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....
Sponsored by HCA Inc
Field Service Coordinator - RN
WellCare - 600 reviews - San Antonio, TX 78216
Licensed Registered Nurse (RN) is required. Promotes effective utilization and monitors health care resources....
Sponsored
Registered Nurse Case Manager - PRN
Methodist Hospital - 837 reviews - San Antonio, TX 78229
Least one year experience in utilization review, resource management, discharge. And continued stay reviews. Purposes of efficient resource utilization....
Sponsored by HCA Inc

UM Nurse Consultant

Aetna - 1,924 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....

Utilization Management Nurse Consultant

Aetna - 1,924 reviews - San Antonio, TX
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Quality Improvement Nurse - Central Texas

Humana - 2,266 reviews - San Antonio, TX 78229
Previous utilization management, hospital or physician office practice experience. Review medical records and identify needed improvements that impact HEDIS...

Quality Improvement Nurse - Austin, TX

Humana - 2,266 reviews - San Antonio, TX 78229
Previous utilization management, hospital or physician office practice experience. Review medical records and identify needed improvements that impact HEDIS...

Concurrent Review Nurse I (San Antonio) - Remote

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...

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...

Registered Nurse (RN) - Utilization and Referral Management

MindLeaf Technologies Inc - San Antonio, TX
$66,560 a year
Licensed Registered Nurse. This Registered Nurse (RN) will provide Utilization Management activities include timely processing of Right of First Refusal (ROFR);...
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Health Risk Education Consultant

Aetna - 1,924 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...

Supv, Care Review (RN) Registered Nurse

Molina Healthcare - 330 reviews - San Antonio, TX
Completes staff quality audit reviews. Collates and reports on Care Access and Monitoring statistics including plan utilization, staff productivity, cost...

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...
Registered Nurse (RN) - Case Management Director Full Time P...
Blue Royal Staffing - 3 reviews - San Antonio, TX
Must possess a thorough working knowledge of Medicare, Medicaid and managed care utilization review requirements....
Sponsored by Nurse.com
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....
Sponsored by HCA Inc

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