Utilization Review Nurse jobs in San Antonio, TX

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Registered Nurse Case Manager (Utilization Review) - Full Ti...
Least one year experience in utilization review, resource management, discharge. And continued stay reviews. Purposes of efficient resource utilization....
Registered Nurse Case Manager - Full Time
Methodist Texsan Hospital - 5 reviews - San Antonio, TX 78201
Least one year experience in utilization review, resource management, discharge. And continued stay reviews. Purposes of efficient resource utilization....
Registered Nurse Case Manager - PRN
Least one year experience in utilization review, resource management, discharge. And continued stay reviews. Purposes of efficient resource utilization....

UM Nurse Consultant

Aetna - 1,913 reviews - San Antonio, TX
Nursing/Registered Nurse (RN) is desired. Exhibits the following UM Nurse Consultant Behaviors. Click here to review the benefits associated with this position....

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna - 1,913 reviews - San Antonio, TX
As a Registered Nurse (RN) - Utilization Management (UM) Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects...

Health Risk Education Consultant

Aetna - 1,913 reviews - San Antonio, TX
Nursing/Registered Nurse (RN) is desired. Functional - Nursing/Clinical claim review and coding/2-3 years. Click here to review the benefits associated with...

Prior Authorization Nurse I

Superior HealthPlan - 10 reviews - San Antonio, TX
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Quality Improvement Nurse - Austin, TX

Humana - 2,253 reviews - San Antonio, TX 78229
Previous utilization management, hospital or physician office practice experience. Review medical records and identify needed improvements that impact HEDIS...

Utilization Management Nurse Consultant

Aetna - 1,913 reviews - San Antonio, TX
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - 327 reviews - San Antonio, TX
Utilization Management Certification (CPHM). May also perform prior authorization reviews and/or related duties as needed....

Utilization Review Nurse

TotalMed Staffing, Inc. - 4 reviews - San Antonio, TX
$35 an hour
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
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Concurrent Review Nurse I

Superior HealthPlan - 10 reviews - San Antonio, TX
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

RN, Registered Nurse - Case Management - Part Time ($2,500)...

Christus Health - 177 reviews - San Antonio, TX 78207 (Avenida Guadalupe area)
Minimum two years case management and/or utilization review experience. Provide backup coverage for other Case Managers, Care Managers, and Referral...
Field Service Coordinator - RN
WellCare - 599 reviews - San Antonio, TX 78216
Licensed Registered Nurse (RN) is required. Promotes effective utilization and monitors health care resources....
Registered Nurse (RN) Utilization Management Coordinator
The Utilization Management Coordinator coordinates and monitors the daily utilization management. Prefer at least one year experience in utilization review,...

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