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165 Utilization Review Nurse jobs found on Monster.

Jobs 41 to 60 of 165
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
Description People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and ...
North Shore - Long Island Jewish Health System Manhasset, NY
As a Utilization Review Nurse you will review and coordinate prospective, concurrent and retrospective activities related to utilization. Monitor documentations for accuracy and clinical compliance. Organize and coordinate activities within the organization in accordance with standards of State and Federal regulations; and in accordance with accreditation and other guidelines. RESPONSIBILITIES •...
Kelly Services Scottsdale, AZ
Utilization Review Nurse in Scottsdale, AZ Kelly Healthcare Resources Work with the best in the industry. Every day, Kelly Healthcare Resources (KHR) specializes in providing highly skilled nursing and allied health professionals within hospitals and other health care facilities, as well as positions in sectors such as insurance, pharmaceutical, health management and education. We currently ha...
Vail Valley Medical Center Breckenridge, CO, 80424
Must have one year recent experience in acute care hospital Utilization Review, Discharge Planning or equivalent. Maximizes reimbursement for both patient and hospital through cooperation with third party payers and physicians. Follows up on denials based on resource utilization issues. Provides a smooth transition for the patient from hospital to home or alternative care setting through coordinat...
LifeBridge Health, Inc. Baltimore, MD, 21203
Opportunity to telecommute/work from home; full-time and part-time positions available. Utilization Review experience is required. Conducts chart review for clinical, financial and resource utilization information. Provides intervention and coordination for the plan of care to promote efficient use of resources, decrease denial of payment, and decrease length of stay. Requirements: Formal working ...
Kelly Healthcare Resources Chicago, IL
Print Apply now Send to a friend Report a problem Tweet Facebook LinkedIn Kelly Healthcare Resources has an urgent need for a contract RN / Case Manager / Utilization Review Nurse to come and join our client located in Chicago, IL! As the RN / Case Manager / Utilization Review Nurse with a global health insurance service company, you’ll be responsible for preforming prospective, concurrent ...
RN Nurse Reviewer (Hedis/Qarr) Position Summary: Are you an experienced Registered Nurse in the Greater Hawaii area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your Nursing 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-tim...
Lifepoint Hospitals, Inc TennessLivingston, TN
Case Manager/Utilization Review Nurse - 145484 Livingston Regional Hospital Description The Case Manager portion of the role performs a major role in the monitoring and evaluation of patient care practices. This person assists in meeting the psychosocial needs of patients and provisions of discharge planning services to patients and their families with personal or environmental difficulties whi...
--GENERAL SUMMARY: This is a flexible position with bonus potential that provides case management in order to promote efficient coordination of client care through collaborative practice within the healthcare systems and multiple environments. ESSENTIAL JOB FUNCTIONS: • Assess, plan, implement, coordinate, participate, monitor and evaluate treatment plan by physician/healthcare team/providers. T...
--GENERAL SUMMARY: This is a flexible position with bonus potential that provides case management in order to promote efficient coordination of client care through collaborative practice within the healthcare systems and multiple environments. ESSENTIAL JOB FUNCTIONS: • Assess, plan, implement, coordinate, participate, monitor and evaluate treatment plan by physician/healthcare team/providers. T...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
Do you have the desire to expand your clinical knowledge and enhance your Nursing career? Consider this opportunity as a Utilization Review Nurse (RN) Registered Nurse. In this dynamic and challenging position you will be ensuring patients receive the most innovative care and treatment available. Utilization Review Nurse’s team with Doctor’s and Senior medical staff to shape treatment plans and ef...
Rapid Advancement Opportunities with an industry leading medical consulting firm. Here is an opportunity to join a positive team who offers opportunity and support for career growth. The role of a Utilization Review Nurse, RN or LVN is the key component that helps to keep this well-oiled machine running smoothly and efficiently. Responsibilities include reviewing and analyzing medical records. The...
Ready for an exciting opportunity to enhance your career and 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 Nurse (RN)! This position requires an individual who can provide proper standards of care for admitted patients. Other responsibilities include reviewing admissions though both on-site and telephonic ...
Are you interested in working with a national company that has set the standard for independent reviews by earning a reputation for delivering reliable excellence in the shortest amount of time? The Utilization Review Nurse will review and analyze medical records for review while maintaining a caseload of 25 – 30 cases a day. As a Utilization Review Nurse, you will be in an elite group of nurses t...
Kelly Services Chicago, IL
Job Description RN / CASE MANAGER / UTILIZATION REVIEW NURSE Kelly Healthcare Resources has an urgent need for a contract RN / CASE MANAGER / UTILIZATION REVIEW NURSE to come and join our client located in Chicago, IL! As the RN / Case Manager / Utilization Review Nurse with a global health insurance service company, you’ll be responsible for preforming prospective, concurrent and retrospective ...
University of Utah Healthcare Appleton, WI
Job Description: Overview: As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboratio...
Description People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and ...

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