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Utilization Review RN
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....
Registered Nurse (RN) - Utilization Management Full-Time
UCHealth - 350 reviews - Denver, CO
Registered Nurse (RN) – Utilization Management. UCH Utilization Management Schedule:. Colorado State licensure as a Registered Nurse (RN)....
UTILIZATION REVIEW NURSE
Registered Nurse or Licensed Vocational Nurse. The Utilization Review Nurse also conducts initial and ongoing assessments, incorporates disease management...

Utilization Review Nurse (Part Time - Remote)

Change Healthcare - 272 reviews - Pensacola, FL
5 years Utilization Review experience. On March 1, 2017 McKesson Corporation (NYSE MCK) and Change Healthcare Holdings, Inc., formed a new healthcare...

Care Strategist - Remote

EK Health Services Inc - Sacramento, CA
Review Claim examiner notes, nurse case manager treatment plans and utilization review decisions and verify if medical bill should be paid or denied based on...

Medical Review Nurse (BOS) - Home-based - Nationwide Opening...

Quality Health Strategies - 9 reviews - Boston, MA
The Medical Review Nurse - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims...
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Acute Utilization Management Telephonic RN - Central North R...

Humana - 3,237 reviews - Omaha, NE 68164
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Utilization Management Nurse Associate

Aetna - 2,657 reviews - Orlando, FL
Nursing/Registered Nurse is desired. Nursing/Licensed Practical Nurse (LPN) is required. Click here to review the benefits associated with this position....

RN Utilization Management for SNF - GA or SC

Humana - 3,237 reviews - Greenville, SC 29615
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Utilization Management RN who will collaborate with other health care...

Clinical Review Nurse

Blue Cross Blue Shield of Michigan - 230 reviews - Southfield, MI
Registered Nurse with current unrestricted Michigan Registered Nurse license required. Two (2) to four (4) years of clinical experience which may include acute...

Clinical Review Nurse

BlueCross BlueShield of Kansas City - 4,852 reviews - Kansas City, MO 64108 (Crown Center area)
1+ year(s) of utilization review, disease management, and/or case management experience. Conducts pre-service, concurrent and / or post-service utilization...

Utilization Management Specialist-Care Coordination

Sutter Health - 543 reviews - San Francisco, CA
The Utilization Management Specialist coordinates utilization management activities for the Clinical Resource Management (CRM) department, the Utilization...

Registered Nurse, RN - Utilization Review (Work From Home)

Richmond FSC - Richmond, VA
Experience with Midas (or other utilization review programs). Review the Certification / Authorization report daily to determine deficiencies....
Revenue Recovery RN
UCHealth - 350 reviews - Aurora, CO
Coordinates with payors to conduct RN reviews and facilitates MD to MD peer reviews as necessary. State licensure as a Registered Nurse (RN)....
Registered Nurse (RN) - Utilization Management
UCHealth - 350 reviews - Colorado Springs, CO
Registered Nurse (RN) – Utilization Management. UCH Utilization Management Schedule:. State licensure as a Registered Nurse (RN)....