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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Utilization Review (UR) Case Manager A local Hospital in the Glendale area is seeking a Utilization Review Nurse. Utilization Review including assessment of medical records for appropriateness, level of care provided. Assess utilization of treatment, moda

Glendale

CAREERBUILDER APPLY

Full-Time

Environmental Conditions The majority of duties are performed in a controlled office environment; desk work may involve extended periods of sitting, phone time, typing on PC keyboard. Performs utilization review of labor and delivery admissions, outpatien

19 South La Salle Street
Chicago

CAREERBUILDER APPLY

Full-Time

WORKERS COMPENSATION UTILIZATION REVIEW NURSE Plymouth Meeting, Pa. Office or Home-Based Patriot National, Inc. (NYSE:PN) is a full-service, nationalprovider of comprehensive solutions for the insurance carriermarketplace. Our clients include major insu

Metropolitan Philadelphia – Plymouth Meeting, Penn.

Full-Time

New Century Health is leading transformative change in specialty care management. By combining medical management expertise with a deep understanding of healthcare informatics, physician management and healthcare technology systems development, we generat

Brea

1w
1 week ago

Full-Time

Utilization Review / Case Manager Nurse RN Kelly Services has an exciting opportunity for a Utilization Review / Case Manager RN Nurse to work in Atlanta, GA. This is an exciting opportunity to work for a very large insurance company If you’re ready to he

Atlanta

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CAREERBUILDER APPLY
1w
1 week ago

Full-Time

GENERAL SUMMARY: This position is responsible for coordination of all aspects of the patient’s care and services in a health care facility. Intervention is during hospitalizations and SNF stays. This will include concurrent, retrospective and medical clai

Care1st Health Plan Arizona, Inc.

2355 East Camelback Road
Phoenix

CAREERBUILDER APPLY

Full-Time | Pay: $60k - $70k/year

RN, Utilization Review Nurse A-Line Staffing is currently looking for a Registered Nurse for Utilization Review in both the Buffalo and Rochester New York areas. This company is looking to set up interviews immediately as this position will fill up very q

Buffalo

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CAREERBUILDER APPLY

Part-Time

REGISTERED NURSE / UTILIZATION REVIEW / MANAGED CARE A-Line Staffing Solutions is seeking 4 experienced Registered Nurses to work a telephonic, PART-TIME opportunity for a Fortune 500 managed care group based in Maitland, Florida. We’re looking to fill 2

Maitland

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Position Overview Are you looking for a new opportunity in a challenging but rewarding environment? Are you looking to expand your career within Managed Care? As a Utilization Review Nurse, you will promote the quality and cost effectiveness of medical ca

Lenexa

5d
5 days ago

Full-Time

The U.R. Nurse gathers demographic and clinical information on prospective, concurrent, and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay. ESSENTIAL JOB DUTIES The

Cincinnati

3w
3 weeks ago

Full-Time

Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the nation’s largest and most respected hospital companies, UHS owns and operates through its subsidiaries acute care hospitals, behavioral health facilities an

KING OF PRUSSIA

5d
5 days ago

Full-Time

Utilization Review Nurse job in Indianapolis, IN We are currently recruiting for an experienced Utilization Review Nurse. This position does require a degree in Nursing Case Management or a Utilization Review Certification. In this role you will be workin

Indianapolis

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CAREERBUILDER APPLY
5d
5 days ago

Full-Time | Pay: $32.00/hour

Intro: Are you an experienced Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions

Bloomington

CAREERBUILDER APPLY
1w
1 week ago

Full-Time

This position will NOT be treating patients or distributing medication. The Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post Acute Care services includi

Franklin

1w
1 week ago

Full-Time | Pay: $32.40 - $33.00/hour

The two major functions of the Post Acute Care CaseManager are to ensure the customer is at the appropriate level of care, andtoinitiate and follow through in the discharge planning process. Given thecomplex nature and challenges of the US health system a

Atlanta

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CAREERBUILDER APPLY
1w
1 week ago

Full-Time

Responsible for processing prior authorization requests timely, extensive medical records review. Responsible for utilization management and discharge planning. Responsible for preparing NOA's for all denials. Job Duties and Responsibilities Considerable

Phoenix

Full-Time

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more e

Lakeland

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CAREERBUILDER APPLY

Contractor | Pay: $34.00 - $40.00/hour

Utilization Review Nurse - LPN/LVN - RN Position Description: Reviews all request for specialty care, elective surgeries, treatment plans and diagnostic studies in accordance with commercial and senior health plan and CMS timelines. Utilizes health plan,

Allmed Staffing

24630 Washington Avenue
Murrieta

Full-Time | Pay: $65k - $68k/year

Utilization Review Nurse (RN) - Managed Care Rochester, NY Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs rev

Confidential

Pittsford

CAREERBUILDER APPLY

Full-Time

DIRECTOROF UTILIZATION REVIEW – Registered Nurse – RN - TOP LOSANGELES HOSPITAL SYSTEM seekingexperienced RN – with 2 + years Director of Utilization Reviewin an acute care hospital to join their team! 500 + beds Not-for-profit healthcare system Excel

Confidential

Los Angeles

CAREERBUILDER APPLY

Full-Time | Pay: $72k - $84k/year

RN Coder - Utilization Review / Registered Nurse A local, highly recognized healthcare system is seeking a UtilizationReview Specialist/RN Coder for their Home Health division!! This is agreat opportunity to join a seasoned team of Coders that offer a f

WORK FROM HOME!!

Fort Washington

CAREERBUILDER APPLY

Seasonal/Temp

The Registered Nurse Utilization Review is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes. Interacts and obtains relevant clinical information from member's PCP and other providers; a

Mount Laurel

View 6 more

Full-Time

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating grea

Richmond

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CAREERBUILDER APPLY

Full-Time

Utilization Review / Case Management Nurse Managed Care Organization, located in Hunt Valley, is now seeking full-time, licensed registered nurses for utilization review and case management. Excellent salary and benefits. Position overview: Perform teleph

Jai Medical Systems Managed Care Organization, Inc.

Hunt Valley

CAREERBUILDER APPLY

Full-Time | Pay: $70k/year

Education/Experience: Associate?s degree in Nursing; Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in an acute care setting. Knowledge of health care and managed care preferred. Licenses/Certifications: Current state?s RN

Rochester

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