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Utilization Review Nurse jobs in Madison, WI

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NURSING SUPERVISOR / UTILIZATION MANAGEMENT NURSE SUPERVISOR
Has direct involvement with hospital resources pertaining to Utilization Management. Hospital in Wisconsin is seeking a Supervisor for its Utilization...
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Registered Nurse - RN - Case Manager
Participate in Quality Assurance and Utilization review activities, as directed. Maxim Healthcare has a new Full Time, Direct Hire, opportunity for Registered...
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Nurse Practitioner - WI
Correct Care Solutions - Madison, WI
Utilization review process for specialty consultant referrals 11 Assumes responsibility and accountability for his/her individual judgments and actions....
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RN Clinical Documentation Specialist - 100% FTE, Day

UW Hospitals & Clinics - 3 reviews - Madison, WI
Three (3) years nursing, case management, utilization review or quality resources experience in an acute care setting....

Integrated Care Coordinator - Registered Nurse

WPS Health Solutions - Madison, WI
Perform activities of preadmission certification, utilization review and preauthorization, as needed....

Case Manager (LTACH)

Select Specialty Hospital - 308 reviews - Madison, WI
Meeting patient related utilization management criteria. The Case Manager assumes responsibility for utilization reviews and resource management, discharge...

Integrated Care Coordinator - RN

Wisconsin Physicians Service Insurance Corporation - Madison, WI 53713
Perform activities of preadmission certification, utilization review and preauthorization, as needed. Experience in some component of managed care (preadmission...

Medical Review Nurse Analyst

SSM Health - 130 reviews - Madison, WI 53717 (Walnut Grove area)
The Medical Review Nurse Analyst coordinates and performs medical review in a cross-functional setting, working closely with claims, customer service,...

Registered Nurse (RN) - Nurse Manager, Community Living Cent...

Department Of Veterans Affairs - 2,156 reviews - Madison, WI
$59,226 - $117,490 a year
The Nurse Manager provides. Practice, ethics and resource utilization; Nurse Manager in the Community Living Center (CLC)!...

Case Manager

Select Specialty Hospital - 308 reviews - Madison, WI
Meeting patient related utilization management criteria. Registered Nurse (RN) or LCSW/MSW is required. The Case Manager assumes responsibility for utilization...
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Medical Management Manager

Wisconsin Physicians Service Insurance Corporation - Madison, WI 53713
This position supervises the clinical Medical Affairs staff which includes case managers and utilization review nurses....

Senior Analyst, Program Integrity - RN

Wisconsin Physicians Service Insurance Corporation - Madison, WI 53713
Two (2) plus years utilization review, quality management or case management experience. Identify trends of fraudulent and abusive activities that require...

NURSING SUPERVISOR / UTILIZATION MANAGEMENT NURSE SUPERVISOR

Aureus Medical Group - 121 reviews - Madison, WI
Has direct involvement with hospital resources pertaining to Utilization Management. Hospital in Wisconsin is seeking a Supervisor for its Utilization...
Registered Nurse
Home Health Registered Nurse. Participates in quarterly utilization review and chart audits (peer and self) for OBQI/OBQM as requested by Agency....
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