Utilization Review RN jobs

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Nurse Case Manager I, II, or Sr (California MMP) - 94255
WellPoint 449 reviews - San Jose, CA
claims or service issues. May performs Utilization Review duties telephonically or on-site such as at... May performs Utilization Review duties telephonically...
Sponsored by WellPoint - 2 days ago
RN Case Manager Hospice/Homecare
Visiting Nurse Association & Hospice of VT and NH - Brattleboro, VT
of outcomes, and utilization of services to ensure... primary care givers upon admission. Periodically reviews the patient care plan and recertifies the patient...
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 30+ days ago

Clinical Education Consultant RN\Healthcare IT

McKesson 773 reviews - Work from Home
Our solutions reduce unnecessary healthcare utilization while improving outcomes;. operationalize complex volume- and value-based payment models;....
4 hours ago - save job - block - email - more...

Part-Medical Record Reviewer/Auditor

Medical Record Reviewer/Auditor - Urbana, IL - +2 locations
~~Part-Time Medical Record Reviewer/Auditor for federal entity. Data extraction of case management and other related files. - 5-8 8-hour days per month....
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5 days ago - save job - block - email - more...

Telephonic RN Case Manager – Eden Prairie, MN

UnitedHealth Group 1,514 reviews - Eden Prairie, MN
RN, Registered Nurse, Case Manager, Discharge Planning, Acute Care, Managed Care, Utilization review, Certified Case Manager, CCM , Eden Prairie, MN....
5 days ago - save job - block - email - more...

Telephonic RN Case Manager - Maryland Heights, MO

UnitedHealth Group 1,514 reviews - Maryland Heights, MO - +1 location
will be supporting the Western region and require hours of 9:30am to 6:30pm or. 10:00am to 7:00pm CST . As a Registered Nurse Case Manager, you will drive...
5 days ago - save job - block - email - more...

Medical Review Clinical Reviewer

Novitas Solutions Inc. - Mechanicsburg, PA
Review and analyze pre and post pay complex health care claims from a medical perspective. Make decisions concerning the validity of health care claims and...
23 hours ago - save job - block - email - more...

Medical Review Clinical Reviewer

Novitas RPO - Mechanicsburg, PA 17050
Review and analyze pre and post pay complex health care claims from a medical perspective. Make decisions concerning the validity of health care claims and...
1 day ago - save job - block - email - more...

Preservice Review Nurse - Baton Rouge, LA

UnitedHealth Group 1,514 reviews - Baton Rouge, LA
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance,...
8 hours ago - save job - block - email - more...

Utilization Review RN

St. Joseph Home Care 3 reviews - Eureka, CA - +1 location
The Utilization Review Nurse is responsible for reviewing assessments at all episode time points for accuracy of coding and care planning process to ensure that...
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7 days ago - save job - block - email - more...

Telephonic Oncology Case Manager RN - Richardson, TX

UnitedHealth Group 1,514 reviews - Richardson, TX
-Current, unrestricted RN license in the State. -Minimum of 3 years current, clinical oncology experience (chemotherapy administration background required)....
7 days ago - save job - block - email - more...

Utilization Mgmt Nurse RN on-site in SNF's in Phoenix

UnitedHealth Group 1,514 reviews - Arizona
-Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management)....
1 day ago - save job - block - email - more...
Case Mgr Utilization RN ( Job Number: 273405 )
Kaiser Permanente 1,734 reviews - Riverside, CA
daily clinical reviews for utilization/quality... during case review or other activities. • Reviews, analyses & identifies utilization patterns & trends...
Sponsored by Kaiser Permanente - 13 days ago
RN / Registered Nurse / Utilization Review
Supplemental Health Care 111 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 - 5 days ago
RN - Case Manager
Vibra Healthcare - Thornton, CO
RN to join our team! The Case Manager - RN is... from medical records. Knowledgeable in utilization review, medical terminology, appropriate levels of...
Sponsored by Vibra Healthcare - 1 day ago

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Company with Utilization Review RN jobs
449 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.