Utilization Review Nurse $80,000 jobs

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VP Clinical Compliance and Quality
eviCore healthcare - Bluffton, SC
Oversees utilization review licensing activities required for the administration of CCN/MSI benefit management programs....
Sponsored by eviCore healthcare
Senior Consultant - Healthcare Coding
Registered Nurse (RN). Responsible for ICD—9/10 record review as well as auditing, ICD-9 and ICD-10. The work may also entail identification of cost efficiency...
Sponsored by FTI Consulting, Inc.
RN - Case Manager
Vibra Healthcare - San Diego, CA
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models....
Sponsored by Vibra Healthcare

Registered Nurse (Utilization Management)

Department of Veterans Affairs - 1,102 reviews - Saginaw, MI
Registered Nurse Utilization Management Nurse. The duties of the Registered Nurse Utilization Management include, but are not limited to:....

Registered Nurse (Chief Nurse, Specialty Clinics)

Department Of Veterans Affairs - 1,102 reviews - Murfreesboro, TN
$93,498 - $124,342 a year
The Nurse will work closely in collaboration with the Chief Nurse Primary Care. Practice, ethics and resource utilization;...

Registered Nurse (Chief Nurse, Specialty Clinics)

U.S. Department of State - 144 reviews - Murfreesboro, TN
$93,498 - $124,342 a year
Registered Nurse (Chief Nurse, Specialty Clinics). The Nurse will work closely in collaboration with the Chief Nurse Primary Care....

Clinical Utilization Management Nurse Reviewer

Robert Half Management Resources - 3 reviews - Minneapolis, MN 55402 (Downtown West area)
The Clinical Utilization Management Nurse Reviewer is responsible for the analysis of trends, which may be identified through the review of cases, and for...

Sr Manager Behavioral Health Utilization Mgmt Svc

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Albuquerque, NM
Utilization management knowledge. This position is responsible for managing the development, implementation and administration of daily Behavioral Health...

RN Utilization Manager $54.00/hr

Sterling Medical - 62 reviews - Yuba City, CA  +1 location
$54 an hour
RN Utilization Manager. Nurse applicants must be a current U.S. One (1) year of previous experience in Utilization Management required....

Nurse Specialist I

Dept of Health Care Finance - Washington, DC
$73,907 - $97,493 a year
Extensive knowledge of health care utilization review process and applicable standards. Reviews and analyzes medical records and progress notes....

Nurse Specialist I

Department of Health - 524 reviews - Washington, DC
$73,907 - $97,493 a year
Such situations may require the nurse to take specific safety precautions. The incumbent conducts inspections and/or reviews architectural plans of new,...

UM Nurse Consultant

Aetna - 552 reviews - San Diego, CA 92101
Utilization Review and/or Managed Care experience preferred. Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years....

Relief Case Manager-Utilization Review S...

County of San Mateo - 7 reviews - San Mateo County, CA
$42.94 - $53.67 an hour
Nurse Practice Act. The Utilization Review Specialist / Discharge Planner is responsible for retrospective and concurrent Utilization Review activities and for...
RN Utilization Management
Prairie States Enterprises, Inc. - Sheboygan, WI
Our experienced staff of Nurses apply their medical expertise in coordinating care through the pre-authorization process and also in managing medical costs...
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Sponsored by Prairie States Enterprises, Inc.
Nurse Auditor (RN / LPN)
Execu | Search - 45 reviews - Bedminster, NJ
$75,000 - $85,000 a year
2+ years of Clinical Auditing, Case Management, and/or Utilization Review experience. The Nurse Auditor (RN / LPN ) will:....
Sponsored by Execu | Search

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