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(RN) Manager of Utilization Management - SIGN ON BONUS
Aetna - 3,153 reviews - San Diego, CA 92103
3-5+ years utilization management experience is required. Some experience with concurrent review and prior authorizations is preferred....
Utilization Review Registered Nurse/ Care Management
Staffing Etc. - Washington, DC
$50 - $53 an hour
Conduct prospective, concurrent, and/or retrospective utilization management reviews. Registered Nurse (RN). Are you an RN with utilization review experience or...
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Quality Improvement - Director
WellCare - 893 reviews - Brentwood, TN 37027
Preferred Licensed Registered Nurse (RN). Quality Improvement, Utilization Management, Patient Safety and Risk Management....

UM Team Leader

MetroPlus Health Plan - 93 reviews - New York, NY
$110,000 a year
Monitor utilization review activities and outcomes. Support Member Care Management and utilization review activities in conjunction with Case Management...

Utilization Management Clinical Auditor

MetroPlus Health Plan - 93 reviews - New York, NY
$110,411 a year
Conduct Utilization Review audits and quality of care monitoring activities including appropriateness of inpatient, skilled nursing facility and acute...

Health Care Facility Surveyor, Metro Boston/Northern Region

Commonwealth of Massachusetts - 325 reviews - Boston, MA
$76,801 - $125,031 a year
Performs patient centered reviews of Medicare and Medicaid recipients to assess the quality and appropriateness of care rendered in such facilities and to...

Utilization Management Consultant

BlueCross BlueShield of Kansas City - 5,531 reviews - Kansas City, MO
Registered Nurse with ten or more years of combined care delivery, utilization management, coding and technical expertise....

Quality Improvement - Director

WellCare - 893 reviews - Concord, NH 03301   +5 locations
All other states, a licensed Registered Nurse (RN) preferred. For FL/IA/IL/MO/NJ/CA/NE, a current unrestricted Registered Nurse (RN) License required....

Utilization Review RN

Baylor Scott & White Health - 1,904 reviews - Temple, TX
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
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CLINICAL NURSE - UTILIZATION MANAGEMENT

Specialty Government Services - Travis AFB, CA
$50 - $52 an hour
CLINICAL NURSE - UTILIZATION MANAGEMENT*. Must have utilization management, utilization review or case management....
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Case Management Nurse (Open)

County of San Mateo - 121 reviews - San Mateo County, CA
$57.50 - $67.98 an hour
Nurse, case manager, utilization review, discharge planning, discharge planner, InterQual, Quality Management, QA, clinical nurse....

Utilization Review RN - Pflugerville

Baylor Scott & White - 1,904 reviews - Pflugerville, TX 78660   +2 locations
The Utilization Review Nurse provides ongoing communication with health plan utilization departments regarding medical necessity for prospective, concurrent,...

RN-Certified Document Improvement Specialist

Zuckerberg San Francisco General Hospital - San Francisco Bay Area, CA
$123,864 - $162,682 a year
California Registered Nurse License. Registered Nurse in acute care:. Two (2) years of experience as a registered nurse in an acute care hospital setting (med...
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Utilization Review RN
The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of evaluating medical necessity for...
Chief Nursing Officer
Palomar Health - 47 reviews - Escondido, CA 92029
Prepares or reviews special studies, reports and documents; Reviews and evaluates administrative and clinical nursing procedures within the hospital;...