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Jul 29 Inpatient Review Nurse-RN Glc Associates Mcallen, TX

Current licensure as a Registered Nurse (RN). At least five years clinical experience with at least four years in utilization review. Knowledge of ICD-9 and CPT coding guidelines... more

Jul 29 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 29 Utilization Review RN - $250 Sign on and a $250 Completion Bonus Maxim Healthcare Darby, PA

* 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 29 RN - Registered Nurse - Utilization Review Core Medical Group Lancaster, CA

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 28 Registered Nurse Medical Data Reviewer Client Staffing Solutions Syracuse, NY

INFORMATION: Registered Nurse Medical Data Reviewer (Multi-specialty practice). ... assurance.POSITION SUMMARY: The Registered Nurse Medical Data Reviewer will provide... more

Jul 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

Jul 26 Registered Nurse (RN) Utilization Review ATC Healthcare Services Philadelphia, PA

ATC Healthcare Services is currently recruiting Registered Nurses with a minimum of 2 years experience in Utilization Management for a long term contract opportunity in a managed... more

Jul 26 RN-Utilization Review Nychsro/medreview New York City, NY

Large and growing medical management services corporation now hiring RN for its Review Dept. Position is 9-5 Monday-Friday with great benefits including 5 weeks time off. Must... more

Jul 26 Medical Review-Nurse Korak Global Healthcare Services Columbus, OH

Large and growing insurance healthcare provider is now hiring two RN's for its Review Dept. Positions are 9-5 Monday-Friday. Will be performing Utilization and Outlier Reviews as... more

Jul 26 Case Management/Utilization Review RN Allied Health Group Washington, DC

Allied Health Group is currently seeking Case Management/Utilization Review RNs who are interested in quality of care for one of our associated inpatient care facilities. more

Jul 24 Utilization Review RN - $250 Sign on and a $250 Completion Bonus Maxim Staffing Solutions Philadelphia, PA

• 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 24 Utilization Review Nurse Trn Hanover, MD

We are one of the nation's leading health benefits companies and a Fortune Top 50 company. At our facility, we are working together to transform health care with trusted and... more

Jul 24 Utilization Review Registered Nurse Judge Group Syracuse, NY

seeking a Utilization Review Registered Nurse for an outstanding client of ours in ... organization Required Experience Registered Nurse, with current state applicable... 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 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 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 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 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 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 Lead Claims Review Analyst (Nurse Reviewer) Ces Omaha, NE

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 Utilization Review Registered Nurses-Managed Care Uhs-pruitt Corporation / United Rehab Norcross, GA

Category : Commercial Care Mgmt Location/City : GA - Norcross Id : 8893 Pruitt Health in Norcross, Georgia is seeking experienced Utilization Review Case Managers (RN) to join our... more

Jun 25 Case Manager or Concurrent Review Nurse Medical Professionals Sacramento, CA

rately with a variety of staff, including physicians, health plans, hospital/office staff, providers and members. Active CA Nursing license: Registered or Licensed Vocational... 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

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