utilization review nurse Jobs - 24743

Remote Clinical Documentation Specialist

WellStar Shared Services - Marietta, GA

Employment Type : Full-Time

Chart review experience required. Registered Nurse in state of Georgia. Experience with utilization management, coding/DRG, billing, auditing and various...

Posted on : Wed, 28 Nov 2018 10:46:16 GMT

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Manager, Retroactive Utilization Management (RN) - Work at home, Texas

Humana - Work at Home

Employment Type : Full-Time

A background working in utilization management; Experience in utilization management and/or case management....

Posted on : Thu, 28 Feb 2019 03:12:56 GMT

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RN, Documentation Review Specialist

UPMC Pinnacle - Harrisburg, PA

Employment Type : Full-Time

Registered Nurse with current license in the state of Pennsylvania. Working knowledge of utilization management and DRG documentation requirements including...

Posted on : Mon, 15 Oct 2018 13:38:50 GMT

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RN, Documentation Review Specialist

UPMC Pinnacle - Carlisle, PA

Employment Type : Full-Time

Registered Nurse with current license in the state of Pennsylvania. Working knowledge of utilization management and DRG documentation requirements including...

Posted on : Tue, 08 Jan 2019 19:38:35 GMT

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RN Utilization Clinical Review Specialist

HealthPartners - Bloomington, MN

Employment Type : Full-Time

We have an exciting opportunity for a RN Utilization Clinical Review Specialist. Currently licensed Registered Nurse....

Posted on : Wed, 19 Dec 2018 15:46:26 GMT

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Utilization Review Nurse (work from home)

North Florida Shared Services - Tallahassee, FL

Employment Type : Full-Time

Utilization Review Nurse (work from home)(Job Number:. Utilization Review Nurse – HCA North Florida Division. Registered Nurse (RN) license required....

Posted on : Wed, 06 Feb 2019 16:46:40 GMT

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RN Utilization Review - Case Management

The Christ Hospital Health Network - Cincinnati, OH

Employment Type : Full-Time

Demonstrates professional responsibility required for a Utilization Review Nurse. RN Utilization Review - Case Management....

Posted on : Mon, 11 Feb 2019 22:02:17 GMT

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Nurse Audit Sr. - Remote - PS18157

Anthem, Inc. - United States

Employment Type : Full-Time

Is responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through...

Posted on : Wed, 13 Mar 2019 22:11:10 GMT

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Clinical Quality Auditor

Virginia Premier - Glen Allen, VA

Employment Type : Full-Time

This team of knowledgeable professionals in their field provide services to include Utilization Review, Medical Outreach, Case Management, Disease Management,...

Posted on : Fri, 15 Feb 2019 20:58:35 GMT

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UM Nurse Consultant

AETNA - Harrisburg, PA

Employment Type : Full-Time

Nursing/Registered Nurse is required. The UM Nurse Consultant applies critical thinking and knowledge in clinically appropriate treatment, evidence based care...

Posted on : Tue, 26 Feb 2019 15:17:32 GMT

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UM Nurse Consultant

AETNA - Albany, NY

Employment Type : Full-Time

Utilization management experience preferred. Click here to review the benefits associated with this position. The UM Nurse Consultant will be reviewing services...

Posted on : Mon, 28 Jan 2019 17:02:06 GMT

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UM Nurse Consultant

AETNA - Bismarck, ND

Employment Type : Full-Time

The Nurse Consultant utilizes clinical skills to review complex benefits, and apply plan and CPB criteria. Nursing/Registered Nurse (RN) is required....

Posted on : Fri, 22 Feb 2019 15:09:52 GMT

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UM Nurse Consultant

AETNA - Cary, NC

Employment Type : Full-Time

Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Posted on : Thu, 07 Mar 2019 15:10:54 GMT

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UM Nurse Consultant

AETNA - Columbia, MO

Employment Type : Full-Time

Utilization Management Preferred. Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Posted on : Wed, 06 Mar 2019 15:32:34 GMT

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UM Nurse Consultant

AETNA - Chesterfield, MO

Employment Type : Full-Time

Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Posted on : Fri, 08 Mar 2019 15:11:56 GMT

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Concurrent Review Nurse I

Centene Corporation - Des Moines, Iowa

Employment Type : Full-Time

Description. Position Purpose. Perform onsite review of emergent urgent and continued stay requests for... Conduct discharge planning. Educate providers on utilization and medical management processes. Provide...

Posted on : Sat, 09 Mar 2019 01:00:01 -0500

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Registered Nurse (RN) - Case Manager (Utilization Review)

Ascension - Milwaukee, Wisconsin

Employment Type : Full-Time

We Are Hiring. Registered Nurse (RN). Case Manager (Utilization Review). PRN, Rotating. WF. St Joseph... Licenses Certifications Registration. Required Credential(s). Licensed Registered Nurse credentialed...

