Utilization Review Nurse jobs in Winchester, VA

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Commercial Medical Director - Work-At-Home
Humana 884 reviews - United States
Previous Medicare, Medicaid, and/or Commercial utilization review experience. Provide physician review services for utilization management, case management,...
Sponsored by HEALTHeCAREERS Network - 1 hour ago
Mid Level Practitioner - NP #VirginiaHealthCareJobs
Valley Health 71 reviews - Winchester, VA
Collaborates closely with Supervising Physician who reviews patient care provided. NP must be currently licensed as a registered nurse in the state of Virginia....
Sponsored by TweetMyJobs.com - 5 days ago
Medicaid Front End Review (FER) Medical Director
Humana 884 reviews - United States
Previous Medicare, Medicaid, and/or Commercial utilization review experience. Provide physician review services for utilization management, case management,...
Sponsored by HEALTHeCAREERS Network - 10 days ago

CARE MANAGER

West Virginia University Healthcare 8 reviews - Martinsburg, WV
2-3 years recent experience in Utilization Review, Case Management in acute care, or discharge planning is preferred....

Director of Nursing/Clinical Services

Caring Angels Home Health - Winchester, VA
Monitors clinical record review process. Develops and monitors a process to monitor appropriate utilization of services....
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Social Services Specialist I

Genesis HealthCare 724 reviews - Charles Town, WV 25414
Participates in new employee orientation and supports the Nurse Practice Educator in regards to staff education (i.e....

Pharmacist (PRN)

Cadia Rehabilitation 2 reviews - Winchester, VA
Works with patient medical information to conduct Drug Utilization Review (DUR) on all prescriptions and review clinical edits to ensure there is no adverse...

Mid Level Practitioner - NP

Valley Regional Enterprises 71 reviews - Winchester, VA
Collaborates closely with Supervising Physician who reviews patient care provided. NP must be currently licensed as a registered nurse in the state of Virginia....
Social Services Specialist I
Genesis HealthCare 724 reviews - Charles Town, WV
Participates in new employee orientation and supports the Nurse Practice Educator in regards to staff education (i.e....
Sponsored by Genesis HealthCare - 16 days ago

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