Utilization Review RN jobs

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Registered Nurse - RN - Case Manager
Maxim Healthcare Services 474 reviews - Youngstown, OH
Assurance and Utilization review activities, as... Minimum RN with Bachelors in Nursing, Master in Nursing or Public Health preferred. • Current RN License...
Sponsored by Maxim Healthcare Services - 23 hours ago
RN / Registered Nurse / Utilization Review
Supplemental Health Care 101 reviews - Sitka, AK
Hospital in Sitka, Alaska is seeking Utilization Review RN's to start soon! -$1,400- $1,450 after taxes per week -Completion bonus -Housing is PAID for...
Sponsored by Supplemental HealthCare - 16 days ago
Utilization Management Nurse
212 Staffing - Salem, NH
NH RN license. 3 plus years medical/surgical clinical experience. 3 plus years utilization review... Current RN license. 2. 3 + years utilization review...
Sponsored by 212 Staffing - 24 days ago

Regional Nurse Program Coordinator

Blue Shield of California 120 reviews - San Jose, CA
The Regional Nurse Program Coordinator (RNPC), who will report to a nurse manager, works in partnership with the Regional Medical Director (RMD) and/or the...
6 days ago - save job - email - more...

Preservice Review Nurse RN - Atlanta, GA

UnitedHealth Group 1,430 reviews - Atlanta, GA
a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist...
13 hours ago - save job - email - more...

Nurse Case Manager / Quality Coordinator (Knoxville, TN and...

Cigna 654 reviews - Chattanooga, TN
Responsible for providing support to patients, their families, and physicians in addressing medical and social concerns....
17 hours ago - save job - email - more...

Case Manager I

Sharp HealthCare 53 reviews - San Diego, CA - +1 location
Registered Nurse, Case Manager, RN Case Management, Utilization Review. This position is located in Serra Mesa, San Diego County....
3 days ago - save job - email - more...

RN Utilization Review Nurse - Nashville, TN

Cigna 654 reviews - Nashville, TN
Assists with development of Tech CMS decision trees for Medical Director Review preparation. Updates as needed....
23 hours ago - save job - email - more...

Medical Claim Review Nurse - RN

Molina Healthcare 99 reviews - Spokane, WA
To provide clinical expertise in the application of medical and reimbursement policies within the claim adjudication process through claim review, medical...
3 days ago - save job - email - more...

Acute Case Manager (Baltimore)

Cigna 654 reviews - Baltimore, MD
Responsible for the effective and sufficient support of all utilization activities according to policies and procedures....
7 days ago - save job - email - more...

Utilization Management Nurse, RN - Telecommute, Atlanta-Base...

UnitedHealth Group 1,430 reviews - Atlanta, GA
Must have unrestricted RN license in the state of Georgia. Candidate must be located in Atlanta area. Perform utilization management, utilization review, or...
2 days ago - save job - email - more...

Supervisor, Ur/Case Managers Job

Valley Health 21 reviews - Winchester, VA
conduct admission and continued stay reviews based on utilization review criteria;. provide input into documentation needed to clarify diagnoses and medical...
Valley Health of Virginia - 2 hours ago - save job - email - more...

UR NURSE-BEH MED

Baptist Hospital 155 reviews - Pensacola, FL
Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based case management, discharge planning, and care...
Baptist Health Care - 1 day ago - save job - email - more...
RN Clinical Claims Review - Work from Home anywhere in the U...
UnitedHealth Group 1,430 reviews - Phoenix, AZ
preferred Utilization review and/or case management... are subject to random drug testing. Keywords: RN, Claims Review, Claims, Clinical claims review; Phoenix...
Sponsored by UnitedHealth Group - 7 days ago
Director Acute Care Management
Holston Medical Group 11 reviews - Kingsport, TN
as needed • Develop utilization management programs... Management, aftercare planning and/or utilization review required • Knowledge of Insurance requirements...
Sponsored by Holston Medical Group - 16 days ago
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