Utilization Review Nurse jobs

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Utilization Review RN
Hendrick Health System - 24 reviews - Abilene, TX 79601
The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of...
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RN Case Manager
Experience in case management, home health, critical care, medical/surgical, social work, and discharge planning or concurrent review....
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UM Nurse Consultant - RN
Aetna - 1,979 reviews - Chantilly, VA 20151
The nurse uses clinical skills to coordinate, document and communicate all aspects of the utilization management program....
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UM – MMQ RN Reviewer - Telecommute

UnitedHealth Group - 4,816 reviews - Taunton, MA 02780  +2 locations
As the Onsite Utilization Management Review Nurse, you will review member charts at assigned facilities and ensure the correct level of care is provided....

UM – MMQ RN Reviewer

UnitedHealth Group - 4,816 reviews - Peabody, MA 01960
As the Onsite Utilization Management Review Nurse, you will review member charts at assigned facilities and ensure the correct level of care is provided....

Medical Review Clinician - RN

Highmark Inc - 47 reviews - Home, PA  +1 location
The incumbent implements effective utilization management strategies on a prospective, concurrent and retrospective claims review basis....

UM Nurse Consultant

Aetna - 1,979 reviews - Overland Park, KS  +7 locations
The Registered Nurse (RN) - Utilization Management Nurse Consultant utilizes clinical skills to support the coordination, documentation and communication of...

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

Aetna - 1,979 reviews - Urbandale, IA  +1 location
Nursing/Registered Nurse is required. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness...

Medical Claims Review Nurse RN

UnitedHealth Group - 4,816 reviews - Charlotte, NC 28211 (Sherwood Forest area)  +4 locations
Background involving utilization review for an insurance company or experience in case management. Perform clinical coverage review services, which require...

Utilization Management/Review Nurse

All's Well Health Care - 6 reviews - Troy, MI
$85,000 a year
The right candidate will have 1-3 years clinical nursing experience, including 1 year Utilization Review and/or Medical Claims Review experience....
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Care Management Associate

Aetna - 1,979 reviews - New York, NY 10016 (Gramercy area)  +3 locations
Click here to review the benefits associated with this position. Support comprehensive coordination of medical series including Care Team intake, screening and...

RN for Utilization Management or Case Management

CenCal Health - Santa Barbara, CA 93110
When assigned to the UM department, the UM nurse performs prospective, concurrent and retrospective reviews....

Medicare Medical Review Nurse

NCI Information Systems, Inc. - 2 reviews - Miami, FL  +2 locations
As the Medicare Medical Review Nurse ( Medical Reviewer ), you will primarily responsible for conducting clinical reviews of medical records during the course...
Utilization Management Nurse Consultant
Aetna - 1,979 reviews - Albany, NY 12203
The Utilization Nurse Consultant is an integral member of the care management team. Nursing/Registered Nurse is desired....
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Nurse-Utilization Review
RN - Registered Nurse. Primary responsibility of the utilization review nurse is to evaluate and screen all admissions using screening guidelines to ensure...
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