utilization review nurse Jobs - 32487

RN Registered Nurse- Utilization Review

WSi Healthcare Personnel - Denver, Colorado

Employment Type : Full-Time

Facility in the heart of Denver seeks F T Utilization Review RN for an excellent 13 week contract... BSN preferred, 3 years' experience in medical utilization management, and experience working with a...

Posted on : Tue, 15 Jan 2019 11:16:17 -0500

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Prior Authorization Nurse I

Centene Corporation - Chicago, Illinois

Employment Type : Full-Time

Perform telephonic review of prior authorization requests for appropriate care and setting, following... Educate providers on utilization and medical management processes. Provide clinical knowledge and act as...

Posted on : Thu, 17 Jan 2019 01:00:01 -0500

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

Ascension - Mequon, Wisconsin

Employment Type : Full-Time

We Are Hiring. Title. Registered Nurse (RN). Case Manager (Utilization Review). City, State. Mequon,WI... What You Will Do. Job Summary. The Registered Nurse Case Manager coordinates the overall...

Posted on : Thu, 17 Jan 2019 06:15:12 -0500

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Utilization Review Nurse

Howard County General Hospital - Columbia, Maryland

Employment Type : Full-Time

Utilization Review Nurse. FT Requisition. 178969. Location. Howard County General Hospital, Columbia, MD... The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. This individual...

Posted on : Wed, 16 Jan 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 : Tue, 15 Jan 2019 01:00:01 -0500

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

Ascension - Mequon, Wisconsin

Employment Type : Full-Time

We Are Hiring. Title. Registered Nurse (RN). Case Manager (Utilization Review). City, State. Mequon,WI... What You Will Do. Job Summary. The Registered Nurse Case Manager coordinates the overall...

Posted on : Wed, 16 Jan 2019 01:00:01 -0500

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Utilization Review Nurse PRN

Howard County General Hospital - Columbia, Maryland

Employment Type : Full-Time

Utilization Review Nurse PRN Requisition. 179629. Location. Howard County General Hospital, Columbia, MD. Category. Allied Health Clinical Professional. Work Shift. Day Shift. Work Week. Casual...

Posted on : Tue, 15 Jan 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 : Thu, 17 Jan 2019 06:15:09 -0500

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Utilization Manage Nurse Coordinator - Night and Weekend

WellStar Health System - Marietta, Georgia

Employment Type : Full-Time

Responsibilities. WellStar is looking to add a Registered Nurse, Central Utilization Management to its... The Utilization Management Nurse will perform utilization review every day by looking at all new...

Posted on : Thu, 17 Jan 2019 01:00:01 -0500

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Utilization Management Nurse Coordinator

WellStar Health System - Austell, Georgia

Employment Type : Full-Time

Responsibilities. The Utilization Management Nurse (UM) Coordinator is responsible for conducting... Millman Care Guidelines, clinical reviews with payers and collaborating with the care team on the...

Posted on : Thu, 17 Jan 2019 01:00:01 -0500

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St. David's Healthcare - New Braunfels

Employment Type : Full-Time

... Utilization Review program. • Assumes a leadership role in the maintenance of the patient-focused care delivery system. • Assists in directing and guiding staff in the coordination of unit ...

Posted on : 2019-01-18T00:43:36

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Supplemental Health Care - Salem

Employment Type : Full-Time

The Utilization Review RN will be working in a non-clinical environment. The Utilization Review RN will be responsible for Review Authorization requests submitted from medical providers for approval ...

Posted on : 2019-01-04T02:00:00

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Supplemental Health Care - Bend

Employment Type : Full-Time

The Utilization Review Registered Nurse assures conformity to the federal and state government health care program requirements, the internal hospital UR process and any third party payor utilization ...

Posted on : 2018-12-26T02:00:00

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Medical Professionals - Northridge

Employment Type : Full-Time

Job Title: RN / Utilization and Review Management Summary Are you looking for a new opportunity as a Registered Nurse for the new year of 2019? If so, a large healthcare organization in Northridge ...

