Utilization Review RN jobs

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Utilization Review Case Manager RN
Utilization Review Case Manager. Utilization Review Case Manager RN (posted 7/17/15) Full time position. RN licensure required....
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Ultilization Review RN FT (Variable)
Piedmont Healthcare - 138 reviews - Fayetteville, GA
Three years Utilization or Case Management experience. Join a clinical team at its best!...
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Medical Science Liaison
Triage proposals for investigator initiated studies (IIS) and support review process. PA, RN or other allied medical degree preferred and 5-10 years’ experience...
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Utilization Review RN, Case Management, 40 hours

LAHEY CLINIC - 78 reviews - Beverly, MA 01915
Must have at least 5 years acute medical surgical nursing experience and/or an RN or other healthcare with utilization review or clinical documentation...

Utilization Review & Appeals RN

Southern New Hampshire Medical Center - 19 reviews - Nashua, NH
The Utilization Review & Appeals RN evaluates medical acuity to assess for appropriate level of care orders and documentation to facilitate insurance coverage....

Utilization Review Coordinator/Case Management (Part-Time)

Promises Treatment Centers - 5 reviews - Los Angeles, CA 90066
RN, LCSW, LPN, LMHC, LMFT, RN Case Manager, Utilization Review Coordinator. Five (5) years experience in Case Management/Utilization Review (as either RN, LCSW,...

UM Nurse Consultant

Aetna - 624 reviews - San Antonio, TX 78218 (Camelot area)  +4 locations
Must have an RN. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness of Healthcare...

Utilization Management Nurse Consultant

Aetna - 624 reviews - Urbandale, IA  +3 locations
RN licensure active and unrestricted required. Click here to review the benefits associated with this position....

Clinical Quality Improvement Coordinator - Medicare

PacificSource Health Plans - 17 reviews - Boise, ID  +1 location
$54,350 - $73,980 a year
Ability to develop, review, and evaluate utilization reports. Assesses population through development and review of utilization reports or through review of...

Clinical Appeals Specialist RN or LPN, Potential to Work Fro...

Utilization Review/Authorization Management - Orange Park, FL
For example, utilization reveiew or medical necessity denials. The Parallon Clinical Appeals Nurse handles appeals to insurance companies for charges denied...

Utilization Review Coordinator/Case Management (Part-Time)

Southern California Regional Office - Los Angeles, CA
RN, LCSW, LPN, LMHC, LMFT, RN Case Manager, Utilization Review Coordinator. Five (5) years experience in Case Management/Utilization Review (as either RN, LCSW,...

Clinical Appeals RN - Telecommute

UnitedHealth Group - 2,436 reviews - Rockville, MD
Utilization Management, pre-authorization, concurrent review or appeals experience. Utilization review, clinical appeals, Special projects, telecommute,...

ANALYST, RN CLIN QUALITY

Reliant Medical Group - 33 reviews - Milford, MA 01757
Provides support for the Reliant Medical Group Patient Care Assessment Program, including but not limited to quality improvement, risk management, peer review,...
Care Review Clinician II (Tampa)
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....
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Company with Utilization Review RN jobs
For more than a century, Piedmont Healthcare has been a recognized leader in delivering expert care.