Utilization Review Nurse jobs in Little Rock, AR

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HEDIS Disease Management Coordinator
Three to five years’ experience in disease management, case management, home health, critical care, medical/surgical, discharge planning, medical record review,...
RN-CASE MANAGER - CASE MANAGEMENT - FULL TIME
CHI Corporate - Little Rock, AR
Performs reviews utilizing evidence based tool for reviews as necessary. Reviews daily admission and collaboratively creates a plan to positively impact desired...
Home Health RN Manager of Clinical Practice
KINDRED AT HOME - 174 reviews - Little Rock, AR 72211
Admissions Nurse, Admission Nurse, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management,...

Utilization Review Specialist - Register Nurse

Baptist Health Arkansas - 187 reviews - Little Rock, AR 72205 (Briarwood area)
The data will be used to support the efficient utilization of clinical resources and clinical improvement activities....

Concurrent Review Nurse

Synergized Staffing - Little Rock, AR
$60,000 - $69,000 a year
Registered Nurse (RN). Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for...
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RN Review Analyst I

Arkansas Blue Cross and Blue Shield - 29 reviews - Little Rock, AR
Registered nurse license, state of Arkansas. Utilization management experience or background in medical economics preferred....

Registered Nurse

Department of Finance & Administration - 8 reviews - Little Rock, AR
$63,830 - $88,058 a year
Reviews patient charts for physician orders, progress notes, and physical complaints. Arkansas Registered Nurse with current license and in good standing with...

HEDIS Disease Management Coordinator

Arkansas Blue Cross and Blue Shield - 29 reviews - Little Rock, AR
Three to five years’ experience in disease management, case management, home health, critical care, medical/surgical, discharge planning, medical record review,...

RN Utilizatation Management

Arkansas Blue Cross and Blue Shield - 29 reviews - Little Rock, AR
Job Summary The Utilization Review Nurse is accountable for clinical review to assist ABCBS members, and other contracted lines of business prior to, and during...

ASSESSMENT COORD (RN/LIC THER)

Universal Health Services - 220 reviews - Little Rock, AR 72211 (Rock Creek area)
Knowledge of external review organizations. Knowledge and utilization of crisis intervention techniques. Registered Nurse or Master’s Degree in social work,...

Supv PreCert Concurrent Certification RN

Arkansas Blue Cross and Blue Shield - 29 reviews - Little Rock, AR
Utilization management experience or background in medical economics preferred. AUTHORITY The incumbent has the authority to make decisions regarding pre...

CDI RN Specialist - St. Vincent - Little Rock, AR

Tenet Healthcare - 1,402 reviews - Little Rock, AR
And (b) initiate a review worksheet. Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon...

RN Case Manager

Arkansas Blue Cross and Blue Shield - 29 reviews - Little Rock, AR
Experience in case management, home health, critical care, medical/surgical, social work, and discharge planning or concurrent review....
RN MDS Coordinator
Hilltop Healthcare - Little Rock, AR
Registered Nurse (RN). Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable....
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Manager of Utilization Management
HCS Healthcare - 26 reviews - Little Rock, AR
$80,000 a year
2 + years in Utilization Review / Utilization Management / Medical Management / Medical Review. Then apply now for a Registered Nurse / RN Manager of...
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