Utilization Review RN jobs

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RN Clinical Managed Care Organization /Utilization Reviewer...
Providence Health & Services 126 reviews - Beaverton, OR
Be accountable for utilization management activities... of clinical experience; minimum 2 years of utilization review or quality assurance experience Documented...
Sponsored by Providence Health & Services - 10 days ago
Utilization Review Nurse (93125)
WellPoint 444 reviews - Hanover, MD
further than you can imagine. The Utilization Review RN is responsible for collaborating with healthcare... imagine. The Utilization Review RN is responsible...
Sponsored by WellPoint - 6 days ago

Registered Nurse-Utilization Review

Department of Veterans Affairs 713 reviews - Albany, NY
The RN CBO Utilization Review/Utilization Management (UR/UM) Nurse is a patient advocate and program liaison and conducts focused reviews requiring clinical...
8 hours ago - save job - email - more...

Case Manager Utilization RN ( Job Number: 287335 )

Kaiser Permanente 1,717 reviews - Bellflower, CA - +2 locations
• Reviews, analyses & identifies utilization patterns & trends, problems or inappropriate utilization of resources & participates in the collection & analysis...
12 hours ago - save job - email - more...

ITH QUALITY RN

INTOTAL HEALTH - Vienna, VA
Inova's Medicaid Plan, INTotal Health, seeks a full time Quality RN. Position supports the development and implementation of quality improvement interventions...
Inova Health System - 4 days ago - save job - email - more...

Utilization Review Nurse

Cap Management - Phoenix, AZ
utilization management, case management, and disease management. Our nurses find this application to be a very efficient, easy to navigate and helpful tool as...
Tenet Healthcare - 22 hours ago - save job - email - more...

Internal Review Registered Nurse - Dayton

Alternate Solutions Homecare - Dayton, OH
This position requires a Registered Nurse (RN) with a current license in the state of Ohio. A minimum of two years nursing experience in the health care...
21 hours ago - save job - email - more...

Nurse Case Manager

Cigna 690 reviews - Mobile, AL
Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is...
17 hours ago - save job - email - more...

Onsite Utilization Management RN - Dayton area needed

UnitedHealth Group 1,490 reviews - Dayton, OH - +1 location
Want to learn more before applying for this role?. Click here to view the Realistic Job Preview:. Perform telephonic/onsite utilization and concurrent review...
3 days ago - save job - email - more...

CLINICAL NURSE II

UCLA 132 reviews - Los Angeles, CA
Immunization Department, 2) providing patient care through the self-collected sexually transmitted infection program 3) participating in utilization review,... $34.67 - $49.53 an hour
12 hours ago - save job - email - more...

Utilization Review Nurse

Kingman Regional Medical Center - Kingman, AZ
Must have at least one year utilization review experience or two years case management experience as an RN. Must have strong clinical skills and knowledge, and...
5 days ago - save job - email - more...

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

Aetna 347 reviews - San Antonio, TX 78201 (Jefferson-Monticello Park area) - +10 locations
The Utilization Manager gathers clinical information, applies appropriate clinical criteria/guidelines, policies, procedures, uses clinical judgment to render...
4 hours ago - save job - email - more...
Registered Nurse - RN - Case Manager
Maxim Healthcare Services 515 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 - 14 days ago
RN / Registered Nurse / Utilization Review
Supplemental Health Care 109 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 - 27 days ago
Clin. Doc. Specialist Coord
Baltimore Washington Medical Center 32 reviews - Glen Burnie, MD
performs concurrent review of inpatient medical... of the following certifications: Registered Nurse (RN), Registered Health Information Administrator (RHIA...
Sponsored by University of Maryland Medical System - 30+ days ago

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