Posted on : Sun, 17 Mar 2019 10:16:57 -0400

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Utilization Reviewer/Utilization Review Nurse

Acadia-Healthcare - Durham, North Carolina

Employment Type : Full-Time

Conduct admission review activities. Conducts continued stay review activities. Coordinates third party... Conducts discharge review activities. Notifies third party payers of discharge. Maintains accurate UR...

Posted on : Tue, 12 Mar 2019 12:09:26 -0400

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Remote Front End Review Utilization Management Nurse 2

VirtualVocations - Miami, Florida

Employment Type : Full-Time

A health insurance company is seeking a Remote Front End Review RN.Individual must be able to fulfill the following responsibilities. Utilize clinical nursing skills to support the coordination...

Posted on : Thu, 14 Mar 2019 13:29:47 -0400

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Utilization Review Nurse (Registered Nurse)

Medix - Chicago, Illinois

Employment Type : Full-Time

We are hiring for an Utilization Review Nurse within a Hospital. This is an exciting opportunity for you... Role Description. These nurses are responsible for medical record review. They will be doing initial and...

Posted on : Tue, 12 Mar 2019 12:08:33 -0400

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Telecommute Utilization Review RN Nurse in Dallas

VirtualVocations - McAllen, Texas

Employment Type : Full-Time

A not for profit health care system has an open position for a Telecommute Utilization Review RN Nurse in Dallas.Candidates will be responsible for the following. Performing initial, concurrent...

Posted on : Fri, 15 Mar 2019 15:44:13 -0400

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Travel Nurse RN - Utilization Review - $1,886.00 per week

NurseFly Travel Nursing - Sleepy Hollow, New York

Employment Type : Full-Time

NurseFly Travel Nursing with Stability Healthcare is seeking a travel nurse RN Utilization Review for a... Specialty. Utilization Review. Title. RN. Start Date. ASAP. Duration. 13 weeks. 40 hours per week. Shift...

Posted on : Wed, 13 Mar 2019 14:32:03 -0400

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Registered Nurse (RN) - Case Manager (Utilization Review)

Ascension Wisconsin - Milwaukee, Wisconsin

Employment Type : Full-Time

Job ID. 288118. Registered Nurse (RN). Case Manager (Utilization Review). Milwaukee, Wisconsin. Regular... Regular. Rotating. We Are Hiring. Registered Nurse (RN). Case Manager (Utilization Review...

Posted on : Thu, 07 Mar 2019 10:29:40 -0500

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Utilization Review Nurse Remote/Local

ezurs - Richardson, Texas

Employment Type : Full-Time

We are looking for a Utilization Review Nurse Remote Local (Richardson, TX). The individual should be... The Utilization Review Nurse (UR Nurse) performs medical necessity review of proposed, concurrent, or...

Posted on : Sat, 09 Mar 2019 16:46:08 -0500

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Utilization Review Nurse - Transplant

Cleveland Clinic Akron General - Cleveland, Ohio

Employment Type : Full-Time

Completes responses on behalf of physician for denials. Reviews medical records and communicates with... Certifications. Current state licensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN...

Posted on : Thu, 07 Mar 2019 12:19:59 -0500

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Util Review Travel RN Needed in Alexandria Bay, NY

Chesapeake Medical Staffing - Alexandria Bay,NY

Employment Type : Full-Time

Chesapeake Medical Staffing RN Util Review . Chesapeake Medical Staffing (CMS) is currently seeking a RN - Util Review for agency contract positions in Alexandria Bay, NY.

Posted on : 2019-03-18T06:21:47Z

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Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Clay,NY

Employment Type : Full-Time

Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. ... Preferred License, Certification, Association Utilization Management Certification (CPHM).

Posted on : 2019-03-18T07:03:49Z

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Risk Manager RN - Utilization Review Registered Nurse

Supplemental Health Care - Alexandria Bay,NY

Employment Type : Full-Time

An Alexandria Bay, NY hospital has asked Supplemental Health Care - one of America's top staffing companies - to help them find a highly qualified RN for a permanent hire Risk Management / Utilization Review position. ... The

Posted on : 2019-03-18T06:06:18Z

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Utilization Review Nurse

ArchCare - New York,NY

Employment Type : Full-Time

The primary role of the Utilization Review (UR) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that our members receive all appropriate medical services in compliance with

Posted on : 2019-03-18T09:19:52Z

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Registered Nurse Utilization Review/ Risk Management- Permanent/Full-Time

KA Recruiting - Chippewa Bay,NY

Employment Type : Full-Time

This and other rn jobs brought to you by NursingJobCafe.comFull-Time Utilization Review/Risk Management Registered Nurse needed at a great hospital in beautiful northern New York!. ... . * Registered Nurse

Posted on : 2019-03-18T04:29:26Z

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