utilization review rn jobs

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Simi Valley Complex Case Management Nurse (RN or LVN) - Mana...
CareNational Healthcare Services, LLC - Simi Valley, CA
$52,000 - $79,000 a year
Minimum 2-3 years’ experience in managed care case management or utilization review is strongly preferred. As a member of the medical management team, Complex...
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Sponsored by CareNational Healthcare Services, LLC - 30+ days ago
Utilization Review Coordinator (RN, LPN,LISW, LSW)
Promedica 22 reviews - Columbus, 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 - 15 days ago
Consultant – Quality Improvement, Clinical Economics practic...
Berkeley Research Group, LLC 2 reviews - Hunt Valley, MD
And clinical licensure, for example RN, PA, PT. Our expertise also involves cost, utilization, and market analysis;...
Sponsored by Berkeley Research Group, LLC - 10 days ago

Utilization Review Nurse RN

Novant 167 reviews - Charlotte, NC - +3 locations
The Utilization Review RN serves as a leader resource in the Utilization Review process. Utilization Review or related experience preferred....
14 hours ago - save job - email - more...

Utilization Review Nurse

Mercy 82 reviews - Springfield, MO
Case Management or Utilization Review. Care Management or Utilization Review experience. Current State of Missouri RN License....
8 days ago - save job - email - more...

Utilization Review Nurse, RN

MedWatch LLC - Scottsbluff, NE
Full time RN, 5 days a week Monday-Friday, no weekends, at Third Party Administrator office located in Scottsbluff, Nebraska....
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5 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 385 reviews - Arlington, TX 76018 (Southeast area) - +23 locations
Knowledge of managed care and utilization review preferred. RN with a current, unrestricted Texas license....
8 hours ago - save job - email - more...

Utilization Review Nurse

Aetna 385 reviews - Hazelwood, MO 63042
Performs utilization review activities including pre-certification, concurrent, and retrospective reviews according to guidelines....
12 days ago - save job - email - more...

Inpatient Utilization Review RN Onsite

Network Health 21 reviews - Worcester, MA
The Inpatient Utilization Review RN Onsite will ensure that the Tufts Health Plan-Network Health member population receives timely concurrent review /...
1 day ago - save job - email - more...

Case Management Educator - Utilization Management - Orlando

Florida Hospital 343 reviews - Orlando, FL
The RN staff provides detailed clinical reviews for all patient types to secure authorization for care by various payers....
Adventist Health System - 7 days ago - save job - email - more...

RN Utilization Review - UC Health - UCMC ED

UC Health 25 reviews - Cincinnati, OH
RN Utilization Review. RN Utilization Review - UC Health - UCMC ED. Current RN license in Ohio. RN with current license minimum required....
1 day ago - save job - email - more...

Utilization Review Nurse

AIG 380 reviews - Dallas, TX
Perform Utilization Review of workers' compensation claims, based on review criteria and protocols in accordance with state and regulatory agency compliance....
3 hours ago - save job - email - more...

Registered Nurse ( Job Number: 303469 )

Kaiser Permanente 1,882 reviews - Denver, CO - +1 location
Review and monitor therapy and treatment patient plans. Manages populations of patients to ensure appropriate utilization of health care resources....
3 hours ago - save job - email - more...
Quality Improvement RN
VNA of Texas - Dallas, TX
Utilization Management / Skill desired. License appropriate for education, RN Required; Oversees medical record review and coding processes to support accurate...
Sponsored by VNA of Texas - 30+ days ago
Utilization Review Specialist - Behavioral Health
Sovereign Health Treatment Centers 4 reviews - Chandler, AZ
The Utilization Review Specialist’s - Behavioral Health role is to maximize reimbursement through effective utilization review and to ensure quality compliance...
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Sponsored by Sovereign Health Treatment Centers - 30+ days ago

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