Utilization Review RN jobs

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Preservice Review Nurse RN - Telecommute - Nationwide Postin...
UnitedHealth Group - 4,651 reviews - Phoenix, AZ 85022
RN, Nurse, Preservice, Pre-Service, UM, UR, Clinical Review, Clinical Coverage, Utilization Management, Utilization Review, Case Manager, Case Management, LTC,...
Case Manager I
Current unencumbered California RN license. The Health Services Division of SCMG coordinates the medical care of members for inpatient and outpatient services...
RN (Registered Nurse) Northwest Team - No On-call or Weekend...
Lifetime Care - 29 reviews - Rochester, NY 14623
This RN may also serve as the case manager, which involves the identification of appropriate services, supervision of home health aide staff and ongoing review...

Contingent Care Utilization Review Coordinator RN

Kaiser Permanente - 4,136 reviews - Cupertino, CA
Reviews utilization patterns, identifies trends and problems areas for special studies. Conducts utilization review for in-house patients and/or those members...

Medical Review Nurse

HireFlux - Lafayette, LA
2+ years in acute care nursing and utilization review. Nurse, Acute care, Medical review, RN, Registered Nurse. Medical Review Nurse....
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Continuing Care Utilization Review Coordinator, RN

Kaiser Permanente - 4,136 reviews - Walnut Creek, CA  +2 locations
Reviews utilization patterns, identifies trends and problems areas for special studies. Conducts utilization review for in-house patients and/or those members...

CARE MANAGER-Utilization Review

Beacon Health Options - 264 reviews - Dallas, TX
The Utilization Review Clinician will be responsible for authorizing and reviewing utilization of mental health and substance use services provided in inpatient...

RN Medical Reviewer III

CGS Administrators - 17 reviews - Louisville, KY  +6 locations
Provides support and review of medical claims and utilization practices. Two years of clinical experience, plus one year of administrative/medical review...

Telephonic Utilization Management RN - Daytona Beach

Humana - 2,266 reviews - Daytona Beach, FL 32114
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Clinical RN Advisor who will collaborate with other health care...

UM Nurse Consultant

Aetna - 1,923 reviews - Chantilly, VA  +12 locations
Click here to review the benefits associated with this position. The nurse uses clinical skills to coordinate, document and communicate all aspects of the...

Case Manager RN

Florida Blue - 201 reviews - Panama City, FL  +1 location
Home health care, utilization review, discharge planning, disease/ case management. Current Florida RN license (or receives a Florida RN license within 1 month...

Utilization Review/Case Manager - Pathways

Anne Arundel Medical Center - 107 reviews - Annapolis, MD
Performs integrated, concurrent utilization review and case referrals on pathways patients, consistent with the approved CPI and Utilization Review Plans....

Utilization Review Case Manager

Silver Hill Hospital - 20 reviews - New Canaan, CT 06840
Utilization Review Case Manager. MSW or RN with previousexperience on an inpatient behavioral health setting required....
RN / BSN, BA or BS desirable. Job Summary As a member of the Advocacy team, the UR Specialist provides leadership in the provision and coordination of...
Nurse-Utilization Review
RN - Registered Nurse. The utilization review nurse will monitor the patient's progression in their plan of care and perform continue stay reviews to ensure...

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