Utilization Review RN jobs

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Utilization Review Coordinator RN
John C. Lincoln Health Network 59 reviews - Phoenix, AZ
The Utilization Review Coordinator functions as the primary or initial liaison between the payer and all other related parties to ensure appropriate level of...
Sponsored by John C. Lincoln Health Network - 5 days ago
Hospice RN Clinical Services Manager - Full Time - Reston, V...
UnitedHealth Group 1,547 reviews - Reston, VA
Performs utilization review of continuous care and inpatient levels of care for all patients. Responsibilities of the Hospice RN Clinical Services Manager...
Sponsored by UnitedHealth Group - 8 days ago

Utilization Review Nurse RN

Novant 157 reviews - Winston-Salem, NC - +1 location
The Utilization Review RN serves as a leader resource in the Utilization Review process. Utilization Review or related experience preferred....
4 hours ago - save job - block - email - more...

Medical Reviewer III

BlueCross BlueShield of South Carolina 12 reviews - Augusta, GA
Provides support and review of medical claims and utilization practices. Active RN licensure in state hired. Active compact multistate RN license as defined by...
33 minutes ago - save job - block - email - more...

RN - Denials & Appeals

Southern Maryland Hospital Center, Inc. - Clinton, MD
Experience in Utilization Review. Maryland RN license Required. Is actively recruiting for a RN Denials & Appeals to join the team....
Southern Maryland Hospital Center - 2 days ago - save job - block - email - more...

Clin Appeals RN

UnitedHealth Group 1,547 reviews - California
Utilization review and/or case management experience is preferred. Appeals experience preferred....
1 hour ago - save job - block - email - more...

Utilization Management (UM) Nurse Associate (RN/LPN/LVN)

Aetna 362 reviews - South Jordan, UT 84095
Performs medical necessity reviews for requests requiring prior authorization. Click here to review the benefits associated with this position....
5 days ago - save job - block - email - more...

Clinical Trainer - RN - Auditor

Molina Healthcare 105 reviews - Bothell, WA
Records and trends individual and department review results on weekly, monthly, quarterly and annualized basis....
1 day ago - save job - block - email - more...

Preservice Review Nurse (RN Required) ~ Richardson, TX

UnitedHealth Group 1,547 reviews - Richardson, TX
Perform utilization and concurrent review using Milliman criteria. The Preservice Review RN (Spine and Joint Surgery) will be responsible for:....
7 days ago - save job - block - email - more...

UR Appeals RN

Unite Here Health - Las Vegas, NV
• Minimum two years of experience in utilization review, quality assurance, discharge planning or other cost management programs preferred....
3 days ago - save job - block - email - more...

Managed Care \ Utilization Review Specialist

Universal Health Services - Westwood, MA
Concurrently reviews the. To) Review and Documentation:. RN Licensure must be in the Commonwealth of Massachusetts....
3 days ago - save job - block - email - more...

Utilization Management Authorization Nurse (RN)

Peoples Health, Inc. 9 reviews - Louisiana - +1 location
Previous experience working with authorizations and/or utilization review a plus! Answers pages and phone calls received from hospital utilization review...
7 days ago - save job - block - email - more...
Quality Review Nurse
Brookdale - Naperville, IL
Reviews and analyzes the Plan of Care for accuracy, completeness, appropriate content, and appropriate visit utilization....
Sponsored by Brookdale - 2 days ago
RN Manager Clinical and Medical Management - Phoenix, AZ
UnitedHealth Group 1,547 reviews - Phoenix, AZ
5 years of RN experience in Acute Care, Case Management or Utilization Review. Management, Leadership, Utilization Review, Utilization Management, Case...
Sponsored by UnitedHealth Group - 4 days ago
Lead Hospitalist RN
North Suburban Medical Center 11 reviews - Thornton, CO
Knowledge of case management and utilization review. RN, BSN preferred. Promotes effective resource utilization and appropriate levels of care....
Sponsored by HealthONE - 5 days ago

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