Full-Time Nurse Utilization Review jobs

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CarolinaEast Health System , Christus Health , DOCS Management Services , HealthBPM , LifeBridge Health , Netsmart , Netsmart Technologies , TLC Nursing , UST - 3.7 , Zenex Partners ,

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UTILIZATION MANAGEMENT NURSE CONSULTANT

Our embedded customer-dedicated service and clinical pods allow maximization of inbound and outbound touchpoints to solve members needs and create behavior change. We are health care innovators.Fundamentals:Through the use of cli...

Company	Cvs Health
Address	Columbus, OH
Category	Accounting/Finance
Date Posted	a month ago See detail

Utilization Management Nurse Consultant

Cvs Health

Columbus, OH

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Utilization Management & Review Specialist

Med-Metrix

Parsippany, NJ

Serve as point of contact for client operational staff members impacted by UM/UR Processes. Track and monitor solutions implemented for clients and operational staff. Identifies system needs to support short and long term product...

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Nurse IV (Utilization Management)

Department Of Veterans Affairs

Vancouver, WA

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

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Texas Institute Utilization Management Nurse -Dallas

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

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Utilization Management Clinical Nurse Consultant

Cvs Health

Phoenix, AZ

3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...

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Utilization Management Nurse Consultant

Cvs Health

Phoenix, AZ

1+ year varied Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. 5+ years of variety clinical experience required including acute care, home health, or long term ca...

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Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN - Now Hiring

Denver Health

Denver, CO

$34.45 - $51.68 per hour

Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments.. (20%). Participates in care planning and discharge planning with the staff, providers an...

2 months ago seen See more...

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Onsite/Remote- Sr Utilization Management Nurse RN Onsite or Remote

Optum

Boston, MA

$90.6K - $115K a year

Audit entire medical record for accuracy of the coding on the MMQ to support payment to the nursing facility. Answer patient questions regarding care (medication, treatment) and benefits. Discuss Patient Care specifics with peers...

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Utilization Management Nurse Consultant

Cvs Health

Trenton, NJ

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

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Physician Review/Utilization Review Physician

Vivo Healthstaff

San Diego, CA

M.D. Degree. License to practice in California must be in progress prior to the start date. Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review...

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