utilization management nurse jobs

Filter results by:
Sort by: relevance - date
Salary Estimate
Job Type
Experience Level
Jobs 1 to 10 of 13,001
Upload your resume - Let employers find you
RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 60 reviews - Madison, WI
Recent experience as an inpatient utilization review nurse or UM coordinator. The Utilization Review (UR) Specialist has well-developed knowledge and skills in...
RN Utilization Management Nurse
Professional and clerical staff, Customer Service, Care Management, Nurse Navigators, Utilization Management Supervisors, Utilization Management Coordinator,...
Utilization Management Specialist, RN
Also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management....

Utilization Management Representative I

Anthem, Inc. - 2,234 reviews - Virginia Beach, VA  +4 locations
Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and prior authorization review....

Remote Based Utilization Management Nurse

AllyAlign Health - Louisville, KY
The primary role of the Utilization Management Nurse is to review and monitor members’ utilization of health care services with the goal of maintaining high...
Easily apply

Utilization Review Nurse I

Federal Services - 472 reviews - Rancho Cordova, CA
Answers Utilization Management directed telephone calls; Identifies and refers potential cases to Disease Management, Case Management, Demand Management and...

Telephonic Utilization Management Nurse (RN) - Work at home...

Humana - 2,807 reviews - San Antonio, TX 78229
Previous experience in utilization management, case management, discharge planning and/or home health or rehab....

UM Nurse Consultant

Aetna - 2,346 reviews - New Albany, OH  +16 locations
Utilization management experience required. The UM Nurse utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization...

Utilization Management Nurse Consultant

Aetna - 2,346 reviews - Blue Bell, PA 19422  +6 locations
In the Utilization Management Nurse Consultant position you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization...

Medical Review Nurse - Home-based - Nationwide Openings

Quality Health Strategies - 9 reviews - Baltimore, MD  +1 location
Quality Management - Looks for ways to improve and promote quality; At least one year healthcare experience that demonstrates expertise in conducting...
Easily apply

Continuing Care Utilization Review Coordinator RN

Kaiser Permanente - 5,092 reviews - Walnut Creek, CA  +4 locations
Minimum one (1) year of utilization experience required. Reviews utilization patterns, identifies trends and problems areas for special studies....

Quality /Utilization Management Reviewer - Mars/Warrendale,...

Celtic Healthcare - 31 reviews - Mars, PA
Performs other duties as assigned by management. Review charts for appropriate content, accuracy, completion of all orders and treatment plans, service...

Clinical Care Reviewer Utilization Management

AmeriHealth Caritas - 240 reviews - Philadelphia, PA
2+ years experience in utilization management, preferably within managed care. Current, unrestricted PA Registered Nurse license....
RN Utilization Management Exchange
Professional and clerical staff, Customer Service, Care Management, Nurse Navigators, Utilization Management Supervisors, Utilization Management Coordinator,...
Utilization Management Nurse
PRIMARY PROVIDER MANAGEMENT COMPANY, INC. - Corona, CA 92879
Maintain accuracy and timely input of utilization data into Xpress. Refer medically complex and high risk members to the Case Management staff....
Easily apply

Never miss a job. Get new jobs emailed to you daily.

Be the first to see new utilization management nurse jobs
You can cancel email alerts at any time.