Utilization Review Nurse jobs in Madison, WI

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Registered Nurse Case Manager 378
Perform utilization review, and participate in medical management program (pathways, protocols and guidelines) as appropriate....
Easily apply
RN (Registered Nurse)
Participate in Quality Assurance and Utilization review activities, as directed. Current Registered Nurse (RN) License....
Easily apply
Senior Medical Science Liaison-Great Lakes West Territory (N...
Under the direction of Medical Affairs management, coordinate with internal staff to identify and interact on various programs to maximize effective utilization...

Care Management Utilization Mgmt RN

Group Health Cooperative of South Central Wisconsi... - 5 reviews - Madison, WI
Utilization Review, Insurance/Managed Care, Home Health and/or diversified clinical experience, two (2) years preferred....

Nurse Auditor - Office of the Inspector General

Wisconsin Department of Health Services - 10 reviews - Dane, WI
$29 - $34 an hour
If you have experience or an interest in nursing informatics, utilization review, medical coding or legal nurse consulting, please apply!...

RN - Utilization Review Specialist - 100% FTE, Day

UW Health - 56 reviews - Madison, WI
Recent experience as an inpatient utilization review nurse or UM coordinator. The Utilization Review (UR) Specialist has well-developed knowledge and skills in...

Medical Review Examiner - LPN (6:55 AM - 3:30 PM)

WPS Health Solutions - 13 reviews - Madison, WI
Focused experience with surgical procedures and utilization review. Perform retrospective reviews utilizing psychiatric and medical review criteria sets....

Family Care Suite Manager

SSM Health - 257 reviews - Madison, WI 53715
Completes and documents all phases of utilization review, including Day One Assessments an Concurrent Reviews, avoidable day reporting, and negotiate...

Precertification Coordinator - Admissions (Access Services)

UW Health - 56 reviews - Middleton, WI
PRO (Peer Review Organization) review experience preferred. Knowledge of and ability to perform insurance carrier/managed care review....

Medical Review Examiner - LPN (6:55 AM - 3:30 PM)

Wisconsin Physicians Service Insurance Corporation - 19 reviews - Madison, WI 53713
Focused experience with surgical procedures and utilization review. Perform retrospective reviews utilizing psychiatric and medical review criteria sets....

Madison, WI: Nursing Faculty, Regular Full-Time

Herzing University - 101 reviews - Madison, WI
Utilization of Technology to Enhance Teaching and Learning 8. Click here to review Herzing's other available Herzing Faculty Positions....

Senior Program Integrity Analyst - Registered Nurse

WPS Health Solutions - 13 reviews - Madison, WI
2 or more years in Utilization Review, Quality Management, or Case Management. The Senior Program Integrity Analyst provides medical review as a Registered...

Manager

SSM Health - 257 reviews - Madison, WI 53715
Completes and documents all phases of utilization review, including Day One Assessments an Concurrent Reviews, avoidable day reporting, and negotiate...
Senior Program Integrity Analyst - Registered Nurse
Wps - 35 reviews - Madison, WI 53713
2 or more years in Utilization Review, Quality Management, or Case Management. The Senior Program Integrity Analyst provides medical review as a Registered...

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