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Utilization Review Specialist - Physician Advisory Services
The Utilization Review Specialist will determine the appropriate cases for review, utilizing client specific guidelines....
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Utilization Review Nurse
Under the direction of The Director of UM/Appeals assists in the administration of utilization functions, the Utilization Review Nurse, assesses patient...
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RN Manager of Clinical Practice and Quality Assurance
Current Registered Nurse. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts...
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Nurse Reviewer-Remote

HMS - 470 reviews - Ohio  +1 location
1+ year utilization review experience. Ability to medically review; Assigns case reviews by identifying the issues for review and the specialty of the physician...

Utilization Management Nurse (RN) - Dublin, OH

Humana - 1,904 reviews - Dublin, OH  +2 locations
Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

RN Medical Policy Coordinator (.8FTE) Job

HealthPartners - 262 reviews - Bloomington, MN
Experience in utilization review, utilization management, quality review or discharge planning. Minimum of one year experience in utilization review or...

REGISTERED NURSE IV - HAWAII STATE HOSPITAL - NON-DIRECT CAR...

State of Hawaii - 54 reviews - Hawaii
$8,013 - $9,951 a month
Hawaii Registered Nurse License:. Staff Development, Utilization Management, Quality Improvement, Infection Control or Risk Management....

QI NURSE - QUALITY MANAGEMENT

Epic Management - 15 reviews - United States
On quality review or utilization review background. The QI Nurse is responsible for maintaining the. Quality management program under the direction of the QI...
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Utilization Review Coord. PRN

Universal Health Services - Jacksonville, FL
Review as outlined in Utilization Management Plan Reviews. Behavioral health or a Registered Nurse Prefer at least 1-year experience in Utilization Review,...

Registered Nurse Manager - Case Management

Stamford Hospital - 66 reviews - Stamford, CT
$5,000 - $10,000 a month
Registered Nurse - Case Managers. Registered Nurse Manager - Case Management. Qualified candidates only, please forward your resume to Sarah Devine RN, Nurse...

Utilization Review Nurse

Seven Counties Services - 30 reviews - Louisville, KY
Leads the Utilization Review Team. Experience in working with Joint Commission standards for utilization review preferred....

Utilization Review Nurse

St. Claire Regional Medical Center - 21 reviews - Morehead, KY 40351
Refers cases to the Utilization Review Coordinator and Case Management Team as appropriate; Under the general supervision of the Manager Case Management and the...

Utilization Review Nurse - Quincy

SIHO Insurance Services - Quincy, IN
Utilization Review Nurse. Nurse, medical, utilization. The position is responsible for case management, utilization review and disease management activities...
RN Manager of Clinical Practice & Quality Assurance- We are...
Kindred At Home - 24 reviews - Portland, OR
Current Registered Nurse. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts...
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Registered Nurse (RN) - Clinical Reviewer - Utilization Revi...
Telligen - 15 reviews - Boise, ID
Registered Nurse (RN) - Clinical Reviewer - Utilization Review Nurse. Requirements - Registered Nurse (RN) - Clinical Reviewer:....
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