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RN - UTILIZATION REVIEW
Registered Nurse - State of New Mexico or Compact State Nursing License or Graduate Nurse Permit required....
Utilization Management Specialist, RN
Currently licensed to practice as a registered nurse by Pennsylvania Board of Nurse Examiners required. Responsible for the review of clinical documentation in...
Surgical Case Nurse Reviewer
Chenega Corporation - 277 reviews - Elmendorf AFB, AK
Surgical Case Nurse Reviewer (SCNR). Rovides administrative and clinical review and administrative support for the....

Remote Based Utilization Management Nurse

AllyAlign Health - Louisville, KY
The primary role of the Utilization Management Nurse is to review and monitor members’ utilization of health care services with the goal of maintaining high...
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UM Nurse Consultant

Aetna - 2,356 reviews - Chantilly, VA  +16 locations
Nursing/Registered Nurse (RN) is required. The Utilization Management Nurse Consultant utilizes clinical skills to coordinate, document and communicate all...

Charge Audit Nurse

Managed Resources - 2 reviews - Remote
$35.00 - $35.50 an hour
CHARGE AUDIT NURSE –*. Conducts pre- audit review of medical records in preparation for insurance reviews including details of care provided and reconciles...
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Utilization Review Nurse - 100% Telecommute

ProgenyHealth - Plymouth Meeting, PA
The clinical care nurse serves as a nurse reviewer for admissions, lengths of stay and a facilitator for discharge planning....

Utilization Management Nurse

Health Partner Plans, Inc. - Philadelphia, PA 19107 (City Center East area)
2 years medical/surgical, utilization review and emergency room experience. Serve as resource for physicians, PCPs, Utilization Review departments and all...
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Concurrent Review Nurse

Synergized Staffing - Little Rock, AR
$60,000 - $69,000 a year
Registered Nurse (RN). Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for...
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Medical Review Nurse (TN) - Home-based - Nationwide Openings

Quality Health Strategies - 9 reviews - Nashville, TN  +1 location
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
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Medical Review Nurse (ATL) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Atlanta, GA 30303 (Five Points area)
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
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Medical Review Nurse (DEN) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Denver, CO
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
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Clinical Appeals Nurse

McBee - Remote
Clinical Appeals Nurse. Experience in care management, concurrent review, and/or utilization management is strongly preferred....
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Utilization Review Nurse
Pace Staffing Network - 21 reviews - Renton, WA
$40 a day
Our client, a premier healthcare organization, is looking for a Utilization Review Nurse in their Appeals Department!...
Utilization Review Manager
Experience in patient assessment, treatment planning, case management or utilization review, and communication with external review organizations or comparable...

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