Utilization Review Nurse jobs in San Antonio, TX

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RN - Utilization Review Nurse
Molina Healthcare 125 reviews - San Antonio, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
Sponsored by Molina Healthcare - 12 days ago
RN - Concurrent Review Nurse
Molina Healthcare 125 reviews - San Antonio, TX
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
Sponsored by Molina Healthcare - 30+ days ago
Clinical Director
Confidential Residential Treatment - San Antonio, TX
Participate in Quarterly Review Meetings. Provide clinical information to insurance companies for pre-authorization and peer review....
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Sponsored by Confidential Residential Treatment - 30+ days ago

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

Aetna 448 reviews - San Antonio, TX 78251
Join a team of registered nurses, physicians, case managers and nonclinical staff as a Utilization Management Nurse....

Registered Nurse (RN) Utilization Management Nurse Consultan...

Aetna 448 reviews - San Antonio, TX 78251
Join a team of registered nurses, physicians, case managers and nonclinical staff as a Utilization Management Nurse....

Registered Nurse (RN) - Case Manager

Aetna 448 reviews - San Antonio, TX 78251
Nursing/Registered Nurse is required. Registered Nurse with at least 3 years experience. Significant clinical experience, Utilization Management experience and...

Utilization Management Coordinator

WellMed Medical Mgmt, Inc - San Antonio, TX
Coordinates initial screening for UM claim reviews through claim queue. One or more years managed care experience in Prior Authorization or Claim Review...

Care Review Processor II

Molina Healthcare 125 reviews - San Antonio, TX
One year or more in a Utilization Review Department in a Managed Care Environment. Works within the Care Access and Monitoring (CAM) team to provide clerical...

RN Supervisor, Utilization Management II

Molina Healthcare 125 reviews - San Antonio, TX
Completes quality audit reviews for all clinical / non-clinical staff. Collates and reports on Care Access and Monitoring statistics including plan utilization,...

Call Center Nurse

Humana 853 reviews - San Antonio, TX
Knowledgeable and experienced with Utilization Review. Assist Tricare beneficiaries in receiving the highest quality specialty healthcare through management of...

Utilization Mgmt Nurse RN- $3000 Sign on Bonus

WellMed Medical Mgmt, Inc - San Antonio, TX
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....

Licensed Utilization Management Clinician - Behavioral Healt...

Aetna 448 reviews - San Antonio, TX 78229
Clinical / Medical/Concurrent review / discharge planning/1-3 Years. Managed care/utilization review experience is strongly preferred....

Utilization Mgmt Nurse RN- $3000 Sign on Bonus- San Antonio,...

UnitedHealth Group 1,874 reviews - San Antonio, TX
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
Utilization Mgmt Nurse RN- $3000 Sign on Bonus- San Antonio,...
UnitedHealth Group 1,874 reviews - San Antonio, TX
May provide guidance and coaching to other utilization review nurses and participate in the orientation of newly hired utilization nurses....
Sponsored by UnitedHealth Group - 8 days ago
Telephonic RN Care Coordinator - San Antonio, TX
UnitedHealth Group 1,874 reviews - San Antonio, TX
Utilization review, Case Management, RN, Registered Nurse, San Antonio, TX, Texas. Collaborates with multidisciplinary care team including physicians, nurses,...
Sponsored by UnitedHealth Group - 13 days ago

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Company with Utilization Review Nurse jobs
1,874 reviews
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