Utilization Review Nurse jobs in Tampa, FL

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Utilization Management Nurse
DaVita Medical Group - 48 reviews - Saint Petersburg, FL
The Affiliate Utilization Management Nurse will focus mostly on hospital/SNF inpatient review and discharge planning....
Workers Comp Nurse Case Manager
Laser Spine Institute (LSI) - Tampa, FL 33646
Case management or utilization review experience a plus. Reviews and assures appropriateness of new referrals....
Home Health RN Manager of Clinical Practice
Kindred At Home - 221 reviews - Bradenton, FL 34209
Admissions Nurse, Admission Nurse, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management,...

Utilization Management Representative I

Anthem, Inc. - 2,551 reviews - Tampa, FL
Refers cases requiring clinical review to a Nurse reviewer. Utilization Management Representative I:. Previous Utilization Management experience preferred....

Clinical Claims Review Nurse

WellCare - 807 reviews - Tampa, FL 33634
Registered Nurse (RN). 2 years of experience in utilization management or medical claims review Candidate Skills:. Assists with Complex Claim review;...

Call Center Nurse

Anthem, Inc. - 2,551 reviews - Tampa, FL
Licensed Utilization Review (Call Center Nurse) II-3/5/18 start date. 2 years of clinical or utilization review experience....

Onsite Utilization RN - Tampa FL

Humana - 3,376 reviews - Tampa, FL
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Nurse Case Manager (MacDill AFB, FL)

KBRWyle - 131 reviews - Macdill AFB, FL 33608 (MacDill AFB area)
Nurse Case Manager (MacDill AFB, FL). Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality...

UTILIZATION REVIEW SPECIALIST, SENIOR - UTILIZATION MANAGEME...

BayCare - 223 reviews - Tampa, FL 33646 (Downtown area)
Experience Required 1 year Utilization Review Or 3 years Registered Nurse. The Senior Utilization Review Specialist is responsible for the oversight of the...

UTILIZATION REVIEW SPECIALIST, SENIOR - UTILIZATION/DENIALS...

BayCare - 223 reviews - Tampa, FL 33646 (Downtown area)
Experience Required 1 year Utilization Review Or 3 years Registered Nurse. The Senior Utilization Review Specialist is responsible for the oversight of the...

HEDIS? Medical Record Review Project Nurse

Global TPA LLC - 3 reviews - Tampa, FL 33609 (Swann Estates area)
HEDIS® Medical Record Review Project Nurse. Able to review others? The HEDIS® Medical Record Review Project Nurse is responsible for reviewing medical records...

Utilization Management Nurse

DaVita Medical Group - 48 reviews - Saint Petersburg, FL
The Affiliate Utilization Management Nurse will focus mostly on hospital/SNF inpatient review and discharge planning....

Nurse Case Manager

General Dynamics Information Technology - 5,043 reviews - Tampa, FL
Augment abilities of client support network, and effect change in system or policy at any level.• Knowledge and skill in using pre-established utilization...
Product Manager: Clinical Case Management and UM Registered...
MedHOK - Tampa, FL - Tampa, FL
Clinical Case Management and Utilization Management Registered Nurse*. Bachelor's degree or equivalent, Registered Nurse (RN) required....
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Call Center Nurse - Tampa, FL 138960
Anthem, Inc. - 2,551 reviews - Tampa, FL 33601
Licensed Utilization Review (Call Center Nurse) II-3/5/18 start date. 2 years of clinical or utilization review experience....