Utilization Review Nurse $60,000 jobs

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Nurse Clinician RN (Cross Functional)
Express Scripts 707 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing... reviews for providers, members and patient client advocates within the Prior Authorization/Utilization...
Sponsored by Express Scripts - 2 days ago
Utilization Review Nurse 8020
Vail Valley Medical Center 8 reviews - Vail, CO
recent experience in acute care hospital Utilization Review, Discharge Planning or equivalent. Maximizes... based on resource utilization issues. Provides a...
Sponsored by Vail Valley Medical Center - 19 days ago

Utilization Review Nurse - Omaha

BHHC - Omaha, NE 68131
Berkshire Hathaway Homestate Companies has an immediate opportunity for experienced nurses with independent and critical thinking skills who are interested in...
2 hours ago - save job - block - email - more...

Utilization Review Nurse

American International Group 344 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
6 days ago - save job - block - email - more...

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

Aetna 350 reviews - Scottsdale, AZ 85251 (South Scottsdale area) - +18 locations
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
3 days ago - save job - block - email - more...

Appeals Nurse

Centene Corporation 151 reviews - Columbus, OH
Facilitate medical necessity appeals and denials including disposition of denials notification letters, review of clinical information to determine if medical...
HEALTHeCAREERS Network - 3 days ago - save job - block - email - more...

Nurse Reviewer

HMS 299 reviews - Westerville, OH
Reviews, interprets, and audits medical records (consisting of psychiatric services) and compares against clinical criteria to determine medical necessity,...
7 days ago - save job - block - email - more...

Utilization Management Nurse

Hannibal Regional Hospital 9 reviews - Hannibal, MO
Coordinates patient care and services that balances the delivery of quality patient care with cost effective utilization of resources....
3 days ago - save job - block - email - more...

Concurrent Review Nurse RN

Central California Alliance for Health - Salinas, CA - +1 location
Under the direction of the Utilization Management Manager - Concurrent Review, the Concurrent Review Nurse:. performs concurrent or post-service review of acute... $53,310 - $97,968 a year
9 hours ago - save job - block - email - more...

Utilization Management Nurse

HealthSmart Care Management Solutions - Charleston, WV - +1 location
The position involves coordination of services to improve and maintain quality patient care and appropriate utilization of resources....
HealthSmart - 4 days ago - save job - block - email - more...

Utilization Management Review Nurse

Meridian Health Plan 25 reviews - Iowa - +4 locations
A Utilization Management Review Nurse performs prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services...
7 days ago - save job - block - email - more...

Nurse - Hedis

Medisys 7 reviews - Cherry Hill, NJ - +1 location
Specialized firm for nurses with skills in medical record review (MRR) in a variety of settings. MEDISYS® focuses on large scale healthcare data collection,...
Easily apply
5 days ago - save job - block - email - more...
Utilization Review Nurse
Newport Academy - Bethlehem, CT
is seeking a Utilization Review and Discharge Specialist responsible for prospective, retrospective and concurrent Utilization Review, Discharge Planner and...
Sponsored by Newport Academy - 30+ days ago
Registered Nurse - Care Coordinator, Quality Medical Managem...
Providence Health & Services 128 reviews - Beaverton, OR
Review (Concurrent Review and Prior Authorization) *1. Perform onsite and telephone concurrent review of... experience in utilization review, discharge planning...
Sponsored by Providence Health & Services - 6 days ago
Baltimore CONTRACT Case Management & Utilization Management...
CareNational Healthcare Services, LLC - Baltimore, MD
team, the Nurse Case Manager/Utilization Manager... care. The nurse performs telephonic inpatient utilization review of services as well as on-site review if... $32 - $36 an hour
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 5 days ago

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Company with Utilization Review Nurse $60,000 jobs
707 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.