Utilization Review RN jobs

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RN Case Manager Hospice/Homecare
Visiting Nurse Association & Hospice of VT and NH - Brattleboro, VT
Appropriate treatment intervention, evaluation of outcomes, and utilization of services to ensure that patient care needs are met....
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 30+ days ago
Case Manager
Rutland Regional Medical Center 17 reviews - Vermont
§ Knowledgeable regarding Interqual criteria for utilization review. § Current Vermont RN license. § 3 to 5 years related clinical RN experience per specialty...
Sponsored by Rutland Regional Medical Center - 6 days ago
Utilization Review Case Manager
CorVel 23 reviews - Cincinnati, OH
Strong cost containment background, such as utilization review or managed care preferred. Performs claim re-activation reviews....
Sponsored by CorVel - 5 days ago

Utilization Review Nurse

SHS Corporate - Corvallis, OR
Utilization Review or Case Management Certification preferred. Acute care utilization review, discharge planning or case management experience preferred....

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

Aetna 450 reviews - St. Louis, MO - +12 locations
Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....

Utilization Management Nurse Reviewer

CareCore National | MedSolutions - Melbourne, FL - +1 location
Perform review activities for procedures that require preauthorization and. Conducts initial medical review to determine medical necessity of elective...

Utilization Review RN

Qualis Health 5 reviews - Washington, DC
We provide web-based utilization management and targeted review programs. 1+ years of utilization review and/or other, related medical management experience...

Preservice Review RN - Telecommute

UnitedHealth Group 1,883 reviews - Dover, DE
Perform utilization and concurrent review using Milliman criteria. Prior authorizations, preservice review, RN, telecommute, work from home,....

Medical CM Nurse

Health Integrated 27 reviews - Tampa, FL
Performs telephonic and utilization management reviews in accordance to health purchaser contractual requirements, using Inter....

Utilization Review Manager (RN)

Logisticare - North Haven, CT - +1 location
Review all ambulance and stretcher trips to assure appropriate utilization of resources. Strong Utilization Review professional background OR at least 4 years...

Telephonic Case Manager - On-Site

Berkley Medical Management Solutions - Atlanta, GA
Review job analysis with physician. Graduate of an accredited school of nursing and possess a current RN license required....

Concurrent Review Nurse RN

Florida Blue 110 reviews - Miami, FL - +7 locations
Job Description Concurrent Review Nurse RN - 5210 Description. Home health care, rehab, SNF, utilization review, discharge planning or case management....

Utilization Review RN-SLH -FT Days

Saint Luke's Health System 23 reviews - Kansas City, MO 64101
Requirements included Kansas and Missouri RN license. Responsible for reviewing patient charts and monitoring utilization of health care services....
Intake Nurse
Access Nursing Services 5 reviews - New York, NY
Collaborates with the hospital’s case managers, discharge planning personnel, utilization review. Planning, writing and coordinating referrals for home care...
Sponsored by Access Nursing Services - 30+ days ago
RN - Utilization Review Nurse
Molina Healthcare 126 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 - 14 days ago

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Company with Utilization Review RN jobs
5 reviews
ACCESS Nursing Services provides comprehensive care to patients and essential staff to healthcare organizations throughout the country.