Utilization Review Nurse $60,000 jobs

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Clinical Nurse Reviewer - Work from home!
CareCore National - Bluffton, SC
An understanding of Utilization Review is highly preferred. Must be a Registered Professional Nurse or Licensed Practical Nurse with at least two years'...
Sponsored by CareCore National - 26 days ago
Registered Nurse - Case Manager, Full-Time, Variable Shifts
Providence Health & Services 143 reviews - Centralia, WA
Previous experience in case management, utilization review or discharge planning. Current Registered Nurse (RN) licensure in Washington State....
Sponsored by Providence Health & Services - 7 days ago

Utilization Review Nurse (Philadelphia)

Cigna 783 reviews - Philadelphia, PA - +1 location
Utilization Review Nurse (Philadelphia). Qual Criteria for utilization review. Performs review activities as outlined following rules established by the peer...
11 hours ago - save job - email - more...

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

Aetna 422 reviews - Albany, NY 12203 (Campus Area-University District area) - +18 locations
Review services to assure medical necessity. Apply clinical expertise to assure appropriate benefit utilization....
7 hours ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 422 reviews - Phoenix, AZ 85040 (South Mountain area)
Managed care/utilization review experience is preferred. As a Registered Nurse (RN) Utilization Management Clinical Consultant, you will utilize your clinical...
7 hours ago - save job - email - more...

Registered Nurse (Utilization Management)

Department of Veterans Affairs 843 reviews - Spokane, WA - +1 location
RN Utilization Manger. Utilization Management experience preferred. Qual criteria t conduct pre-admission, admission and continued stay reviews....
15 hours ago - save job - email - more...

Long Term Care Utilization Review Nurse

Quality Health Strategies, Inc. - Easton, MD
Delmarva Foundation is searching for a dedicated Utilization Review Nurse for Long Term Care. The Review Nurse will have the following responsibilities:....
2 days ago - save job - email - more...

RN Healthcare Coordinator

Xerox 2,854 reviews - Jefferson City, MO 65110
The Health Care Coordinator is responsible for precertification of selected services or procedures, concurrent review, and retrospective review....
Xerox Corporation - 1 day ago - save job - email - more...

Nurse IV

Health & Human Services Comm - Austin, TX - +4 locations
$4,598.66 - $5,973.83 a month
Develops, reviews, revises utilization review program protocols, policies, and tools. Plans, develops and implements utilization review activities....
Texas Health and Human Services Commission - 5 days ago - save job - email - more...

Utilization Management RN

Evolent Health 4 reviews - Baltimore, MD
Performs Telephonic prospective, concurrent and retrospective utilization reviews. A current valid, unrestricted Registered Nurse License or licensed practical...
2 days ago - save job - email - more...

UM Nurse Associate LPN

Aetna 422 reviews - High Point, NC 27260
The Utilization Management Nurse Associate works for a single account in a collaborative environment. Nursing/Licensed Practical Nurse (LPN) is required....
7 hours ago - save job - email - more...

Case Mix Accuracy Review Nurse (Nurse Care Consultant) 00794

State of Washington 43 reviews - Smokey Point, WA
$4,614 - $7,565 a month
Residential Care Services Division (RCS) is seeking a confident, effective communicator with a strong background in long term care nursing to fill our Case Mix...
1 day ago - save job - email - more...
RN Care Coordinator - Community Internal Medicine Job
Mayo Clinic 279 reviews - Scottsdale, AZ
Prior experience in case management, discharge and/or utilization review required or directly related experience....
Sponsored by Mayo Clinic - 16 days ago
Registered Nurse - Care Manager Utilization Review 1.0 Varia...
Providence Health & Services 143 reviews - Olympia, WA
Perform resource utilization review studies in collaboration with medical records and quality management staff....
Sponsored by Providence Health & Services - 30+ days ago
Nurse Coach
St. Joseph's Hospital 7 reviews - Syracuse, NY
The Nurse Coach will identify and carry a caseload of patients with chronic or complex diseases and high utilization patterns;...
Sponsored by St. Joseph's Hospital - 18 days ago

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Company with Utilization Review Nurse $60,000 jobs
CareCore provides comprehensive, customized programs to clients that seek to manage appropriate utilization of diagnostic imaging services.