Utilization Review RN jobs

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Geo Group 214 reviews - Baldwin, MI
Leads and support nursing peer review processes. Performs charge nurse duties that includes proactive planning for the assignment and utilization of nursing...
Sponsored by The GEO Group, Inc. - 30+ days ago
Case Management Team RN
Samaritan Health 3 reviews - Watertown, NY
Utilization review experience preferred. Current NYS licensure as an RN. Graduate of an accredited school of nursing....
Sponsored by Samaritan Health - 30+ days ago
Utilization Review RN Coordinator
Maricopa Integrated Health System 40 reviews - Phoenix, AZ
Under the direction of the Manager or Director of Care Management, the RN Utilization Review Coordinator is part of the interdisciplinary team and serves as the...
Sponsored by Maricopa Integrated Health System - 13 days ago

Nurse, Utilization Review

Methodist College - United States
Nurse, Utilization Review. JOB SUMMARY To provide concurrent and retrospective clinical review of inpatient medical records to evaluate the utilization of acute...

Utilization Review Nurse

BHHC - Omaha, NE 68131
Utilization Review Nurse. Act as a medical resource in regards to utilization review to Claims Support Nurse, Bill Review, and Claims department....

Case Manager I (Prior Authorization)

Centene Corporation 206 reviews - Smyrna, GA - +2 locations
Utilization review, prior authorization, or managed care experience preferred. Current RN, LPN or LVN license required....

Utilization Review Nurse

CorVel 25 reviews - Central Islip, NY
The Utilization Review RN will also work with our Bill Review department to ensure providers are treating within the NY Medical Treatment Guidelines....

Analyst-Utilization Review / St. John Macomb Hospital / FT D...

St. John Macomb Hospital 14 reviews - Warren, MI
2 years of experience in Utilization review or Case Management preferred. The Analyst-Utilization Review analyzes and evaluates concurrent admission information...

Preservice Review Nurse RN

UnitedHealth Group 1,991 reviews - Arizona - +3 locations
Perform utilization and concurrent review using Milliman criteria. Unrestricted, active RN license. 3 years RN experience in an acute setting....

Medical Review RN

Quality Health Strategies - Dallas, TX
The Medical Review RN is a mid-level professional performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure...

Registered Nurse - Utilization Revew/Case Management

Department of Veterans Affairs 977 reviews - Orlando, FL
The Utilization Review Nurse collects, interprets and communicates clinical data from external reviewing sources for the Medical Center, keeping the Primary...

Utilization Management, RN- San Antonio, TX

UnitedHealth Group 1,991 reviews - San Antonio, TX - +1 location
Performs utilization review activities, including pre-certification, concurrent, and retrospective reviews according to guidelines....

TRICARE Inpatient Utilization Management Nurse - Multiple Lo...

UnitedHealth Group 1,991 reviews - Colorado Springs, CO
Utilization Review experience. Tricare, Military, Veterans, Nurse, RN, Inpatient, Utilization Review, Concurrent Review, Discharge Planning, Case Management,...
Utilization Review Manager, RN
VNA Homecare 3 reviews - Syracuse, NY
Utilization Review Manager, RN is needed to provide development, oversight and direction to the Utilization Management Program for MLTC....
Sponsored by VNA Homecare - 30+ days ago
Registered Nurse (RN) - Utilization Review - 8:30a - 13-16 W...
Centra Healthcare Solutions 5 reviews - Washington, DC
2 years of recent experience in Utilization Review working as a Registered Nurse / RN. Centra Healthcare Solutions is seeking to hire an experienced Registered...
Sponsored by Centra Healthcare Solutions - 1 day ago

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Company with Utilization Review RN jobs
The GEO Group, Inc. is the world's leading provider of correctional, detention, and community reentry services.