utilization review rn jobs

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RN Wound Care Nurse- Rose Amputation Prevention Center
Rose Medical Center 26 reviews - Colorado
patients with wounds. The RN accepts responsibility... related activities. Reviews minutes when unable to attend. Health and Safety - The RN will organize and...
Sponsored by HealthONE - 30+ days ago
RN - Utilization Review (FT)
Beebe Healthcare 2 reviews - Lewes, DE
RN - Utilization Review (FT) Lewes, DE Beebe... of more than 4,500 hospitals nationwide. RN - Utilization Review (FT) RN licensed in the State of Delaware...
Sponsored by Healthcare Jobs on Display - 6 days ago
Director Case Management
Nexus Specialty Hospital - Shenandoah, TX
weekly UM meetings to review all DRG outlier cases... Performs supervisor level UM review on individual patients when referred and reviews all cases referred to...
Easily apply
Sponsored by Nexus Specialty Hospital - 5 days ago

Regional Nurse Program Coordinator

Blue Shield of California 119 reviews - San Jose, CA
The Regional Nurse Program Coordinator (RNPC), who will report to a nurse manager, works in partnership with the Regional Medical Director (RMD) and/or the...
3 days ago - save job - email - more...

DVHA Prgm Integrity RN Coder

State of Vermont 16 reviews - Williston, VT
This position, DVHA Prgm Integrity RN Coder (Job Opening #615467 ), is open to all State employees and external applicants.... $25.75 an hour
11 hours ago - save job - email - more...

Care Review Clinician III /RN - Remote

Molina Healthcare 99 reviews - Remote - +4 locations
Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other...
1 day ago - save job - email - more...

Utilization Manager - Sign On Bonus

Centene Corporation 141 reviews - Chicago, IL - +4 locations
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care...
21 days ago - save job - email - more...

Nurse Coder

Health Care Excel, Inc. - Plainfield, IN
Our expertise in working with consumers, government programs, health care providers and plans is unsurpassed.Health Care Excel offers a fast-paced,...
5 days ago - save job - email - more...

Case Manager I

Sharp HealthCare 53 reviews - San Diego, CA - +1 location
Registered Nurse, Case Manager, RN Case Management, Utilization Review. This position is located in Serra Mesa, San Diego County....
16 hours ago - save job - email - more...

RN Care Manager- Mental Health 1.0FTE FSS (0000)

Catholic Health Initiatives 90 reviews - Tacoma, WA
As a result, effective utilization of resources and the achievement of desired clinical and financial outcomes will be accomplished....
5 days ago - save job - email - more...

Medical Claim Review Nurse - RN

Molina Healthcare 99 reviews - Spokane, WA
To provide clinical expertise in the application of medical and reimbursement policies within the claim adjudication process through claim review, medical...
1 day ago - save job - email - more...


Inova Loudoun Hospital 192 reviews - Leesburg, VA - +1 location
2 years of RN or Clinical Case Manager experience. Strong clinical skills and working knowledge of Clinical Pathways in the area assigned....
Inova Health System - 11 hours ago - save job - email - more...

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

Aetna 332 reviews - Overland Park, KS - +9 locations
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
10 hours ago - save job - email - more...
Clinical Appeals RN. Work from Home!
UnitedHealth Group 1,423 reviews - Rockville, MD
in this function include RN (with current licensure... Utilization Management background with emphasis on appeals, preauthorization, and concurrent review...
Sponsored by UnitedHealth Group - 11 days ago
Director of Case Management
Lake City Medical Center 14 reviews - Lake City, FL
completed: Utilization Review for medical necessity... hospital based RN nursing experience Certifications: Must possess current Florida State RN licensure. CCM...
Sponsored by HCA North Florida - 12 days ago

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