Utilization Review Nurse $80,000 jobs

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Utilization Review Case Manager RN
Porter Medical Center 7 reviews - Middlebury, VT
Utilization Review Case Manager. Utilization Review Case Manager RN (posted 7/17/15) Full time position....
Utilization Management Review Nurse
Chinese Hospital 3 reviews - San Francisco, CA
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
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Assoc VP Quality Programs
Molina Healthcare 191 reviews - Bothell, WA
Dotted-line reporting to the Corporate VP Medical Director Utilization Management and Quality Improvement. Participate in Nurse Advice Quality Committee and...

Clinical Documentation Specialist

County of Santa Clara 29 reviews - San Jose, CA
$53.32 - $64.61 an hour
Initiates and performs concurrent documentation reviews of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or...

Utilization Management Nurse Consultant

Aetna 625 reviews - San Diego, CA 92131  +2 locations
Healthcare Management/Certified Utilization Review (CPUR) is desired. Nursing/Registered Nurse is required. Functional - Clinical / Medical/Concurrent review /...

UM Nurse Consultant

Aetna 625 reviews - Phoenix, AZ  +2 locations
The nurse uses clinical skills to coordinate, document and communicate all aspects of the utilization management program....

Patient Care Coordinator- Case Manager, Utilization Review

Kaiser Permanente 2,821 reviews - Santa Rosa, CA  +2 locations
Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization...

Clinical Appeals Specialist - Case Management - 8hr Per Diem...

St. Joseph Sonoma County 16 reviews - Santa Rosa, CA 95405
Prepares cases for the Utilization Management Medical Director (physician advisor), Utilization Management review committee or peer review for their review of...

Utilization Review Nurse

Seattle Children's Hospital 53 reviews - Seattle, WA 98113 (Green Lake area)
Five years experience with insurance authorization and/or utilization review processes. Provides clinical expertise, coaching and support to non clinical staff...

UM Transition of Care Nurse Specialist

L.A. Care Health Plan 24 reviews - Los Angeles, CA 90017
Utilization Management experience at HMO, hospital or PPG level particularly in review of inpatient or sub-acute admissions - 3 yrs;...

Manager of Utilization Management - The Health Plan

Texas Children's Hospital 168 reviews - Houston, TX
Current registered nurse license. Reviews productivity reports and correlates with quality findings. In this position, you’ll supervise staff and develop all of...

Utilization Management Nurse - Case Management

Swedish Medical Center - Seattle, WA 20 reviews - Seattle, WA 98194 (Downtown area)
Support the Utilization Management process by sending reviews, entering requests for utilization review, authorization of stay concurrent and post billing...

Texas Licensed RN - Prior Authorization

Maxary - Austin, TX 78727
$40 an hour
The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. The Registered Nurse will work with physicians in interpreting appropriateness of...
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Doctors Medical Center of Modesto - Modesto, CA
The Utilization Review Nurse ensures quality, cost-effective patient care through planning, communication, critical thinking and facilitation of the multi...
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