Utilization Review Nurse $80,000 jobs

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Clinical Director, Chronic Condition Management
Blue Cross Blue Shield of Massachusetts 26 reviews - Quincy, MA
Case Management, Utilization Management, Behavioral... reviews In conjunction with associates, develop individual performance plans and provide ongoing reviews...
Sponsored by Blue Cross Blue Shield of Massachusetts - 30+ days ago
Care Manager
Greater Baltimore Medical Center 64 reviews - Towson, MD
reimbursement for the hospital through the utilization review process. Responsible for discharge planning... of Maryland Registered Nurse license ยท Bachelor of...
Sponsored by Greater Baltimore Medical Center - 21 days ago

Clinical Health Services Supervisor

Aetna 343 reviews - New Albany, OH 43054 - +3 locations
-May develop/assist in development and/review new and on-going training content,. -Develop, initiate, monitor and communicate performance expectations,....
19 hours ago - save job - block - email - more...

Clinical Nurse Reviewer - Work from Home!

CareCore National - Colorado Springs, CO
Are you a Registered Nurse that wants to be a part of making a difference in healthcare?. Come join our Clinical Reviewer Team at Care....
2 days ago - save job - block - email - more...

Medicaid Clinical Health Service Supervisor

Aetna 343 reviews - Dallas, TX 75247 (Northwest Dallas area)
Candidate promotes communication, both internal and external, to enhance effectiveness of concurrent reviews....
8 days ago - save job - block - email - more...

Cigna - Utilization Review Nurse - (Baltimore, Maryland)

Cigna 680 reviews - Baltimore, MD - +2 locations
Develops and maintains knowledge of provider organization review procedures. Maintains reporting system for Utilization Review....
39 minutes ago - save job - block - email - more...

Medical Review Examiner Nurse

CommunityCare, Inc. - Tulsa, OK
The Medical Review Examiner Nurse is responsible for auditing provider and facility claims against relevant medical records and documents....
Easily apply
1 day ago - save job - block - email - more...

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

Aetna 343 reviews - San Diego, CA - +6 locations
This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits...
19 hours ago - save job - block - email - more...

Manager-Utilization Review RCS

Indiana University Health 66 reviews - Indianapolis, IN
The incumbent provides direction and leadership to assigned personnel and ensures that all Utilization Review RN functions, Medical Necessity Denials and...
1 day ago - save job - block - email - more...

Nurse Case Reviewer- Phildelphia

CIGNA 680 reviews - Cherry Hill, NJ
The Nurse is responsible for supporting the Medical Director and Director of Pre-Certification. Responsibilities include assuring health care services are...
2 hours ago - save job - block - email - more...

Utilization Review Nurse- SNF

Cigna 680 reviews - Chicago, IL
Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care, and case management....
5 days ago - save job - block - email - more...

Utilization Review Nurse - ICP

Cigna 680 reviews - Chicago, IL
Manage prospective, concurrent, and retrospective review programs for physician, hospital, ancillary care, and case management....
5 days ago - save job - block - email - more...
Registered Nurse - Quality Medical Management Care Coordinat...
Providence Health & Services 122 reviews - Beaverton, OR
Review (Concurrent Review and Prior Authorization) *1. Perform onsite and telephone concurrent review of... experience in utilization review, discharge planning...
Sponsored by Providence Health & Services - 19 hours ago
Manager of Prior Auth and Claims Review Nurse Case Managemen...
Regal Medical Group - San Bernardino, CA
Review Nurse Manager is to manage the prior authorization nurse case managers, claims review nurses and... of Care Management/Utilization Management policies...
Easily apply
Sponsored by Regal Medical Group - 5 days ago
Registered Nurse Care Coordinator - Quality Medical Manageme...
Providence Health & Services 122 reviews - Beaverton, OR
Review (Concurrent Review and Prior Authorization) *1. Perform onsite and telephone concurrent review of... experience in utilization review, discharge planning...
Sponsored by Providence Health & Services - 19 hours ago

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Company with Utilization Review Nurse $80,000 jobs
26 reviews
If you're looking for a challenging work environment, opportunities to continually develop your skills, and be part of an organization that
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