Utilization Review Nurse $60,000 jobs

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Inpatient Review Nurse - RN (Commercial)
eQHealth Solutions - Tampa, FL
Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. Strong working knowledge and experience in utilization management and/or...
Sponsored by eQHealth Solutions - 18 days ago
Utilization Review Nurse
Aspire Health Plan - Monterey County, CA
The Utilization Review Nurse will:. Participate in quality audits, chart audits, and reviews of medical records as needed for either complex high cost cases or...
Easily apply
Sponsored by Aspire Health Plan - 30+ days ago

Nurse Reviewer I or Nurse Reviewer Associate - Westchester,...

Anthem, Inc. 582 reviews - Westchester, IL 60154 - +1 location
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. AIM is certified by the National Committee for Quality Assurance...

Clinical Educator ~ ED ~ FT

Lawrence & Memorial Hospital 43 reviews - New London, CT
Meets performance expectations for Customer Service, Teamwork, Resource Utilization, and Staff and Self Development as outlined in performance review....

RN-Nurse Audit Sr

Anthem, Inc. 582 reviews - United States
Responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment...

Clinical Documentation Improvement (CDI) Specialist - Federa...

Conifer - Federal Way, WA - +1 location
§ Active state Registered Nurse license. § Intermediate knowledge of disease pathophysiology and drug utilization....

Acute Onsite Utilization Management Nurse - Broward

Humana 913 reviews - Miramar, FL
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Utilization Management and Review Specialist

OSF Healthcare 8 reviews - Peoria, IL
Performs Utilization Management and Review (UMR) activities. Evaluates patient care and activities against objective criteria in an effort to take a proactive...

Utilization Review Nurse

Our Lady of Lourdes Regional Medical Center - Lafayette, LA
A nurse who is involved in the facilitation of utilization review for approval of patient’s services in a bed....

Utilization Review Nurse

CorVel 25 reviews - Acton, MA - +1 location
Outpatient utilization review. Prospective, concurrent and retrospective utilization review. The Utilization Review Nurse must identify the necessity of the...

Utilization Review Nurse (Retrospective Reviews)

Health Plan of San Mateo 3 reviews - South San Francisco, CA
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Utilization Review Nurse to perform utilization/claims reviews with a focus...

Clinical Care Reviewer Utilization Management

AmeriHealth Caritas 59 reviews - Philadelphia, PA - +1 location
Managed care or utilization review experience preferred. Licensed Practical Nurse or Registered Nurse graduated from an accredited program....
Behavorial Health Nurse Navigator
Chippenham Hospital 11 reviews - Richmond, VA
Current Virginia Registered Nurse. Conducts reviews in a timely and accurate manner. Experience providing nursing assessment and care, discharger planning, and...
Sponsored by HCA Inc - 6 days ago
Registered Nurse (RN) - 2 Years Utilization Review (UR) Expe...
Chesapeake Medical Staffing 12 reviews - Washington, DC
Registered Nurse RN MUST HAVE TWO YEARS EXPERIENCE of Utilization Review (UR). 2 Years Utilization Review (UR) Experience Required....
Easily apply
Sponsored by Chesapeake Medical Staffing - 30+ days ago
Utilization Review Manager, RN
VNA Homecare 3 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 - 30+ days ago

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Company with Utilization Review Nurse $60,000 jobs
eQHealth Solutions is a non-profit, multi-state medical management company that provides a wide range of solutions to our clients.