Utilization Review Nurse Jobs

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658 Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 658
*CURRENTLY INTERVIEWING!!* A-Line Staffing Solutions is seeking experienced RN/ Registered Nurse / Utilization Review professional to work a full-time position in the Southfield area! RN / Registered Nurse / Utilization Review : Responsible for the approval or rejection of claims, admissions approvals, discharge planning, telephone triage, and/or benefit interpretation of medical procedures, in-pa...
A-Line Staffing has a new permanent job open for RN / Registered Nurse / Utilization Review / Coding / Chart Review / Legal Nurse / clinical documentation specialist / Interqual Hours: Regular business hours 100% in office job RN / Registered Nurse will be the primary resource for the team of Medical Coders. RN / Registered Nurse will be reviewing charts for accuracy to provide proper billing for...
A-Line Staffing has a new permanent job open for RN / Registered Nurse / Utilization Review / Coding / Chart Review / Legal Nurse / clinical documentation specialist / Interqual Hours: Regular business hours 100% in office job RN / Registered Nurse will be the primary resource for the team of Medical Coders. RN / Registered Nurse will be reviewing charts for accuracy to provide proper billing for...
Seeking a Utilization Review / Management and Case Management Nurse for a health care organization in the South and Southwest areas of Chicago. Full Time, Competitive Pay, Full Benefits offered with a 401K package. Hourly range between $32.00 - $35.00 based on experience. DUTIES AND RESPONSIBILITIES Pre-Authorization, onsite review, discharge planning and retrospective review of inpatients Coordin...
Health Plans Inc., a Harvard Pilgrim Health Care Company, is the region's largest Third Party Administrator. Health Plans provides a comprehensive range of claims and care management strategies to ensure that our clients’ goal of high quality, cost effective health care for their employees is met and exceeded. We specialize in providing claims processing and care management services to clients tha...
Our expanding managed care company is seeking an experienced Registered Nurse for a position in prior authorizations for our Doral office. This position is specific telephonic pre certs. This is a M-F daytime (no holidays/no weekends) in-office permanent position and an excellent opportunity to begin a career with one of the state's leading managed care companies. Salary dependent upon experience...
Company Confidential Lynchburg, VA, 24501
Utilization Review Nurse - RN Piedmont Community Health Plan is a prominent local managed care organization with offices in Lynchburg, Virginia that serves the Central Virginia employer community. PCHP is currently seeking an RN for a full time utilization review position. This position is responsible for reviewing requests for prior authorization of medical services. This position is also respons...
Position Summary: Are you an experienced Registered Nurse (RN) in the Greater Clearwater, FL area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex...
Tracking Code 1161 Job Description Responsible for coordinating and conducting medical necessity reviews for all Medicare, Medicaid, self pay and all other payers, upon admission and concurrently throughout the inpatient admission. Responsible for the accurate and timely entry of information related to coordination of reviews into AS400, MIDAS, and all other appropriate systems. This position is a...
Tracking Code 1160 Job Description Responsible for coordinating and conducting medical necessity reviews for all Medicare, Medicaid, self pay and all other payers, upon admission and concurrently throughout the inpatient admission. Responsible for the accurate and timely entry of information related to coordination of reviews into AS400, MIDAS, and all other appropriate systems. This position is a...
The Utilization Review RN is responsible for prospective, retrospective and concurrent Utilization Review activities. He/She is a member of the Multidisciplinary Team, and monitors the documentation for accuracy and clinical compliance. He/She is also responsible for organizing, directing and coordinating Utilization Review activities within the facility in accordance with standards of State and F...
Are you ready for an exciting opportunity to enhance your career skill set? Do you want to be a part of a fast growing Managed Care organization? If so, check out this opportunity as a Utilization Review Registered Nurse (RN). This position requires an individual who can review admissions through on site and telephonic reviews to guarantee the appropriate level of care is being provided. As a Util...
Wouldn’t it be nice to work for a company where the mission makes sense, the salaries are competitive, the company listens to the needs of the employees and the office is professional yet the dress is casual? Access Management Services is a health care services and support company serving Colorado Access and its subsidiaries. Colorado Access is a nonprofit health plan supporting the medical, behav...
Responsibilities Utilization Management Nurse will manage medically complicated cases through onsite and / or telephonic chart review, consult with physicians and other facility caregivers, assess the condition, diagnosis and treatment plan for members. UM Nurse reviews clinical information utilizing evidenced based clinical guidelines and CHC policies and procedures. Identifies and coordinates di...
Are you a natural born leader among your Registered Nurse (RN) peers? Then look at this inspiring position as the Manager of Utilization Review (UR) in a managed care setting with a Fortune 500 Company. You will be able to allocate your experiences with InterQual (IQ), Utilization Review (UR), and management to lead teams through their day-to-day Utilization Management (UM) tasks. As the Registere...
Utilization Review Nurse (83297) I have a permanent job for Utilization Review Nurse (83297) in - Maryland - Hanover Pl see details below if interested do send me your resume asap with Contact number, Availability Current location, Immigration status, Expected Salary. Thanks Debdas Patnaik Staffing Tree 248 795 0378 ***** Benefits - Full Relocation Assistance Available - No Comm...
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 travel specialists are there for you, to listen to your needs and guide you through the process of landing your dream job. Your new Parallon position offers benefits like: - Highest pay rates in the industry for travel R...
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 travel specialists are there for you, to listen to your needs and guide you through the process of landing your dream job. Your new Parallon position offers benefits like: - Highest pay rates in the industry for travel R...
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 travel specialists are there for you, to listen to your needs and guide you through the process of landing your dream job. Your new Parallon position offers benefits like: - Highest pay rates in the industry for travel R...
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 travel specialists are there for you, to listen to your needs and guide you through the process of landing your dream job. Your new Parallon position offers benefits like: - Highest pay rates in the industry for travel R...
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Nurse Manager

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