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Utilization Review Nurse Jobs - Page 3

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Description: ***** $3000 SIGN ON BONUS******* There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a U...

1, Previous Experience Required a. Three to five years of clinical nursing experience of which at least two years were in direct patient care areas preferred. b. Utilization Review experience preferred. 2. Specialized or Technical Education Requirements a. Licensed Practical Nurse currently licensed to practice in the State of Louisiana. b. Knowledge of Prospective Payment System, DRG’s, and Peer...

We feature the latest hourly employment listings from across the web and showcase them here as a resource for job seekers. Some companies only advertise jobs locally and some job sites focus on gathering those local job listings so it's easy for job seekers to find jobs close to home. Our listings are carefully organized by city and state so that you can easily find employment close to where you l...

Job Summary Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Monitors information daily as appropriate including member metrics and staff product...

Job Summary Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Monitors information daily as appropriate including member metrics and staff product...

Current Arkansas Nursing Licensure Required Education: Licensed Practical Nurse Training and Experience: Displays a high level of clinical knowledge in nursing and home health specialty. Good working knowledge of home health standards of practice, rules and regulating governing home health agencies. Must be skilled in the use of the computer. Experience in Quality Assurance Monitoring beneficial....

Nurse Reviewer - LPN 5+ MONTH CONTRACT TO HIRE EMPLOYMENT LOCATION: El Dorado Hills, CA Every day, Kelly Services connects professionals with opportunities to advance their careers. We are currently recruiting for an exciting contract opportunity as a Nurse Reviewer with our large medical insurance client. This is a full time day shift position. No weekends No holidays! SUMMARY: Responsible fo...

Utilization Review Nurse - LPN Department: Case Management Schedule: Full Time Shift: Days Hours: M-F; varies Job Details: 1, Previous Experience Required a. Three to five years of clinical nursing experience of which at least two years were in direct patient care areas preferred. b. Utilization Review experience preferred. 2. Specialized or Technical Education Requirements a. Licensed Pract...

Work Location: United States-Nevada-Las Vegas-Sunrise Hospital and Medical Center Schedule: Part-time The RN Case Manager/Utilization Review Nurse is responsible for assessing descharge-planning needs for the patients to coordinate the delivery of healthcare services in conjunction with nursing, physicians, ancillary hospital departments, patients and families, and to identifiy and corrdinate po...

Requisition Number17230 Reg/TempRegular Employment TypeFull-Time ShiftRegular Work ScheduleM-F CityMurray StateUtah DepartmentUIP CST 01H UUHP CLINICAL OPRN- 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 collabo...

Description: At Optum, we share what might be seen as a surprisingly simple goal: making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can-do culture, we offer a place to improve ...

Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Responsible for establishing or enhancing utilization management programs with clients, initially Amil, from pre-service throug...

Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Responsible for establishing or enhancing utilization management programs with clients, initially Amil, from pre-service throug...

Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Responsible for establishing or enhancing utilization management programs with clients, initially Amil, from pre-service throug...

Description: Preservice Review Nurse! Telecommuting! Houston! Multiple Openings! Are you ready for your next challenge? Discover it here at UnitedHealthcare and help us reinvent the health system. This can be your opportunity to take on a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the w...

Summary: Responsible for the quality assurance of clinical reviews by reviewing cases completed by the physician consultants. May have to interact with clients, physician/allied health reviewers and all levels of company personnel. Responsibilities: · Ensure that turnaround times are met with a quality review. · Draw on a wide range of clinical expertise to edit/provide credible case narratives...

Full-time $2500.00 Sign n Bonus The Villages, FL Job # QRNHHtvFL039762 This Charter School requires employer eligibility in order for children to attend, this eligibility is offered to Brookdale Associates. The Villages Charter School eligibility for children Pre-K4 through Grade 12. This is “A” rated school, This school also provides aftercare programs to facilitate the full time worker. A ...

Full Time Seminole, FL Job # QRNHH2semFl150724 This position is for the Seminole office only. A career with Brookdale has never been more rewarding! Brookdale is the only national full-spectrum senior living solutions company and committed to providing the best options for our over 110,000 residents we serve. The services that we offer ensure residents continue to live the lives that they want...

Scientific Grant Reviewer - PhD Nurse - NIH - Bethesda, Maryland Kelly Government Solutions is a strategic supplier and business partner to the federal government and its key suppliers. Through our partnership with the National Institutes of Health, Kelly Government Solutions offers administrative, IT, engineering, scientific, and healthcare professionals the opportunity to work with one of the m...