Utilization Review Nurse $60,000 jobs

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Review Analyst R.N. -I
Arkansas Blue Cross and Blue Shield 10 reviews - Little Rock, AR
marketplace, the Review Registered Nurse Analyst is... the current claims review processes. Minimum Job Requirements 1. Registered nurse license in the state...
Sponsored by Arkansas Blue Cross and Blue Shield - 14 hours ago
Registered Nurse/Utilization Review
HealthCare Support Staffing 24 reviews - Getzville, NY
Nurse with Utilization Review or Utilization... In this role of a RN Utilization Review you are responsible for performing chart review to determine...
Easily apply
Sponsored by HealthCare Support Staffing - 7 days ago

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

Aetna 336 reviews - Rochester, NY - +17 locations
This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits...
13 hours ago - save job - email - more...

Baylor Advice Nurse ( Job Number: 279932 )

Kaiser Permanente 1,661 reviews - Atlanta, GA
The Baylor Advice Nurse is an experienced registered nurse who utilizes the nursing process to evaluate patient needs over the telephone, adhering to...
4 days ago - save job - email - more...

Review Analyst R.N. -I

Arkansas Blue Cross and Blue Shield 10 reviews - Little Rock, AR
This position is accountable for reviewing claims for the Enterprise for Blue Advantage National Accounts (BANA) line of business for the purpose of resolving...
14 hours ago - save job - email - more...

Utilization Review Nurse

Mercy 73 reviews - Springfield, MO
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management....
21 hours ago - save job - email - more...

Utilization Management Review Nurse

Meridian Health Plan - Illinois - +2 locations
A Utilization Management Review Nurse performs prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services...
12 days ago - save job - email - more...

Utilization Review Nurse

American International Group 330 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
1 day ago - save job - email - more...

Registered Nurse (RN) - Utilization Management (UM) Current...

Aetna 336 reviews - South Jordan, UT 84095
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
4 days ago - save job - email - more...

Utilization Review Nurse ICP

Cigna 659 reviews - Chicago, IL
Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care, and case management....
3 days ago - save job - email - more...

RN Medical Case Manager

Travelers 40 reviews - Hartford, CT - +2 locations
return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as...
6 days ago - save job - email - more...

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 336 reviews - Overland Park, KS - +9 locations
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
2 days ago - save job - email - more...
Concurrent Review Nurse
Meritage Medical Network - Novato, CA
costs. The concurrent review nurse will serve as a... Inpatient Utilization Management * Health plan concurrent review oversight * Medicare review *Knowledge...
Easily apply
Sponsored by Meritage Medical Network - 1 day ago
Utilization Management Representative I - San Diego, CA - 92...
WellPoint 429 reviews - San Diego, CA
requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification... cases requiring clinical review to a Nurse reviewer...
Sponsored by WellPoint - 4 days ago
Primary Nurse Case Admin I
HCSC 24 reviews - Albuquerque, NM
all functions of Utilization Management (UM), Case... in managing care. The Primary Nurse Coordinator performs concurrent review, discharge planning and care...
Sponsored by HCSC - 30+ days ago

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Company with Utilization Review Nurse $60,000 jobs
10 reviews
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