Utilization Review RN jobs

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Utilization Review Nurse - Maryland (100180)
Anthem, Inc. 513 reviews - Hanover, MD
The Utilization Review RN is responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits...
Sponsored by Anthem, Inc. - 1 day ago
In-House Pool Registered Nurse
Walworth County, WI - Elkhorn, WI
$33.87 an hour
RN Duties Include:. Education & Experience Review. Participate in the evaluation of supplies and monitor staff for cost effective supply utilization....
Sponsored by Walworth County, WI - 25 days ago
Nurse Case Manager
Excel Managed Care & Disability Services, Inc. - El Centro, CA
Prior Workers’ Compensation case management experience and/or experience in rehabilitation, utilization review or home health case management....
Easily apply
Sponsored by Excel Managed Care & Disability Services, Inc. - 2 days ago

Medical Review RN - Office or Home-based

Quality Health Strategies - United States
Medical Review RN Opportunities Available Throughout the US! The Medical Review RN is a mid-level professional professional position that performs medical...
7 days ago - save job - email - more...

RN Clinical Appeals - Work from home- Anywhere in US

UnitedHealth Group 1,745 reviews - Texas
Utilization review and/or case management experience is preferred. Claims, RN, Appeals, Telecommute, Work from home....
2 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Clinical Cons...

Aetna 422 reviews - Phoenix, AZ 85040 (South Mountain area)
Managed care/utilization review experience is preferred. This position requires an unrestricted active RN license....
23 hours ago - save job - email - more...

Precertification Nurse – Precert Dept

Lehigh Valley Health Network 103 reviews - Allentown, PA
Must have utilization review experience, with excellent clinical knowledge. Current PA RN License. Full time 40 hours....
Lehigh Valley Hospital and Health Network - 2 days ago - save job - email - more...

Registered Nurse (RN) Utilization Management Nurse Consultan...

Aetna 422 reviews - Omaha, NE - +17 locations
Requires an RN with unrestricted active license. As a Registered Nurse (RN) Utilization Management Nurse Consultant, you will perform pre-service utilization...
2 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 422 reviews - Rochester, NY 14613 (Edgerton area) - +9 locations
Unrestricted RN license. Click here to review the benefits associated with this position. The Utilization Management Nurse Consultant is an integral member of...
23 hours ago - save job - email - more...

Care Review Clinician III/RN

Molina Healthcare 116 reviews - Remote - +2 locations
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
7 days ago - save job - email - more...

Utilization Review Nurse - Maryland (100180)

Anthem, Inc. 513 reviews - Hanover, MD 21076
The Utilization Review RN is responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits...
1 day ago - save job - email - more...

Utilization Review Specialist

Centene Corporation 174 reviews - Rocky Mount, NC
D, PA or RN. Knowledge of utilization review procedures, mental health and substance abuse community resources and network providers....
7 days ago - save job - email - more...

Clinical Claims Review Nurse, RN - Telecommute Nationwide

UnitedHealth Group 1,745 reviews - San Antonio, TX
Clinical claims review, RN, Nurse, Registered Nurse, claims review, claims, utilization management, clinical, coding, telecommute....
1 day ago - save job - email - more...
RN Case Manager
York Hospital 18 reviews - York, ME
Performs on-site and/or telephonic concurrent review of acute services, as well as precertification review for all services following the plans authorization...
Sponsored by York Hospital - 30+ days ago
Utilization Review Nurse
Riverside Physician Network - Riverside, CA
We are looking for a CA Licensed RN or LVN with minimum 2 years HMO/managed care experience doing clinical guideline review of requested services based on...
Easily apply
Sponsored by Riverside Physician Network - 13 days ago

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Company with Utilization Review RN jobs
513 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.