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EHR Application Analyst II
Registered Nurse desirable. The analyst develops and maintains a positive working relationship with physicians and user departments to ensure appropriate...
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Nurse Case Manager
SEVEN CORNERS - Springfield, IL
Is one of the industry’s most experienced international travel health insurance, trip cancellation, international utilization review, and international...
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RN CASE MANAGER FT DAYS
Baylor Scott & White Medical Center – White Rock - Dallas, TX
Current Professional Nurse License issued and/or recognized by Board of Nurse Examiners for the State of Texas....
Sponsored by Tenet Healthcare

Registered Nurse - (Utilization Management)

Department of Veterans Affairs - 2,156 reviews - Spokane, WA
Registered Nurse - Utilization Management Specialist. Will also effectively utilize InterQual criteria t conduct pre-admission, admission and continued stay...

Utilization Review Nurse

Motion Picture & Television Fund - Woodland Hills, CA 91364
Utilization Review Nurse:. Position requires 5+ years of RN experience and 1 year of experience as a Utilization Review Nurse....
Easily apply

Associate Medical Director

TMF Health Quality Institute - 5 reviews - Austin, TX 78759 (Arboretum area)
$140,000 - $170,000 a year
Medical Review, Utilization Review, or Prior Authorization, preferred. Provides clinical expertise to nurses performing prepayment and retrospective review....

Nurse Specialist I

Dept of Health Care Finance - Washington, DC
$78,408 - $103,431 a year
Develops and finalizes written reports summarizing results of audits, program reviews and/or investigations, identifies deficiencies, communicates findings to...

Review Nurse (Managed Care)

Fidelis Care - 115 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. Associates Degree required for Registered Nurse candidates....
Easily apply

Utilization Review Nurse

Seven Counties Services - 30 reviews - Louisville, KY
Leads the Utilization Review Team. Experience in working with Joint Commission standards for utilization review preferred....

Utilization Review Nurse - Quincy

SIHO Insurance Services - Quincy, IN
Utilization Review Nurse. Nurse, medical, utilization. The position is responsible for case management, utilization review and disease management activities...

Nurse Reviewer - AIM Glendale

Anthem, Inc. - 1,634 reviews - Glendale, CA 91205  +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...

Nurse Reviewer - AIM Deerfield

Anthem, Inc. - 1,634 reviews - Deerfield, IL
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. AIM is certified by the National Committee for Quality Assurance...

Nurse Medical Management I, II or Sr

Anthem, Inc. - 1,634 reviews - Indianapolis, IN
Nurse Medical Management I. Nurse Medical Management II. The Nurse Medical Management Sr. Conducts pre-certification, continued stay review, care coordination,...
Nurse Case Manager Supervisor
Lowe's - 13,568 reviews - Charlotte, NC
5+ years of experience as a Case Manager or Utilization Review Nurse in Workers’ Compensation. Initiate consultation between Care Nurses, Medical Director and...
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Utilization Management Nurse
ArchCare - New York, NY
Inpatient admission review. The Utilization Review Nurse at any time may have to assume the responsibilities of covering the Inpatient Services, Outpatient...
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