Utilization Review Nurse $60,000 jobs

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RN Case Manager
Apex Healthcare, Inc. - Naperville, IL
Review utilization progress and appropriateness of care provided to members, review ambulatory records, operative reports, claims and other data to assess...
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Sponsored by Apex Healthcare, Inc. - 30+ days ago
RN (Registered Nurse) Home Care
Lifetime Care 14 reviews - Newark, NY
This RN may also serve as the case manager, which involves the identification of appropriate services, supervision of home health aide staff and ongoing review...
Sponsored by Lifetime Care - 9 days ago

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

Aetna 402 reviews - Richfield, OH - +17 locations
Nursing/Registered Nurse is desired. Registered Nurse with a current, active, unrestricted RN license. Click here to review the benefits associated with this...
1 day ago - save job - email - more...

RN-Engagement/Quality Consultant -Greenville/Spartanburg, SC

Humana 757 reviews - Greenville, SC
RN Quality Improvement Nurse Consultant. Previous utilization management, hospital or physician office practice experience....
4 days ago - save job - email - more...

Registered Nurse (Utilization Review)

Department of Veterans Affairs 812 reviews - Dayton, OH - +1 location
Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to:. Review and conduct special eligibility validation reviews...
2 days ago - save job - email - more...

UM Nurse Consultant

Aetna 402 reviews - Overland Park, KS 66212 - +6 locations
Nursing/Registered Nurse is desired. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness...
8 days ago - save job - email - more...

Concurrent Review Nurse RN (Salinas)

Central California Alliance for Health 5 reviews - Salinas, CA - +1 location
$53,310 - $97,968 a year
Concurrent Review Nurse. Under the direction of the Utilization Management Manager - Concurrent Review, the Concurrent Review Nurse:....
4 days ago - save job - email - more...

Utilization Management Nurse RN, WellMed, San Antonio, TX (5...

WellMed Medical Mgmt, Inc - Texas
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
WellMed Medical Group - 1 day ago - save job - email - more...

Concurrent Review Nurse

Hill Physicians Medical Group, Inc. - San Ramon, CA
Proactively conduct concurrent review of inpatient utilization according to Hill Physicians Medical Group (HPMG) criteria....
4 days ago - save job - email - more...

QUALITY REVIEW SPECIALIST

Presence Health 40 reviews - Illinois
Create reports regarding these quality metrics and provide to leadership for utilization in quality improvement studies, establishing measures, and decision...
1 day ago - save job - email - more...

Absence Management RN Consultant

Lincoln Financial 30 reviews - Omaha, NE
Educational experience and/or proficiency with Disability Management knowledge, Absence Management, Workers Compensation, Utilization Review and/or nurse case...
Lincoln Financial Group - 4 days ago - save job - email - more...

LVN Care Manager - Utilization Management

Heritage Healthcare (SJHH) - Orange, CA 92868
When performing Utilization review – will collect the necessary information regarding medical necessity using evidence based guidelines....
St. Joseph Health - 2 days ago - save job - email - more...
Case Manager/Utilization Review Coordinator
Skiff Medical Center 6 reviews - Newton, IA
Assist with policy updates related to utilization review. Minimum of 2 years experience in case management, utilization review or demonstrates competency with...
Sponsored by Skiff Medical Center - 22 days ago
Clinical Resource Coordinator
Washington Hospital Center 117 reviews - Washington, DC
Licensure as a registered nurse in the. Knowledge of utilization management, issues and mechanisms, managed care and/or government requirements and methodology...
Sponsored by Washington Hospital Center - 12 days ago
CDI Specialist - Nurse
LifeCare Hospitals of Shreveport - Shreveport, LA
Must be currently licensed as a Registered Nurse. We have an immediate opportunity for Clinical Documentation Improvement Specialist Nurses....
Sponsored by LifeCareJobBoard.com - 30+ days ago

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Company with Utilization Review Nurse $60,000 jobs
14 reviews
Lifetime Care provides compassionate care in the home setting, consistently one of HomeCare Elite's Top 500. Discover what we have for you!