Utilization Review Nurse jobs in Madison, WI

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Medical Services Coordinator
WEA Trust 6 reviews - Madison, WI
90% - Optimal health care utilization for Trust members:. Registered Nurse licensure or Masters-level behavioral health licensure therapist....
Sponsored by WEA Trust - 24 days ago
Branch Director
Saint Jude Hospice - Madison, WI
Monitors service utilization to insure delivery of comprehensive care. Currently licensed as a Registered Nurse in good standing with the State Board of Nursing...
Easily apply
Sponsored by Saint Jude Hospice - 30+ days ago

Utilization Management Nurse Reviewer

Dean Health Plan, Inc. - Madison, WI
Previous experience in utilization management or prior authorization reviews. Responsible for performing medical management reviews including precertification,...
SSM Health Care - 21 days ago - save job - email - more...

Nurse Auditors

Department of Health Services 10 reviews - Madison, WI 53703 (Marquette area)
$52,786 - $73,840 a year
Planning, coordinating, monitoring, and performing complaint investigations and utilization reviews. The State of Wisconsin Department of Health Services,...
Monster - 10 days ago - save job - email - more...

Authorization Specialist

Rogers Memorial Hospital 14 reviews - Madison, WI
Utilization review experience in a hospital, outpatient or managed care setting. Bachelor's degree in behavioral science is preferred, or registered nurse with...
4 days ago - save job - email - more...

Director - Care Management

Dean Health Plan, Inc. - Middleton, WI
Lead Case/Disease Management, Prevention and Health Promotion, Prospective and Retrospective Review, Behavioral Health Clinical Review and general utilization...
SSM Health Care - 21 days ago - save job - email - more...

Registered Nurse - Utilization Review Coordinator

WPS Health Insurance 14 reviews - Madison, WI
Perform concurrent review of selected services. Ability to make independent decisions based on review of medical records and clinical standards....
Monster - 9 days ago - save job - email - more...

Medical Services Coordinator

WEA Trust 6 reviews - Madison, WI
90% - Optimal health care utilization for Trust members:. Registered Nurse licensure or Masters-level behavioral health licensure therapist....
24 days ago - save job - email - more...

Complex Case Manager (RN/MSW)

Physicians Plus Insurance Corporation - Madison, WI
Utilization review and medical case management experience in a healthcare or managed care setting are preferred....
30+ days ago - save job - email - more...

Utilization Review Coorinator - RN

Wisconsin Physicians Service Insurance Corporation - Madison, WI
Perform concurrent review of selected services. Ability to make independent decisions based on review of medical records and clinical standards....
30+ days ago - save job - email - more...

Branch Director

Saint Jude Hospice - Madison, WI
Monitors service utilization to insure delivery of comprehensive care. Currently licensed as a Registered Nurse in good standing with the State Board of Nursing...
Easily apply
30+ days ago - save job - email - more...

Medical Review Nurse Analyst

Wisconsin Physicians Service Insurance Corporation - Madison, WI
Clinical experience – Acute Hospital, Skilled Nursing Facility, Rehab or Utilization Review. Conduct complex medical reviews of Medicare claims utilizing...
30+ days ago - save job - email - more...
Utilization Management Specialist
Synectics 14 reviews - United States
Registered Nurses (RN) graduate; Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective...
Sponsored by Resume-Library - 3 days ago
Nurse Specialist (Utilization Management)
Synectics 14 reviews - United States
Registered Nurses (RN) graduate; Works with the Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims...
Sponsored by Resume-Library - 2 days ago
Physician (MD, DO, Resident) Pharmacy
William S. Middleton Memorial Veterans Hospital 4 reviews - Madison, WI
Additionally, the Pharmacist shall work cooperatively with Advance Practice Nurses (APN), Nurse Practitioners (NP), Physicians, Physician Assistants (PA),...
Sponsored by MDLinx - 5 days ago

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