Utilization Nurse Jobs
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JOB SUMMARY: The Utilization Nurse will be responsible for reviewing authorization requests/claims for medical necessity, under the direction and supervision of the UMN. RESPONSIBILITIES: Act as a liaison between the care manager and the provider Reports...
Staten Island, NY
Are you inspired to pioneer new models of care? Do you want to align yourself with an organization that is changing the healthcare experience for patients? If you enjoy advanced technology and innovative procedures, we have an exciting opportunity for you...
Utilization Review Nurse One of our best clients is seeking a Utilization Review Nurse in California for a 13 week contract. This position is located in Ontario, CA. Generic Job Description: The Utilization Review Nurse has responsibility for managing Uti...
Ohioans is currently looking for a Utilization Management Nurse to join our team! The Utilization Management Nurse works to maximize the quality and cost efficiency of home care services. Provides proper medical necessity/utilization review and other util...
Applied Underwriters is searching for a Utilization Management Nurse Reviewer to perform day-to-day Utilization Management activities related to workers’ compensation, including review of clinical information to determine medical necessity at all levels o...
10805 Old Mill Road
Under the direction of the Director of Nursing/Administrator, the Utilization Review Nurse Provides clinical documentation review of the medical records, assuring accuracy and compliance with orders and regulations. Essential JobFunctions/Responsibilitie...
1 Ingalls Drive
MCM Solutions for Better Health, a national population health management company is looking for a full-time, office based telephonic utilization review nurse. The ideal candidate must possess an active, unrestricted Illinois RN license, prior experience i...
MCM Solutions for Better Health
200 West Monroe Street
Contractor | Pay: $30.00 - $38.00/hour
CONTRACT Utilization Review Nurse (RN or LPN) - Managed Care Baltimore, MD *** This is a Full-Time, Benefits Available, CONTRACT opportunity, expected to last several months, or longer! *** Your Job Summary: The Utilization Review Nurse is responsible for...
Linthicum Heights, MD
2 weeks ago
Req ID: 10614 Shift: Days Employment Status: AF - Active - Regular - Full Time Job Summary Under the general supervision of the Sr. Director, Case Management the Utilization Management Nurse provides comprehensive assessment, coordination, implementation...
Children's Hospital Of Philadelphia
The Utilization Nurse Consultant is responsible for ensuring proper utilization of health services by assessing the member’s needs and identifying solutions that promote quality and cost effective care. Perform utilization management, utilization review o...
3 weeks ago
We are hiring for an Prior Authorization Nurse within a Healthcare organization. This is an exciting opportunity for you to focus on member needs by assessing, monitoring and optimizing patient health across the continuum of care. The Registered Nurse wil...
7 days ago
Full-Time | Pay: $90k - $95k/year
Compass Healthcare is conducting a search for our client an Managed Long Term Care Plan seeking a Registered Nurse, UM RN for the Utilization Management Department for our Client located on the border of Nassau and Queens, NY. POSITION MISSION: The Utiliz...
Full-Time | Pay: $32.00 - $36.00/hour
Medix is currently seeking several RN Registered Nurse with Utilization Management/Prior Authorization experience! Job Summary Candidates will be responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans for m...
San Antonio, TX
Parallon, a leading health care company is offering a great opportunity. We are looking for dynamic candidates to be part of our team. We offer excellent relocation and benefit packages, including 401K, bonus potential, tuition reimbursement, medical and...
Full-Time | Pay: $70k/year
Are your searching for an opportunity to be a part of an experienced and respected healthcare organization where you can bring your knowledgeable skill set and help to form a dynamic team? If so, then we have an excellent opportunity as a Registered Nurse...
Full-Time | Pay: $65k - $77k/year
Job Number: 444760 Utilization Review Registered Nurse JOB SUMMARY: In conjunction with the Director, this position provides hands-on expertise to help implement company strategies, organize programs, and provide oversight of select medical management ope...
Full-Time | Pay: $30.00/hour
Med-Scribe, Inc. is searching for an excellent RN for a Utilization Management team that is devoted to serving the under-served. This non-profit managed care firm is accomplishing great things in our community! Be part of the change you want to see in the...
Utilization Review RN / Registered Nurse Overview HCS Healthcare is currently hosting applications to join a value driven managed care organization focused on delivering quality healthcare locally. With over 30,000 current employees nationwide, our partne...
Baton Rouge, LA
3 days ago
Full-Time | Pay: $33.00/hour
Are you seeking to advance your career in the healthcare field with a leading company whose motto is to improve healthcare every day? We have an IMMEDIATE need for multiple Utilization Management RN / Registered Nurse . This award winning team, is growing...
3 weeks ago
Full-Time | Pay: $10k/year
We have an EXCITING opportunity in the Tacoma, WA area for an individual with extensive experience in utilization management/ utilization review as the RN/ Registered Nurse RN/Registered Nurse Manager of Utilization Management! As the RN/Registered Nurse...
RepuCare is a woman-owned business (certified WBE) and a leading provider of medical management solutions for state, federal and corporate healthcare programs. We are partnered with a large healthcare company to provide medical management staff to support...
Overview Comprehensive Industrial Disability Management Services Inc. (CID), a Genex family company, is currently seeking a UR Triage Nurse for the Utilization Management department in Westlake Village, CA. Responsible for assessment and evaluation of tre...
Westlake Village, CA
5 days ago
Full-Time | Pay: $137,280/year
HCS Healthcare is actively seeking a compassionate Director of UM / Utilization Management RN / Registered Nurse for a reputable organization in San Diego, California where you will be responsible for multiple medical facilities. The Director of UM / Util...
San Diego, CA
1 week ago
Full-Time | Pay: $130k/year
Are you searching for an opportunity to be a part of an experienced and respected healthcare organization where you can bring your knowledgeable skill set and help to form a dynamic team? If so, we have a great opportunity as a Registered Nurse / RN Utili...
2 weeks ago
Sterling Medical has an opening for a Registered Nurse Utilization Management (TEMP) located at McConnell AFB, in Wichita, KS. 6 to 8 week' Temp Coverage for our F/T nurse who will be on maternity leave, starting in mid February 2018....
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