Utilization Review Nurse jobs in San Antonio, TX

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Preservice Review Nurse RN - Telecommute Nationwide
UnitedHealth Group 1,632 reviews - San Antonio, TX
Perform utilization and concurrent review using Milliman criteria. As a Preservice Review Nurse your duties will include:....
Sponsored by UnitedHealth Group - 15 hours ago
Registered Nurse Case Manager - Case Management (FT Days) -...
Methodist Specialty & Transplant Hospital - San Antonio, TX
Prefer at least one year experience in utilization review, resource management, discharge planning or case management....
Sponsored by HCA Inc - 30+ days ago

Preservice Review Nurse RN - Telecommute Nationwide

UnitedHealth Group 1,632 reviews - San Antonio, TX
Perform utilization and concurrent review using Milliman criteria. As a Preservice Review Nurse your duties will include:....
15 hours ago - save job - email - more...

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 385 reviews - San Antonio, TX 78229
Position includes Precertification, Concurrent Review and Retro Review. UM Nurse Consultants require:. Precertification, pre determination, concurrent review,...
12 days ago - save job - email - more...

Embedded Care Coordinator

Aetna 385 reviews - San Antonio, TX
Certified Medical Assistant (CMA), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN) is required....
4 hours ago - save job - email - more...

Care Review Processor I

Molina Healthcare 112 reviews - San Antonio, TX
Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Molina Members that require hospitalization and/or...
2 days ago - save job - email - more...

RN Appeals/Denials Specialist II

Molina Healthcare 112 reviews - San Antonio, TX
Active, unrestricted State Licensed Register Nurse, Vocational Nurse or Licensed Practical Nurse in good standing....
6 days ago - save job - email - more...

Licensed Clinical Case Manager (LCSW, LPC, MFT, RN)

Aetna 385 reviews - San Antonio, TX 78229
Managed care/utilization review experience ideal. Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years....
1 day ago - save job - email - more...

Clinical Access RN

Humana 731 reviews - San Antonio, TX
Previous experience in utilization management, discharge planning and/or home health or rehab. Active RN license in the state(s) in which the nurse is required...
1 day ago - save job - email - more...

Registered Nurse (RN) - Case Manager

Aetna 385 reviews - San Antonio, TX
Nursing/Registered Nurse (RN) is desired. Click here to review the benefits associated with this position. Through assessment and member-centered care planning,...
12 days ago - save job - email - more...

RN Coordinator, Patient Access

Christus Health 85 reviews - San Antonio, TX
Enter review utilizing IS,SI for determination. PIC Nurses insure efficient and effective utilization of resources for patient care delivery by patient...
5 days ago - save job - email - more...

Patient Safety Quality Medical Program Manager

Synensis, LLC 2 reviews - San Antonio, TX
Patient Safety, Patient Safety Manager, Registered Nurse, RN, Process Improvement, Root. Knowledge of Medical Incident Investigation (MII), Critical Incident...
5 days ago - save job - email - more...
RN Manager of Clinical Practice-5k Sign On Bonus
Gentiva Health Services, Inc. 406 reviews - San Antonio, TX
Current Registered Nurse. RN, Registered Nurse, Nurse, nursing, homecare, home care, healthcare, health care, home health, home healthcare, med surge, OASIS, ER...
Sponsored by Gentiva Health Services, Inc. - 18 days ago
Case Manager RN
Northeast Baptist Hospital 8 reviews - San Antonio, TX
Utilization review, resource management, coordination of care, transition/discharge planning, across the episode of care....
Sponsored by Baptist Health System, San Antonio, Texas - 15 days ago
Utilization Management Nurse RN, WellMed, San Antonio, TX
UnitedHealth Group 1,632 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 - 11 days ago

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Company with Utilization Review Nurse jobs
1,632 reviews
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