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Jul 24 RN - Registered Nurse - Utilization Review Core Medical Group Honolulu, HI

a travel allied professional or a traveling nurse with CoreMedical Group, you are eligible for some of the best benefits in the industry, including: * Free Private Housing or a... more

Jul 23 Nurse Reviewer (BHJOB1435 15143) Astyra Independence, OH

Are you tired of being on your feet daily? Are you looking for a less physically demanding opportunity that leverages your clinical expertise? We have the position for you:... more

Jul 22 Medical Management Compliance Review Nurse Southern California Physicians Managed Care Services San Diego, CA

for a Medical Management Compliance Review Nurse to work Monday-Thursday in an organization that provides management and delegated services for physician groups. This position... more

Jul 22 Travel Nurse - Registered (RN) - NURSING: CASE MANAGEMENT / UTILIZATION REVIEW Parallon Workforce Solutions Bakersfield, CA

Travel RN Unit: Case Management 13 Week Travel Assignment Shift: Days and Nights Available Whether you're new to the travel game or a seasoned healthcare traveler, our experienced... more

Jul 22 Concurrent Review RN - Full-time Maxim Staffing Solutions Merced, CA

- Concurrent Review, the Concurrent Review Nurse: performs concurrent or post-service ... duties as assigned. The Concurrent Review Nurse performs preauthorization, concurrent... more

Jul 22 Registered Nurse - RN - Case Manager: Utilization Review Maxim Healthcare Milwaukee, WI

* Follow State/Country mandated guidelines for the nurse case management programs. * Participate in outreach activities to the entire target population, as directed. * Recommend... more

Jul 21 RN Utilization Review Openings! Maxim Healthcare Services Memphis, TN

Maxim Healthcare is currently seeking RN's with experience in utilization review or case management interested in a full-time opportunity with one of our facilities in the Memphis... more

Jul 21 Utilization Review RN opening in Memphis Maxim Healthcare Services Nashville, TN

Maxim Healthcare is currently seeking RN's with experience in utilization review or case management interested in a full-time opportunity with one of our facilities in the Memphis... more

Jul 21 RN Utilization Review Maxim Healthcare Services Mason, OH

We are currently searching for several Utilization Review/Management RNs to work full time for a Managed Care organization in Mason, OH. If you are interested in this position... more

Jul 20 Registered Nurse (RN) Utilization Review ATC Healthcare Services Philadelphia, PA

Leading Managed Care Insurance companyseeking several RNs for long tern contract opportunity. These positions will be working on a contract basis for several months.Candidates... more

Jul 20 Utilization Review Nurse-Managed Care Registered Nurse Uhs-pruitt Corporation / United Rehab Norcross, GA

Category : Commercial Care Mgmt Location/City : GA - Norcross Id : 9126 Pruitt Health is seeking experienced Case Managers, Utilization Review Nurses and Authorization Nurses to... more

Jul 19 RN Case Management/Utilization Review Coord-Colordo CompHealth Colorado

* Critical Access Facility * Growing, thriving area in Colorado * BSN * 457b w/ Match * Relocation * Fantastic Benefit PackageYou will not want to miss this amazing opportunity. more

Jul 18 RN Utilization Review Per Diem Siena campus St Rose Dominican - Siena Henderson, NV

Summary: The Utilization Review Nurse is responsible for coordinating healthcare ... of Case Management. The registered nurse employs critical thinking to integrate... more

Jul 18 CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT Tenet Healthcare Lakewood, CA

Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that policies and procedures are maintained while adhering to state... more

Jul 17 Nursing Project Coordinator, Peer Review 3 -6 Month Contract(245469) Kaiser Permanente Oakland, CA

of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations. • Must be able to work in a Labor/Management Partnership environment. Preferred... more

Jul 17 Nursing Project Coordinator Peer Review Short-Hour(259405) Kaiser Permanente Oakland, CA

of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations. • Must be able to work in a Labor/Management Partnership environment. Preferred... more

Jul 17 Nursing Project Coordinator Peer Review Short Hour(259410) Kaiser Permanente Oakland, CA

of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations. • Must be able to work in a Labor/Management Partnership environment. Preferred... more

Jul 17 Lead Claims Review Analyst (Nurse Reviewer) Ces Peoria, AZ

and has an active license as a Registered Nurse (RN). Must have no adverse actions pending or taken against him/her by any State or Federal licensing board or program; and must... more

Jul 17 Nursing Project Coordinator, Peer Review 3-6 Month Contract(245460) Kaiser Permanente Oakland, CA

of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations. • Must be able to work in a Labor/Management Partnership environment. Preferred... more

Jul 17 Nursing Project Coordinator Peer Review Short Hour(259402) Kaiser Permanente Oakland, CA

of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations. • Must be able to work in a Labor/Management Partnership environment. Preferred... more

Jul 08 Utilization Review Nurse RN Novant Health Salisbury, NC

The employee's number one job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the... more

Jun 27 Nurse Reviewer (BHJOB1435 15005) Astyra Tampa, FL

Are you tired of being on your feet daily? Are you looking for a less physically demanding opportunity that leverages your clinical expertise? We have the position for you:... more

Jun 17 RN Care Coordinator Utilization Review TDA Baylor Health Care System Dallas, TX

Location: Dallas, TX The Utilization Review Nurse provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type. more

Jun 10 RN Manager Utilization Review (232492-005) Concentra Fort Lauderdale, FL

Nurse • 3+ years’ experience in Utilization and Quality Improvement • HEDIS experience • Strong critical thinking skills, communication skills, and documentation skills •... more

Jun 05 Utilization Review Nurse Novant Health Charlotte, NC

The employee's number one job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the... more

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