Utilization Review Nurse jobs in West Virginia

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Admissions Director
Genesis HealthCare 533 reviews - New Martinsville, WV
to serve as liaison with the center to hospital discharge planners, utilization review nurses, physicians, and other professionals to assist in efficient use of...
Sponsored by Genesis HealthCare - 14 days ago
Social Services Director I
Genesis HealthCare 533 reviews - Hurricane, WV
supply needs of the Social Services department. 6. Reviews departmental policies and procedures as part of... care planning and utilization management throughout...
Sponsored by Genesis HealthCare - 27 days ago
RN Manager of Clinical Practice & Quality Assurance
Gentiva Health Services, Inc. 366 reviews - Beckley, WV
Medicare, visit nurse, admission nurse, skilled visit... Nurse Supervisor, nurse management, nurse manager, RN director, Registered Nurse Director, QA RN, QA Nurse ~MON~
Sponsored by America's Job Exchange - 8 days ago

Utilization Management Nurse

HealthSmart Care Management Solutions - Charleston, WV
The position involves coordination of services to improve and maintain quality patient care and appropriate utilization of resources....
HealthSmart - 12 days ago - save job - block - email - more...

Unit Manager, Case Management

York Risk Services Group Inc. - Cross Lanes, WV
The Unit Manager, Case Management brings medical expertise and support of execution, growth and process to the Managed Care program through the triage review of...
50 minutes ago - save job - block - email - more...

Registered Nurse (RN) - Case Manager (Charleston, WV or Hunt...

Aetna 332 reviews - Charleston, WV
Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment...
28 days ago - save job - block - email - more...

Admissions Director

Genesis HealthCare 533 reviews - Parkersburg, WV 26101 - +1 location
within the center and through the Network in order to serve as liaison with the center to hospital discharge planners, utilization review nurses,...
5 days ago - save job - block - email - more...

RN Manager of Clinical Practice & Quality Assurance

Gentiva Health Services, Inc. 366 reviews - Beckley, WV - +1 location
Review all Medicare and other episodic payers’ clinical records at the local level to assure appropriate documentation for reimbursement....
9 days ago - save job - block - email - more...

Patient Transfer Coordinator (casual, as needed)

Cabell Huntington Hospital 16 reviews - Huntington, WV 25701
Appreciation of the importance of utilization review. Proven history of excellent customer service and. Active, unrestricted registered nurse license in....
26 days ago - save job - block - email - more...

RN Medical Case Manager

Travelers 40 reviews - Charleston, WV
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines. Utilize physician advisor program....
30+ days ago - save job - block - email - more...

Regional Quality Manager

Fresenius Medical Care 785 reviews - Charleston, WV
Promotes utilization of CQI principles to increase patient satisfaction, increase staff satisfaction, and provide overall improved organizational performance....
8 days ago - save job - block - email - more...

Nurse Reviewer

WVMI and Quality Insights - Charleston, WV
The Nurse Reviewer provides efficient, timely and objective non-physician utilization review services for Medicaid beneficiaries undergoing inpatient and...
13 days ago - save job - block - email - more...

Director of Clinical Services

Hospice Compassus 44 reviews - Princeton, WV
Supervises, directs and reviews activities of the interdisciplinary team. Hires, trains, supervises and terminates (with administrative approval) all...
9 days ago - save job - block - email - more...
RN Medical Case Manager - Workers Compensation
Travelers 40 reviews - Charleston, WV
as in-house medical reviews as applicable to claim... For nurses handling Workers Compensation Claims, perform Utilization Review according to established...
Sponsored by CareerBuilder - 18 days ago
Utilization Management Clinician
CAMBIA Health Solutions - United States
UTILIZATION MANAGEMENT CLINICIANREMOTE WORKER; ID, WA, OR OR UT ONLY * Provides utilization management (such as prospective concurrent and retrospective review...
Sponsored by America's Job Exchange - 12 days ago
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