Utilization Review RN jobs

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Nurse Case Manager - RN - Work From Home
Centene 164 reviews - Fort Wayne, IN
Working knowledge of utilization review procedures, and familiarity with mental health community resources. Nurse Case Manager – RN - Work From Home....
Sponsored by Personified - 18 days ago
UBC Nurse Clinician RN (Case Manager)
Express Scripts 791 reviews - Morgantown, WV
Previous clinical criteria review experience preferred. The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
Sponsored by Express Scripts - 23 days ago

Risk Adjustment Provider Educator RN

Florida Blue 81 reviews - Miami, FL - +6 locations
Job Description Risk Adjustment Provider Educator RN - 4999 Description. The successful Risk Adjustment Provider Educator RN will be responsible for following j...
Blue Cross Blue Shield of Florida - 1 day ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 402 reviews - Richfield, OH - +17 locations
Registered Nurse with a current, active, unrestricted RN license. Click here to review the benefits associated with this position....
10 hours ago - save job - email - more...

UTILIZATION CARE MANAGER

NARBHA - Flagstaff, AZ
This position is responsible for utilization review and care management of behavioral health services for adults, children and adolescents....
4 days ago - save job - email - more...

Population Health Management, Care Coordination RN

Mount Carmel Health - Columbus, OH
Coordinates with the utilization review, case management, discharge planning staff within network facilities. Population Health Management, Care Coordination RN...
3 days ago - save job - email - more...

RAC Specialist RN or LPN w/potential to work from home

Shared Services - Orange Park - Orange Park, FL
At least 2 years of utilization review experience required. Insurance utilization experience preferred. Handles appeals for Parallon client hospitals requiring...
HCA Inc - 7 days ago - save job - email - more...

Registered Nurse-RADAR ( Job Number: 312148 )

Kaiser Permanente 1,934 reviews - Lakewood, CO
Review & monitor therapy & treatment patient plans. Manages populations of patients to ensure appropriate utilization of health care resources....
3 days ago - save job - email - more...

Registered Nurse - Appointment/Advice Call Center ( Job Numb...

Kaiser Permanente 1,934 reviews - Aurora, CO - +2 locations
Review and monitor therapy and treatment patient plans. Manages populations of patients to ensure appropriate utilization of health care resources....
3 days ago - save job - email - more...

Utilization Reviewer

Sutter Health 182 reviews - ‘Ewa Beach, HI
Certification in Utilization Review valued and encouraged. The Utilization Review Coordinator will personally manage all appeals....
2 days ago - save job - email - more...

RN, Utilization Review Job

Mayo Clinic 266 reviews - Mankato, MN
$2,200.80 a week
RN, Utilization Review. Utilization review or case management experience preferred. Provide input to Utilization Review Committee to identify trending of...
7 days ago - save job - email - more...

RN Care Coordinator

Universal American (UAM) - Germantown, MD - +3 locations
RN with current and unrestricted state licensure. Review activities that take place during a patients hospital stay and/ or in a home or community setting to...
7 days ago - save job - email - more...
Utilization Review Coordinator (RN, LPN,LISW, LSW)
Promedica 23 reviews - Cincinnati, OH
RN, LPN, LSW, LISW. Minimum 2-3 years recent clinical, utilization review or case management experience in the mental health and/or chemical dependency field....
Sponsored by ProMedica - 30+ days ago
RN Manager of Clinical Practice-5k Sign On Bonus
Gentiva Health Services, Inc. 413 reviews - San Antonio, TX
As a RN Manager of Clinical Practice , you will:. Be accountable for budget goals through fiscal responsibility, utilization, documentation, providing...
Sponsored by Gentiva Health Services, Inc. - 19 days ago
Clinical Documentation Improvement, Relocate to Duke Health...
Duke University Health System 269 reviews - Leesburg, VA
Clinical Documentation Improvement, CDI, CCDS , CDIP, CCS Certification Certified Nurse RN, BSN, MSN, Nurse, Nursing, Registered Nurse, Practitioner, Physician...
Sponsored by TooBusyWorking.com - 17 hours ago

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Company with Utilization Review RN jobs
791 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.