Utilization Review Nurse $60,000 jobs

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Registered Nurse (RN) Utilization Management (UM) Nurse Cons...
Aetna 449 reviews - Woodland Hills, CA
Healthcare Management/Certified Utilization Review (CPUR) is desired. Minimum 3+ years of experience with utilization review in the hospital setting is required...
Sponsored by Aetna - 3 days ago
RN - Concurrent Review Nurse
Molina Healthcare 126 reviews - San Antonio, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
Sponsored by Molina Healthcare - 30+ days ago
Utilization Review Manager, RN
VNA Homecare 2 reviews - Syracuse, NY
Performs utilization review in accordance with all state mandated regulations. Utilization Review Manager, RN is needed to provide development, oversight and...
Sponsored by VNA Homecare - 4 days ago

Nurse Reviewer

Blue Cross Blue Shield of Rhode Island 14 reviews - Providence, RI
Certified Case Management certification, Certified Professional Utilization Review certification. Apply all aspects of the medical review function, including...

Clinical Care Reviewer Utilization Management Registered Nur...

AmeriHealth Caritas 47 reviews - Charleston, SC
Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and...

Nurse Case Manager RN Team Lead Outpatient

JPS Health Network 36 reviews - Fort Worth, TX
The Nurse Case Manager RN Team Leader - Outpatient supervises the daily case management activities of Case Coordinators and Nurse Case Managers....

RN- Utilization Reviewer

CHI St. Alexius Health - Bismarck, ND
RN Utilization Reviewer DEPARTMENT:. Licensed as a Registered Nurse (RN). Clinical Nurse experience with hospital and/or medical background, preferred....
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Initial Clinical Nurse Reviewer

CID Management 2 reviews - California
We are a Utilization Management company in Southern California seeking an Initial Clinical Nurse Reviewer. Clinical review experience preferred....

UM Clinical Consultant - Registered Nurse (RN)

Aetna 449 reviews - Philadelphia, PA 19103 (Belmont area)
Managed Care/Utilization Review experience preferred. Nursing/Registered Nurse (RN) in the state of Pennsylvania is required....

Care Review Clinician - LPN / LVN - Transitions

Molina Healthcare 126 reviews - Spokane, WA
Hospital utilization management. Managed Care Utilization Management. Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good...

RN, Care Review Clinician - Transition

Molina Healthcare 126 reviews - Pierce County, WA
Hospital utilization management. Managed Care Utilization Management. Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good...

Review Analyst - Multiple Openings

BlueCross BlueShield of Tennessee 39 reviews - Chattanooga, TN
Performs prospective and retrospective medical necessity reviews. Utilizes the following systems applications when performing comprehensive reviews:....

RN Nurse Review Consultant (Remote Independent Contractor)

Health Care Excel, Inc. - Indiana
Qual criteria guidelines required.- Outpatient and/or inpatient utilization management experience required.Certification Requirements- Unrestricted Registered...
Registered Nurse (RN)-UM Clinical Consultant(Pre-auth)
Aetna 449 reviews - Detroit, MI
2 plus years of prior authorization, utilization management or utilization review experience is required. Nursing/Registered Nurse (RN) is required....
Sponsored by Aetna - 5 days ago
Baltimore Quality Improvement RN – Managed Care
CareNational Healthcare Services, LLC - Baltimore, MD
Knowledge of Interqual/Milliman Utilization Review standards. Valid, unrestricted state license as a Registered Nurse (R.N.)....
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Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

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Company with Utilization Review Nurse $60,000 jobs
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