Utilization Review RN jobs

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RN Clinical Quality Audit Analyst Sr - Northern California -...
Anthem, Inc. 626 reviews - Rancho Cordova, CA
Seeking a RN with 2 years experience in quality improvement, risk management and/or utilization review in a managed care setting with knowledge of NCQA and...
Sponsored by Anthem, Inc.
Utilization Review Coordinator
Promises Treatment Centers 4 reviews - Los Angeles, CA
Five (5) years experience in Utilization Review. Performs pre-assessment and pre- certification reviews, concurrent reviews and will perform appeal reviews as...
Sponsored by Promises Treatment Centers
RN Oasis Quality Review- Home Health
ContinuCare Health Services - Chattanooga, TN
This RN will ensure OASIS-C assessments support services ordered and demonstrate appropriate utilization. Licensed RN in the State of Tennessee....
Sponsored by ContinuCare Health Services

Utilization Review Nurse (Healthcare)

TAMMINA SOLUTIONS LLC(Requesting to read JD) - Syracuse, NY
Utilization Review Nurse (Healthcare). ) Performs utilization review in accordance with all state and federal mandated regulations....
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Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 552 reviews - Wichita, KS  +2 locations
RN license required. Ability to review records. Assist non-clinical staff with reviews. Click here to review the benefits associated with this position....

Utilization Review Nurse- Temporary

North Dakota State Government - Bismarck, ND
$23.86 - $38.42 an hour
Reviews and updates Utilization Review policies and procedures annually. Utilization review, discharge planning, quality assurance experience, and/or workers...

Medical Claims Review Nurse

Medix 35 reviews - Broomfield, CO
Or Utilization Review experience. Requirements - RN license. 2 years of experience in medical claims review and / or coding experience....

Utilization Review Nurse

Medix 35 reviews - Chicago, IL
Must be a RN in Illinois. Facilitating care from one location to the next....

Medical Claim Review Nurse

Molina Healthcare 159 reviews - Spokane, WA
Minimum one year Utilization Review and/or Medical. RN, BSN, or LCSW. To provide clinical expertise in the application of medical and reimbursement policies...

Utilization Review, Case Management, FT

Crestwood Medical Center 26 reviews - Huntsville, AL
Utilization Review, Case Management, FT. Reporting the Director of Case Management, the Utilization Review Case Manager is responsible to assist in the...

Utilization Review Nurse

AlohaCare 7 reviews - Honolulu, HI 96814 (Makiki area)
The primary responsibility of this position is to manage utilization, prior authorization, and perform clinical review of hospitalized members to verify level...
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Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 552 reviews - Dallas, TX
Click here to review the benefits associated with this position. Application and/or interpretation of appropriate clinical criteria and guidelines to reviews....

Utilization Review RN Care Management

Riverside Health System 33 reviews - Virginia
Registered Nurse Utilization Review to join their dynamic team. Five RN experience in Acute Care required....
Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 12 reviews - Washington, DC
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
Sponsored by NursesRx
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
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.