utilization review rn jobs

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RN-Audit Coordinator
Memorial Medical Center of Las Cruces - Las Cruces, NM
Experience with Utilization Review helpful. Current New Mexico or compact RN license required. The Nurse Auditor acts as a resource person for utilization...
Case Manager/Utilization Review RN - FT - $5K Sign On Bonus
Piedmont 11 reviews - Atlanta, GA
Follow Medicare guidelines regarding utilization review (Condition Code 44, 2MN Rule, etc). Utilization across the continuum....
Coding Specialist, Work from Home, RN / RHIA / RHIT / CPC, P...
Medstar Georgetown University Hospital 127 reviews - Washington, DC
Career, Employment, Jobs, Opening, Shift, Schedule, Staff, Department, Unit, Office, Occupation, Compensation, Salary, Benefits, Description, Days, Evenings,...


Epic Management 11 reviews - United States
Concurrent review, utilization review, and telephonic review. The UM Nurse collects data, assists in organizing relevant data, collaborates with RN and MD, and...
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Patient Centered Medical Home (PCMH) Coordinator-Clarksville...

BlueCross BlueShield of Tennessee 55 reviews - Nashville, TN
RN will be considered. Perform medical chart reviews to confirm adherence to prescribed therapies (e.g. 2 years experience in Utilization Management, Case...


Presbyterian Healthcare Services 60 reviews - Albuquerque, NM
RN license required. Applies utilization review criteria to assess and document the appropriateness of admission, continued stay, level of care, and readiness...

RN-Utilization Review (QUAD) Specialist BSN EXT Job

Mayo Clinic 460 reviews - Rochester, MN
Utilization Review, including concurrent admission status and continued stay clinical review; Experience in the areas of utilization review, clinical...

Registered Nurse - Revenue Utilization Review (Leavenworth)

Department of Veterans Affairs 1,198 reviews - Leavenworth, KS
Reviews and conducts special eligibility validation reviews including Service Connection (SC), Agent Orange, Combat Vet, etc....

Utilization Review Manager (RN) - Barnes Jewish Hospital

BJC HealthCare 80 reviews - St. Louis, MO 63108 (Central West End area)
RN Benefits Statement. Ensure appropriate utilization, which includes the evaluation of potential under and over-utilization according to patient's presentation...

Registered Nurse - Revenue Utilization Review Nurse

Department of Veterans Affairs 1,198 reviews - Asheville, NC
Responsibilities of the Revenue Utilization Review Registered Nurse include the following:. Conducting SC reviews using Nuance and also assists with veteran...

RN, Care Coordination/Utilization Management, Registry - (23...

Cadence Health 31 reviews - Winfield, IL 60190
Two years experience in utilization review and discharge planning, or case management preferred. Reviews clinical records for Medicare compliance and submits...

RN Utilization Review

Sedgwick Claims Management Services 280 reviews - Syracuse, NY  +5 locations
Utilization Review RN. Channels certified treatment plan requests to preferred vendors as necessary Documents all utilization review outcomes in utilization...


Arizona Health Care Cost Containment System 3 reviews - Phoenix, AZ
$60,000 a year
Professional experience in the healthcare industry, specifically Prior Authorization, Concurrent Review, Retrospective Review, and Utilization Management....
Case Management Team RN
Samaritan Health 4 reviews - Watertown, NY
Utilization review experience preferred. Current NYS licensure as an RN. Graduate of an accredited school of nursing....
Quality Assurance Nurse
Guardian Angel Health Care - Rochester Hills, MI
$90,000 a year
RN. Review evaluation documentation. Review proposed 485 edits. Transfer to inpatient facility - review and approve new order, review assessment data, edit,...
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