Utilization Review Nurse Jobs - Page 3

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577 Utilization Review Nurse jobs found on Monster.

Jobs 41 to 60 of 577
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) Want to learn more before applying for this role? Click here to view the Realistic Job...
The Utilization Management Registered Nurse provides Referral Management (RM) activities include timely processing of Right of First Refusal (ROFR) requests, screening of specialty care referrals, sustaining up-to-date Specialty Clinic Booking Guidance, MTF Capabilities Report, ROFR Reports, maintaining up-to-date MTF/Managed Care Support Contract (MCSC) Memorandums of Understanding (MOUs), comply...
Description: WellMed provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Do you have compassion and a p...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
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) The UnitedHealth Care Community & State Utilization Management Nurse/ Discharge Planne...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
Description: Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is servi...
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) Utilization Management Nurse responsibilities include: * Perform utilization managemen...
Position Description: We are currently seeking a Utilization Nurse Reviewer for the Anaheim, CA area. Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services and Case Management in a cooperative effort with other parties which helps address the issues of access to quality healthcare services at an affordable cost. •...
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...
Working At Aetna - the Value To You What does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways. This position requires local travel to selected hospitals for the purpose of onsite concurrent review o...
Working At Aetna - the Value To You What does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways. This is a full time in-office position based out of Scottsdale, AZ. Candidates must have experience wit...
Position Summary: As a Utilization Review Nurse, you will perform utilization reviews for Workers' Compensation claims. Organizational Structure: This role reports to the CEO and UR supervisor, a network of medical experts supporting Sargent & Associates. Performance Objectives: - Perform Utilization Reviews on Workers' Compensation Claims based on review criteria and protocols in accordance to st...
The purpose of this position is to obtain authorization for precertification and concurrent review for all levels of care and to perform detox assessments and provide consultation for admissions. Telecommuting possible for this position. 29 Hours a week Obtains pre-certification and concurrent review for assigned case load. Provides timely documentation for all acrivities related to pre-certificat...
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 points to include emergency department, dir...
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly gr...
Job Title: Care Coordinator (Utilization Review RN) Position Summary: Are you an experienced Registered Nurse in the Clear Water 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...

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Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager
(311 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
40.9%
Master's
30.7%
Associates
22.8%
(215 Respondents)
Source: Monster.com Careerbenchmarking Tool

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