Utilization Review RN Coordinator jobs

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RN UM Coordinator - SNF
The Carle Foundation - Champaign, IL
The Utilization Management Coordinator is responsible for implementing medical management functions for insured and selfinsured groups, including Medicare...
Sponsored by The Carle Foundation - 25 days ago
RN UM Coordinator
The Carle Foundation - Champaign, IL
The Utilization Management Coordinator is responsible for implementing medical management functions for insured and selfinsured groups, including Medicare...
Sponsored by The Carle Foundation - 26 days ago
Quality Improvement RN
Kline Galland Home Health and Hospice - Seattle, WA
We are currently seeking an RN Quality Improvement Coordinator to join our amazing team! ┬░Coordinates activities related to clinical record review for data...
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Sponsored by Kline Galland Home Health and Hospice - 10 days ago

Prior Authorization Coordinator (RN)

AmeriHealth Caritas 47 reviews - Atlanta, GA
2+ years experience in utilization management, preferably within managed care. Using clinical knowledge and nursing experience, the nurse reviews provider...

Patient Centered Medical Home (PCMH) Coordinator (Memphis)

BlueCross BlueShield of Tennessee 39 reviews - Memphis, TN
RN will be considered. Provide and review Quality and Utilization Dashboard and Provider Comparison Reports with PCMH Physician Lead each month;...

Utilization Management Case Manager

Evolent Health 5 reviews - Indianapolis, IN
Performs Telephonic prospective, concurrent and retrospective utilization reviews. The Utilization Management Case Manager will be responsible for assuring the...

Managed Care Coordinator I (Utilization Review RN)

BlueCross BlueShield of South Carolina 21 reviews - Columbia, SC
Cross utilization management for fully insured plans. Reviews and evaluates medical eligibility regarding benefits and clinical criteria by applying clinical...

Striker Team (Admission/Discharge) Nurse

Department of Veterans Affairs 912 reviews - Atlanta, GA
The Striker Team nurse reports to the Utilization Management Nurse Manager. Reviews instructions with the patient and assists the Nursing Team to promote timely...

Utilization Review Coordinator

Provo Canyon Behavioral Hospital - Orem, UT 84097
Experience in utilization review required - Current licensure as an. RN or LCSW. This position coordinates payor benefits and length of stay approvals....

RN (Neurosurgery Coordinator)

Department of Veterans Affairs 912 reviews - Minneapolis, MN
2 YEARS RN EXPERIENCE REQUIRED. Reviews incoming consults to the service, prioritizing and facilitating access....

RN Field Service Coordinator - Honolulu, HI

UnitedHealth Group 1,883 reviews - Honolulu, HI
Experience in utilization review, concurrent review and/or risk management. RN, Registered Nurse, Case Manager, Service Coordinator, Floor Nurse, Medicaid,...

Clinical Coordinator RN - Quality Utilization / FT Days

Del Sol Medical Center - El Paso - El Paso, TX
Must be RN. Assists/supports the Quality Management Director by development and coordination of Clinical Quality Improvement Activities related primarily to...

RN Clinical Coordinator

Central Homecare - Newton, KS
Current Kansas RN License. Participating in state/accreditation surveys and reviews. Additional responsibilities of the Clinical Coordinator include:....
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RN Patient Transfer Center
Mountainstar Contact Center - Salt Lake City, UT
Performs review for medical necessity applying Inter. Facilitates continuity of the interdisciplinary plan of care by providing Utilization services, as needed,...
Sponsored by HCA Inc - 9 days ago
Trauma Coordinator (Sheridan Wyoming)
Sheridan Memorial Hospital 4 reviews - Wyoming
Current on all ED RN competencies. Review compliance with relevant standards of care. Monitor appropriate transport destinations of all patients and methods of...
Sponsored by Sheridan Memorial Hospital - 26 days ago

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Company with Utilization Review RN Coordinator jobs
4 reviews
Licensed for 88 beds, Sheridan Memorial Hospital is a progressive, state-of-the-art facility providing exemplary service to our patients.