephonic Utilization Management Nurse - Daytona Beach

Humana - 1,106 reviews - Daytona Beach, FL
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Utilization Review Manager

New Directions Behavioral Health - 8 reviews - Jacksonville, FL
Previous experience in Utilization Review. This includes utilization review activities, care management activities (which may include on-site reviews) and...

Utilization Review Case Manager

Sumner Regional Medical Center - 27 reviews - Gallatin, TN
The Utilization Management (UM) Case Manager. A self-directed and assertive registered professional nurse with a clear....

Durable Medical Equipment (DME) Utilization Management Nurse...

Medica - 41 reviews - Minnetonka, MN
Durable Medical Equipment (DME) Utilization Management Nurse Reviewer. In addition, it is responsible for the analysis of trends, which may be identified...

RN - Utilization Review/Care Manager

St. Mary's Janesville Hospital - 2 reviews - Janesville, WI
Current Registered Nurse (RN) license as granted by the State of Wisconsin. Under the direction of the Director - Patient Care Resources, is responsible for...
Clinical OASIS Reviewer / Home Health Coder
Wellness Healthcare Partners - Chicago, IL
Reviews visit utilization for appropriateness of care guidelines and patient condition; Licensed Clinician, preferably a Registered Nurse, with current license...
Utilization Review RN, Case Management - Full Time, Days
Piedmont - 11 reviews - Covington, GA
Three years Utilization or Case Management experience. Current License in the State of Georgia as a Registered Nurse. Become a part of the Piedmont Family!...

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