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554 Utilization Review Nurse jobs found on Monster.

Jobs 41 to 60 of 554
CyberCoders Matching Great People with Great Companies Learn more about CyberCoders Utilization Management RN LVN La Habra, CA; Fullerton, CA Full-Time $70,000 - $95,000 Posted 4/24/2014 Frank Molina is recruiting for this position. Email your resume to Frank Apply Job Details RN LVN Oncology Utilization Management Nurse UM RN LVN M-F Dayshift Great opportunity for a truly gifted Registered Nurse...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) Get better informed to determine your fit into this position. Click here to view the R...
DIRECT HIRE OPPORTUNITY for stellar Staff Registered Nurse Quality Control Nurse in the Fort Worth/ Haltom City area working with a large Managed Care Company. This role combines the best of both worlds combining both Clinical Nursing and Case Management to offer variety in this position. In this role as a Quality Control Nurse, you will engage in case review and audits working directly with membe...
Remote - Work From Home
Mitchell International, Inc. is a leading provider of information and workflow solutions to the Property & Casualty Claims and Automotive Collision Repair industries. Founded in 1946, Mitchell has delivered advanced information and technology solutions to over 100,000 customers throughout North America, helping them to improve their business process performance. The company's comprehensive solutio...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) This Utilization Management Nurse, RN, often referred to as an Inpatient Care Manager,...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) This ICM role consists of reviewing clinical for appropriateness based on MCG, develop...
EXCELLENT OPPORTUNITY for stellar Case Managers West of Chicago working with a well-established organization. This role is telephonic and would be reviewing medical necessity and appropriate level of care. In this role as a Case Manager, you will also perform utilization management technical activities as assigned within the productivity standards set for performance. Keys to success in this Case...
The San Francisco Health Plan (SFHP) is a progressive public health plan providing affordable coverage to low income families residing in San Francisco. We are also the third party administrator for the innovative universal healthcare project, Healthy San Francisco. SFHP was designed for and by the residents it serves – many of whom would not otherwise be able to obtain healthcare. SFHP is dedicat...
The San Francisco Health Plan (SFHP) is a progressive public health plan providing affordable coverage to low income families residing in San Francisco. We are also the third party administrator for the innovative universal healthcare project, Healthy San Francisco. SFHP was designed for and by the residents it serves – many of whom would not otherwise be able to obtain healthcare. SFHP is dedicat...
Remote - Work From Home
Mitchell International, Inc. is a leading provider of information and workflow solutions to the Property & Casualty Claims and Automotive Collision Repair industries. Founded in 1946, Mitchell has delivered advanced information and technology solutions to over 100,000 customers throughout North America, helping them to improve their business process performance. The company's comprehensive solutio...
The function of the Nurse Case Manager is to coordinate care, educate members and providers, and provide interventions within the scope of case management practice that have direct influence on clinical and financial outcomes. Responsibilities includes identification of high-risk patients, assessment of healthcare needs, collaboration and coordination with health care providers, quality management...
Utilization Review RN - Managed Care San Francisco, CA Job Summary: The Utilization Management Nurse is responsible for utilization management, utilization review, or concurrent review (telephonic inpatient care management). The UM Nurse will performs reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical gu...
CONTRACT Concurrent Review / Utilization Management RN – Managed Care South Seattle, WA * This is a Full Time, Benefits Available, CONTRACT position expected to last around 1-2 months! * Job Summary: As a Concurrent Review/UM Nurse you will utilize your clinical skills to review and monitor members’ utilization of health care services with the goal of maintaining high quality cost-effective care f...
CALLING ALL UTILIZATION REVIEW CASE MANAGERS! Are you interested in working for a Hospital recognized by employees as one of the leading non-profit organizations in Detroit? Do you want to put your skills to use in a dynamic healthcare environment? This fast paced, professional, progressive acute and emergency Hospital is continuing to elevate above Michigan facilities in various fields of acute a...
Concurrent Review / Utilization Management RN – Managed Care South Seattle, WA Job Summary: As a Concurrent Review/UM Nurse you will utilize your clinical skills to review and monitor members’ utilization of health care services with the goal of maintaining high quality cost-effective care for health plan members that are hospitalized in acute, skilled and long term care settings. You will telepho...
Job Location Name Children's Hospital of MI Job Description Utilization Review Specialist-4NG54 Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at...
Job Location Name Sinai-Grace Hospital Job Description Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at all points of entry. Access location poin...
Montevista Behavioral Health Hospital is a 90-bed, privately owned psychiatric hospital providing a full continuum of care for all ages. The hospital was established in 1985 and has been essential in providing behavioral health services to the residents of Southern Nevada for the past 25 years. The medical staff is composed of psychiatrists, addictionologists, family practitioners, internists, ane...
Job Location Name Orchestra Place - Det Med Ctr Job Description Utilization Review Specialist-4NG54 Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community)...
Job Location Name Orchestra Place - Det Med Ctr Job Description Utilization Review Specialist-4NG54 Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community)...
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Answers for Utilization Review Nurse Jobs

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Is anyone here a Nurse? Can you explain to me what your job is like, and whether you think it may su...
I like the idea of helping sick people, that seems like it would be very rewarding. I also like the idea of being on £20,000 per year! I have seen pictures on the internet of people with severed ar...
What are the job responsibility differences between hospital discharge planners and nursing case man...
I am a BSN looking to get back into the nursing field but would prefer not to provide direct bedside nursing care. I have been looking into Case Management positions but notice that some job descripti...

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