utilization management nurse jobs

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Clinical Documentation Specialist
Anthelio - Detroit, MI
Experience in Utilization Management/Case Management, Critical Care, and patient outcomes/quality management preferred....
Sponsored
Utilization Review Registered Nurse (RN), Days, Piedmont Atl...
Three years Utilization or Case Management experience preferred. Current License in the State of Georgia as a Registered Nurse. Piedmont Atlanta Hospital....
Sponsored by Piedmont
Utilization Review Senior Case Manager
Three years of utilization review/case management experience required. Current Texas Registered Nurse Licensure required....
Sponsored

Supervisor Utilization Review - RN Jobs

Baylor Scott & White Health - 197 reviews - Temple, TX 76508
Utilization Review and/or Case Management experience required. Knowledge of discharge planning, case management and utilization review....

Concurrent Review Nurse I

Coordinated Care - 9 reviews - Tacoma, WA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Utilization Management Nurse Reviewer- Care Transitions

Medical Mutual of Ohio - 55 reviews - Toledo, OH 43623  +1 location
Licensed State of Ohio Registered Nurse. Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate,...

Concurrent Review Nurse I

Superior Health Plan - 27 reviews - Texas
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Utilization Review Nurse

HQI - Austin, TX
$55,000 a year
Registered Nurse (RN). Utilization management, retrospective review, medical record review, or claims review:....
Easily apply

Concurrent Review Nurse I

Buckeye Community Health Plan - 12 reviews - Columbus, OH 43215 (Downtown area)
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Concurrent Review Nurse I

Centene Corporation - 318 reviews - Tempe, AZ 85282 (Cyprus Southwest area)
Providers on utilization and medical management processes. Maintain pertinent clinical information in various medical management systems....

Concurrent Review Nurse I

Medical Management - 1,333 reviews - Tempe, AZ
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

UM Nurse Consultant

Aetna - 1,692 reviews - Chicago, IL  +2 locations
Nursing/Registered Nurse (RN) is required. Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization....

UM Clinical Consultant

Aetna - 1,692 reviews - Tucson, AZ 85706  +2 locations
Nursing/Registered Nurse (RN) is desired. Functional - Medical Management/Medical Management - Concurrent Review/1-3 Years....
Utilization Management Nurse Reviewer- Care Transitions
Licensed State of Ohio Registered Nurse. Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate,...
Sponsored
MANAGER in CASE MANAGEMENT RN OR LMSW AT BMC (BAPTIST MEDICA...
Case Management encompasses utilization review, resource management, coordination of care, transition/discharge planning, and social work services across the...
Sponsored by Tenet Healthcare

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