Utilization Review RN jobs

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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 - 27 days ago
Registered Nurse (RN) - Utilization Review - 8:30a - 16 Week...
Centra Healthcare Solutions 4 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 - 3 days ago
RN (Registered Nurse) Home Care Evenings $7500 Retention Bon...
Lifetime Care 15 reviews - Auburn, NY
This RN will also serve as the case manager, which involves the identification of appropriate services, supervision of home health aide staff and ongoing review...
Sponsored by Lifetime Care - 27 days ago

Care Review Clinician II

Molina Healthcare 129 reviews - Albuquerque, NM - +4 locations
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

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

Aetna 460 reviews - San Antonio, TX - +11 locations
Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....

Acute Utilization Management RN - Front End Reviewer

Humana 884 reviews - Centennial, CO
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with other health care...

Med Review and Appeals RN

BCN - Ann Arbor, MI
Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, utilization review, etc....

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, Case Management

Protocol Healthcare - San Diego, CA
Case Manager, Registered Nurse Case Manager, Utilization Review Nurse, Case Manager RN. Registered Nurse Case Manager, Utilization Review Nurse, Nurse Case...
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Utilization Review Nurse

Allied Health Group - Castro Valley, CA
Utilization review and complex discharging planning of hospital patients. CA based RN license and valid CPR. Allied Health Group offers excellent Nursing jobs...
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Utilization Review Nurse-Care Management Hot Job

MaineHealth System - Portland, ME
The Utilization Review Nurse coordinates care and services through the acute care episode and across the continuum....

Utilization Management Coordinator - RN Clinician Job

Mayo Clinic 374 reviews - La Crosse, WI
Utilization Management Coordinator - RN Clinician. Utilization Review/Case Management. The UMC is also responsible for reviewing and assessing the...

National Nurse Reviewer

Auto Injury Solutions 12 reviews - Remote
Perform utilization review in accordance with AIS structure. (1) Bill Review Solutions, which involve the review of first party medical claims, (2) Medical...
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RN Case Manager
Pacific Medical Centers 8 reviews - Seattle, WA
Previous experience in utilization review/case management. Pacific Medical Centers is currently seeking a dynamic RN Case Manager ....
Sponsored by Pacific Medical Centers - 1 day ago
Case Manager
Rutland Regional Medical Center 17 reviews - Vermont
§ Knowledgeable regarding Interqual criteria for utilization review. § Current Vermont RN license. § 3 to 5 years related clinical RN experience per specialty...
Sponsored by Rutland Regional Medical Center - 27 days ago

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