Posted on : 2019-01-08T20:46:36

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River City Medical Group - Sacramento

Employment Type : Full-Time

The Senior Utilization Review Nurse coordinates all systems/services needed for an organized, multidisciplinary, patient centered team approach, and cost-effective care for Managed Medi-Cal patients

Posted on : 2018-12-26T17:35:27

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Legal Nurse Consultant (Remote)

EK Health Services Inc - Work at Home

Employment Type : Full-Time

EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...

Posted on : Tue, 15 Jan 2019 00:02:52 GMT

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Clinical Reviewer (Remote)

CareCentrix - Tampa, FL

Employment Type : Full-Time

Follows Utilization Management and URAC/NCQA standards. Excellent knowledge of Utilization Management and URAC/NCQA standards....

Posted on : Sun, 06 Jan 2019 10:30:02 GMT

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Utilization Management Nurse

Evolent Health - Brea, CA

Employment Type : Full-Time

The Utilization Review Nurse (URN) is involved with every aspect of the utilization process to include:....

Posted on : Mon, 17 Dec 2018 07:00:21 GMT

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Utilization Management Nurse

Evolent Health - Remote

Employment Type : Full-Time

The Utilization Review Nurse (URN) is involved with every aspect of the utilization process to include:....

Posted on : Mon, 17 Dec 2018 07:00:21 GMT

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Utilization Management Nurse Consultant - Registered Nurse

Aetna - Kent, WA

Employment Type : Full-Time

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

Posted on : Fri, 11 Jan 2019 21:56:58 GMT

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Utilization Management Nurse Consultant - Registered Nurse

Aetna - Sandy, UT

Employment Type : Full-Time

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

Posted on : Wed, 16 Jan 2019 21:53:58 GMT

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Utilization Management Nurse Consultant - Registered Nurse

Aetna - Arlington, TX

Employment Type : Full-Time

Nursing/Registered Nurse (RN) is required. Utilization Management Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects...

Posted on : Thu, 17 Jan 2019 03:54:32 GMT

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Utilization Management Nurse Consultant - Registered Nurse

Aetna - Albany, NY

Employment Type : Full-Time

Nursing/Registered Nurse (RN) is required. Applying clinical expertise to assure appropriate benefit utilization....

Posted on : Sat, 05 Jan 2019 03:53:52 GMT

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Utilization Management Nurse Consultant - Registered Nurse

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 : Fri, 11 Jan 2019 03:54:21 GMT

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Utilization Management Nurse Consultant - Registered Nurse

Aetna - Atlanta, GA

Employment Type : Full-Time

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

Posted on : Thu, 17 Jan 2019 03:54:19 GMT

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Pediatric RN - Pediatric Nurse - 292070

Nurses 24/7 - New York,NY

Employment Type : Full-Time

They educate and support child and family utilizing clear and concise documentation and communication. ... Nurses are expected to review these upon assignment.

Posted on : 2019-01-18T01:08:07Z

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Monitoring Reviewer - RN req'd

IPRO - New Hyde Park,NY

Employment Type : Full-Time

The Monitoring Reviewer- Register Nurse performs clinic program reviews focused on the provisions of primary and preventative care within the school based health centers, school based dental clinics settings and family planning

Posted on : 2019-01-17T07:15:14Z

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Utilization Review Nurse

CorVel - Brooklyn,NY

Employment Type : Full-Time

PREFERRED EDUCATION/TRAINING The Utilization Review Nurse should have a minimum of an Associate Degree in Nursing and have a thorough knowledge of both C.P.T. and I.C.D.9 codes. ... ESSENTIAL * The Utilization

Posted on : 2019-01-17T07:52:46Z

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Utilization Management Nurse

Highland Hospital - Rochester,NY

Employment Type : Full-Time

The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and the business aspects of the health care system. ... The UM RN is responsible for the review of

Posted on : 2019-01-17T19:14:30Z

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Nurse Practitioner: Field /Syracuse, NY (Onondaga County)

Molina Healthcare - Syracuse,NY

Employment Type : Full-Time

By utilizing Epic, our customized electronic health record, as well as advanced point-of-care testing equipment, we are able to provide our patients with a thorough and comprehensive health care experience. ... AS A NURSE PRACTITIONER

Posted on : 2019-01-17T22:07:43Z

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