Utilization Review Nurse jobs
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Utilization Review Nurse
New Century Health
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Brea, CA
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The Utilization Review Nurse will be reporting to the Utilization Review Nurse Manager this position is... UMC) the Utilization Review Nurse (URN) has the...
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Sponsored by New Century Health - 30+ days ago
Utilization Review Manager
Confidential...
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Lockport, NY
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The Utilization Review Manager will direct and manage the day to day activities of the Care Management... Improvement and Resource Utilization. The Manager's...
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Sponsored by Confidential... - 30+ days ago
HomeCare Hospice
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Fall River, MA
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Graduate of a diploma or associate degree in nursing program. A.B.S degree in nursing preferred. Must be willing to obtain NH/RI license within three months of...
Steward Health Care - 6 hours ago
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BlueCross BlueShield of South Carolina
573 reviews
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Columbia, SC
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Excellent verbal and written communication skills. Excellent customer service, organizational and analytical or critical-thinking skills. Good judgment....
2 days ago
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University of Chicago Medicine
7 reviews
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Chicago, IL
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Pharmacy experience (2-4 years) in a hospital setting strongly preferred. Exceptional aptitude or knowledge may be considered in lieu of experience....
5 days ago
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CareCentrix
27 reviews
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Tampa, FL
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Ability to effectively manage and prioritize tasks. Strong commitment to quality and standards. Ability to negotiate with providers when needed and stay within...
20 hours ago
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Saint Luke's Health System
7 reviews
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Kansas City, MO 64101
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Will asssist with coordination of Crittenton’s Intake needs and the off hours-mobile assessment services and in the assignment of physician coverage for...
5 days ago
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Mercy San Juan Medical Center
4 reviews
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Carmichael, CA 95608
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The Case Manager partners with the medical staff, utilizes scientific evidence for best practices, relevant data and compliance with the mission/philosophy,...
Dignity Health - 6 days ago
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HMS
139 reviews
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Westerville, OH
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Proficient in using a computer with experience working with MS Word and MS Excel. Effective written and oral communication skills....
20 hours ago
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Banner Health (Corporate)
138 reviews
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Phoenix, AZ
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Experience in evaluation techniques, teaching, hospital operations, reimbursement methods, medical staff relations, and the charging/billing process is required...
Banner Health - 1 day ago
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UPMC
77 reviews
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Pittsburgh, PA
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Ability to meet the physical demands of the job. Consistently applies nursing process in patient care. Consistently assumes responsibility for managing care...
2 days ago
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U.S. HealthWorks Medical Group
4 reviews
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Valencia, CA
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Currently, it covers the East Coast and some Midwest states but the region is likely to be modified depending on state of residence....
9 days ago
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Registered Nurse - Precertification Case Manager
Pathway Medical Staffing
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Chicago, IL
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telephonic/electronic reviews from providers and... AND RESPONSIBILITIES: Performs Clinical Precert reviews for inpatient admissions and outpatient services...
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Sponsored by Pathway Medical Staffing - 30+ days ago
Review RN, Appeals ( Job Number: 175254 )
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review process. Assists with post service utilization... of care for utilization review activities • Conducts reviews of members and performs concurrent review...
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Sponsored by Kaiser Permanente - 14 days ago
UTILIZATION REVIEW NURSE
Delta Medical Center
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Memphis, TN
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be a Registered Nurse with 3 – 5 years Behavioral... with experience in Case Management and/or Utilization Review. Delta Medical Center is a Medically Acute...
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Sponsored by Delta Medical Center - 12 days ago
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