Utilization Review RN jobs

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Registered Nurse (RN) - Utilization Review - 8:30a - 16 Week...
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
Utilization Review Nurse
Multiple Location Third Party Payor Company - Oklahoma City, OK
Experience in Utilization Review, Case Management or DM insurance preferred. Do you have an active RN licence in Oklahoma?:....
Easily apply
Sponsored by Multiple Location Third Party Payor Company
Utilization Review Specialist
St. Mary's Hospital Maryland - Leonardtown, MD
Current Maryland RN license or license eligible. Conducts admission, concurrent and retrospective reviews of patients in accordance with Hospital objectives and...
Sponsored by St. Mary's Hospital Maryland

Telephonic Nurse Case

Brown & Brown Insurance 20 reviews - Orlando, FL - +2 locations
Recognizing the need for utilization review process, including pre-certification, concurrent review and retrospective review....

Utilization Reivew Nurse - Part Time

Health Choice 4 reviews - Phoenix, AZ
Conduct ongoing review for members in inpatient stay and utilize peer review, as necessary. The Part Time Utilization Review Nurse completes inpatient admission...

Concurrent Review Nurse I (NICU)

Centene Corporation 215 reviews - Baton Rouge, LA
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...

Concurrent Review Nurse I

Centene Corporation 215 reviews - Lenexa, KS - +8 locations
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...

Case Manager I (Prior Authorization)

Centene Corporation 215 reviews - City of Sunrise, FL - +2 locations
Utilization review, prior authorization, or managed care experience preferred. Current RN, LPN or LVN license required....

Director of Utilization Review-RN

TalentCare LLC - Austin, TX
Provide day-day management for teams of Nurses and Administrative staff in a Utilization Management (UM) program....

Concurrent Review Nurse- Schenectady or Rochester

MVP Health Care 29 reviews - Rochester, NY
May review individual claims requiring clinical interpretation and judgment. " RN with current state licensure and 3+ years strong clinical background required....

Registered Nurse - Revenue Utilization Review (Leavenworth)

Department of Veterans Affairs 1,025 reviews - Leavenworth, KS
Reviews and conducts special eligibility validation reviews including Service Connection (SC), Agent Orange, Combat Vet, etc....

Nurse Utilization Management - Memphis, TN - #106004

Anthem, Inc. 600 reviews - Memphis, TN 37501(Parkway Village-Oakhaven area)
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure...

RN Manager I Utilization Review

Anthem, Inc. 600 reviews - Tampa, FL - +1 location
Current unrestricted RN license in applicable state(s) required. Manages resource utilization to ensure appropriate delivery of care to members;...
Utilization Management (UM) Case Manager
International Technologies 3 reviews - Fort Lauderdale, FL
Current and active RN license. Requirements of the Utilization Management (UM) Case Manager. Facilitate on-going communication between utilization management...
Easily apply
Sponsored by International Technologies
Utilization Review RN (Sheridan WY)
Sheridan Memorial Hospital 4 reviews - Wyoming
The Utilization Review Nurse performs utilization review of all patients presenting for hospitalization to assist in identifying patients appropriate for...
Sponsored by Sheridan Memorial Hospital

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Company with Utilization Review RN jobs
Centra Healthcare Solutions, Inc. was established with the mission to provide first class staffing services and concierge customer service.