Utilization Review Nurse jobs in Florida

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Registered Nurse (RN) Utilization Review (UR)
Registered Nurse (RN) Utilization Review (UR)(Job Number:. The Utilization Review (UR) Registered Nurse (RN) will communicate with Case Management when more...
Desired Experience: RN, Case Management
Registered Nurse RN Utilization Review Case Management PT Da...
Registered Nurse RN Utilization Review Case Management. Registered Nurse Utilization Review Specialist Case Management PT Days....
Desired Experience: Discharge Planning, RN, Case Management
Registered Nurse (RN), Per Diem
Provide assistance to Director of Utilization Review in communicating pertinent nursing information. Registered Nurse (RN) (Required)....
Desired Experience: RN
Easily apply
Utilization Reviewer (Registered Nurse)
$25.76 - $33.87 an hour
Registered Nurse (RN) (Required). Conducts admission and concurrent reviews; Registered nurse (RN) with current Florida lecense....
Desired Experience: Case Management, RN, CCRN Certification
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Nurse Reviewer

HMS - 635 reviews - Florida
1+ year utilization review experience preferred. Ability to medically review; Assigns case reviews by identifying the issues for review and the specialty of the...
Desired Experience: RN

RN, Telephonic Front End Utilization Review - FL

Humana - 3,938 reviews - Tampa, FL
$62,000 - $79,000 a year (Indeed est.)
Humana is seeking a telephonic Front End Review nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and...
Desired Experience: RN

Utilization Review Clinician - Remote

Billing Solutions LLC - Loxahatchee, FL 33470
$47,000 - $60,000 a year (Indeed est.)
The Utilization Review Clinician calls in clinical information to obtain insurance authorization for services offered by our clients to their patients....
Desired Experience: RN
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Clinical Reviewer

CareCentrix - 211 reviews - Tampa, FL
Participates in utilization and quality assessment/improvement activities. Excellent knowledge of Utilization Management and URAC standards....
Desired Experience: RN, Triage

First Level Reviewer - Utilization Management

Inetico - Tampa, FL 33607 (Carver City area)
$55,000 - $57,000 a year
Utilization Management (UM) First Level Reviewer is responsible for timely prospective, concurrent, and retrospective review activities....
Desired Experience: Discharge Planning, RN, LPN
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RN Utilization Review (Work From Home)

North Florida Shared Services - Tallahassee, FL
Utilization Review Nurse. RN Utilization Review (Work From Home)(Job Number:. Registered Nurse (RN) or Licensed Practical Nurse (LPN)....
Desired Experience: RN

Licensed Utilization Review II

Anthem, Inc. - 2,809 reviews - Plantation, FL
$58,000 - $74,000 a year (Indeed est.)
Licensed Utilization Review II Nurse-Plantation, FL. Review of claim edits, pre-noted inpatient admissions or, episodic outpatient therapy such as physical...

Utilization Management Nurse - Full Time - Brooks Hospital

Brooks Rehabilitation - 76 reviews - Jacksonville, FL
Utilization review certification. The Utilization Management (UM) Nurse is responsible for planning, developing, and implementing the utilization management...
Desired Experience: RN, BLS Certification, CPR Certification
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Utilization Management Professional

Magellan Health - 491 reviews - Orlando, FL 32801 (Central Business District area)
If LPN, must work under the direct clinical supervision of a Registered Nurse (RN) Case Manager, Registered Nurse Utilization Management Professional (UMP), or...
Desired Experience: Discharge Planning, RN

Medical Review Coord

Aetna - 3,087 reviews - Tampa, FL
Previous experience in claims review, workers compensation, case management, utilization review preferred. Nursing/Registered Nurse is required....
Desired Experience: RN, Case Management
Registered Nurse RN Utilization Review Case Manager FT DAys
FH Memorial Medical Center - 782 reviews - Daytona Beach, FL 32115
Registered Nurse RN Utilization Review Case Manager. Registered Nurse RN Utilization Review Case Manager FT Days....
Desired Experience: Discharge Planning, RN, Case Management
RN Utilization Review Psychiatric Unit
RN Utilization Review Psychiatric Unit(Job Number:. The Utilization Review Nurse will be responsible for ensuring all admissions and continued stays meet...
Desired Experience: Discharge Planning, RN, BLS Certification