Utilization Review Nurse jobs

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Jun 01 Registered Nurse (Utilization Review)-VN-0610-I-Iii United States Department of Veterans Affairs Portland, OR

for an experienced Registered Nurse (Utilization Review) for the Consolidated Patient Accounts Center (CPAC) located in Las Vegas, NV with duty at the VAMC located in Portland,... more

May 30 Utilization Review Case Manager Scripps Health Encinitas, CA

Supports the development, utilization, implantation, and monitoring of utilization review/ ... to payor. * Utilizes Midas to document utilization review for all payors. *... more

May 30 UTILIZATION REVIEW NURSE - UTILIZATION MGMT SAN MARTIN St Rose Dominican - San Martin Nevada

Department provides Case Management, Utilization Review and Social services to an ... Job Summary: The Utilization Review Nurse is responsible for coordinating... more

May 30 Case Manager (RN) - Utilization Review (UR) Health Career Services Bakersfield, CA

Leading Hospital needs Utilization Review Case Manager (RN) - UR in Bakersfield, CA. 1+ yrs of Acute Care Case Mgmt exp and 2+ Acute Care RN exp required. Excellent pay & benefits! more

May 30 RN Registered Nurse Utilization Review Expedient Medstaff Detroit, MI

opportunity for an experienced Utilization Review Registered Nurse. This is an ... 1 year recent experience in Utilization Review and have the experience of contacting... more

May 30 UTILIZATION REVIEW NURSE - UTILIZATION MGMT SIENA St Rose Dominican - Siena Nevada

Department provides Case Management, Utilization Review and Social services to an ... Job Summary: The Utilization Review Nurse is responsible for coordinating... more

May 30 Registered Nurse (Utilization Review) VN-0610-I-Iii United States Department of Veterans Affairs Northport, NY

5th: Other Status Eligibles, 6th: Public Nurse salaries will be determined by the ... for an experienced Registered Nurse (Utilization Review) for the Consolidated... more

May 30 UTILIZATION REVIEW NURSE - UTILIZATION MGMT St Rose Dominican - San Martin Nevada

Department provides Case Management, Utilization Review and Social services to an ... Director of Case Management. The registered nurse employs critical thinking to integrate... more

May 25 Registered Nurses - Utilization Review Risksolutions California

Must have knowledge of ACOEM and MTUS. The nurse can be located anywhere in California ... in the state of California. A plus if the nurse has occupational nursing background as... more

May 25 Case Manager I Admissions Utilization Review Mission Hospitals Asheville, NC

Proactively applies screening criteria to all patient records whose payer is federally or state funded. Works closely with the health care team and applies Medicare and Medicaid... more

May 24 Utilization Review Case Manager OhioHealth Columbus, OH

adherence to the hospitals utilization review plan to ensure effective and efficient ... management of patient care. Performs utilization review in accordance with all... more

May 20 Utilization Review Nurse Firstcare Health Plans Lubbock, TX

and communication with hospital staff, utilization management department and billing ... LICENSES, REGISTRATIONS: Registered Nurse License in the state of Texas FirstCare... more

May 19 Nurse Leader Utilization Review Department Kaiser Permanente Oakland, CA

Nurse Leader Utilization Review Department( Job Number: 123431) At Kaiser Permanente ... Qualifications: Demonstrated experience in utilization review, case management, and... more

May 16 Director of Utilization Review and Palliative Care Wheaton Franciscan Healthcare Milwaukee, WI

Hospital Utilization Management and Palliative Care programs with a dual focus on ... implementation and quality improvement in utilization review and palliative care. Must... more

May 15 Utilization Review Nurse I Zurich North America Springfield, IL

Job to a Friend View My Account Utilization Review Nurse I Position ID 26414 Location(s) ... Add to Job Cart Job Summary The Utilization Review Specialist performs telephonic review... more

May 15 Continuing Care Utility Review Coordinator RN Kaiser Permanente San Francisco, CA

practice. Description Conducts utilization review for in-house patients and those ... Essential Functions: Conducts utilization review for in-house patients and/or members who... more

May 09 Case Manager/Utilization Review Registered Nurse Innovative Healthcare Chicago, IL

RN needed for inpatient Case Management/Utilization Review contract position ... and InterQual criteria. Must be a Registered Nurse for at least 5 years and have no... more

May 07 RN Case Manager - Utilization Review Sutter Health Castro Valley, CA

experience Acute Care, 2 years experience in Utilization Review. Knowledge of Federal, State and Third Party Payor requirements. Knowledge of MIDAS computer program helpful. Basic... more

May 07 Supervisor Utilization Review Dignity Health Sacramento, CA

Working knowledge of Utilization Management review processes, and regulatory ... ICD9, HCPCS, CPT preferred Utilization Review FULL TIME SHIFT: DAY CHWMF REGIONAL... more

May 07 Utilization Review - Rn Dignity Health Sacramento, CA

with appropriate documentation. Conducts review for appropriate utilization of ... practice management system is preferred. UTILIZATION REVIEW FULL TIME SHIFT: DAY CHWMF... more

Apr 18 Sr Utilization Mgmt Nurse- Concurrent Review-Work from home, located UnitedHealth Group Tucson, AZ

for utilization management, utilization review, or concurrent review (on-site or ... admissions and continued stays. * Manages utilization program as a result of day-to-day... more

Apr 02 Utilization Review Specialist (RN) McDonough District Hospital Macomb, IL

Qualifications: Current Illinois Registered Nurse license. Experience in healthcare or hospital. BSN, BA, or BS desirable. Experience in case management/UR desirable. 32... more

Jan 09 Manager, Nurse Case III - Utilization Review - ACS/ER (Day & Night positions) Scott & White Temple, TX

relative to benefit levels, eligibility, utilization, review and reimbursement. *Stays ... ACTIVITIES *Participates in peer review through competency assessments... more

Jan 06 Utilization Review Nurse Job Yoh Wilmington, DE

opportunity for a Utilization Review Nurse (UR / UM) to join our client in ... Nurse in Delaware. - Prior Case Management, Utilization Management or Utilization Review... more

Dec 06 Utilization Review Nurse-Clinical Resource Management Sutter Health Oakland, CA

discharge planning, and/or utilization review within the last 5 years. Bachelors degree with 3 years clinical experience in an acute or home health setting; or RN with 5 years... more

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