utilization review rn jobs

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Registered Nurse (RN) Weekends Full Time 30/40
Lifetime Care 14 reviews - Rochester, NY
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...
Sponsored by Lifetime Care - 30+ days ago
Utilization Review Coordinator (RN, LPN,LISW, LSW)
Promedica 26 reviews - Cincinnati, OH
RN, LPN, LSW, LISW. Minimum 2-3 years recent clinical, utilization review or case management experience in the mental health and/or chemical dependency field....
Sponsored by ProMedica - 30+ days ago
RN/Registered Nurse Case Manager (2168)
Havasu Regional Medical Center 27 reviews - Lake Havasu City, AZ
The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through...
Sponsored by Havasu Regional Medical Center - 14 days ago

Clinical Implementation Specialist

McKesson 905 reviews - United States
RN or related healthcare professional training required. Works on complex problems where analysis requires in-depth review of business/clinical needs;...
7 hours ago - save job - email - more...

Nurse Charge Auditor- remote

Adreima - Dallas, TX - +1 location
Experience in medical records review, claims processing or utilization/case management in a clinical practice or managed care organization....
23 hours ago - save job - email - more...

Utilization Review Specialist

Shriners Hospitals for Children 23 reviews - Tampa, FL
Use of utilization review interactive software and/or manuals required. External On-Site Review:. Current RN license required....
1 day ago - save job - email - more...

Nurse Case Reviewer

MagnaCare 19 reviews - Westbury, NY
Care provides Utilization Review/ Medical Management services to its clients. Strong skills in medical assessment/medical record review....
4 hours ago - save job - email - more...

Workers Compensation Nurse Case Manager (RN) - Work from Hom...

Broadspire 24 reviews - Oklahoma City, OK
RN and Driver's License in good standing. May review files for claims adjusters and supervisors. Reviews cases with supervisor monthly to evaluate files and...
Crawford & Company - 5 days ago - save job - email - more...

Nurse (Utilization Review)

Department of Veterans Affairs 876 reviews - Fort Harrison, MT
The FCC RN supports a global perspective in prioritizing work and assisting team function. The FCC RN utilizes all avenues of resources available to provide...
1 day ago - save job - email - more...

Utilization Review Specialist-RN

Wellmont Health System Corporate - Kingsport, TN
Handles complex reviews; Determines patient review dates according to established criteria. RN with at least 2 years of clinical experience in an acute care...
Wellmont Health System - 22 hours ago - save job - email - more...

Utilization Review Nurse

AIG 425 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
2 hours ago - save job - email - more...

Utilization Review Nurse

Independent Health 25 reviews - Buffalo, NY
Previous utilization review experience preferred. The Utilization Review Nurse (URN) performs clinical reviews to determine the medical necessity of requested...
2 hours ago - save job - email - more...

RN Telephonic Utilization Management SNF

Humana 822 reviews - San Antonio, TX
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...
7 days ago - save job - email - more...
RN, Case Manager - PRN - DHMC
Davis Hospital & Medical Ctr 3 reviews - Layton, UT
RN. RN, Case Manager. RN, Case Manager assesses, plans, implements, and evaluates the needs of patients for discharge planning and utilization review including...
Sponsored by IASIS Healthcare - 30+ days ago
Navigator - RN (Eastbank Market)
Peoples Health, Inc. 11 reviews - Metairie, LA
Reviews performance with Navigator Manager monthly to ensure goals are being met. Reviews and ensures documentation of member encounter is appropriate to...
Sponsored by Peoples Health, Inc. - 16 days ago

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Company with utilization review rn jobs
14 reviews
Lifetime Care provides compassionate care in the home setting, consistently one of HomeCare Elite's Top 500. Discover what we have for you!