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Utilization Manager Rn Job jobs

Viewing 1 - 10 of 794 jobs

  • RN Care Coordinator Utilization Review

    Baylor Health Care System - Dallas, TX

    Job Location: Dallas, TX The Utilization Review Nurse provides clinical review against standard criteria for the purpose ... inpatient case management / utilization review experience * Strong Interqual knowledge Req ID:186018_1 Job ID:...

    20 days ago from Baylor Health Care System

  • RN -Utilization Review/Utilization Management-Managed Care-Work From Home

    Nurse Resolutions - Long Beach, CA

    Job SummaryWorks with the Utilization Management team primarily responsible for inpatient medical necessity/utilization ... RN LicensureCase Management/Utilization Review experienceAbe GhebrehiwetSenior Account ExecutiveNurse Resolutions888.411...

    30+ days ago from CareerBuilder

  • LVN-RN - Care Review Clinician - Managed Care

    Nurse Resolutions - Long Beach, CA

    Job SummaryWorks with the Utilization Management team primarily responsible for inpatient medical necessity/utilization ... rn, registered nurse, work from home, remote, care review clinician, utilization review, utilization...

    30+ days ago from CareerBuilder

  • Case Manager (licensed RN)

    Blue Cross Blue Shield of Massachusetts - Boston, MA

    within a highly matrixed environment. The Case Manager demonstrates understanding of the department ... participating in educational opportunitiesMay include some Utilization Management functionsMay include coaching for...

    30+ days ago from CareerBuilder

  • RN Utilization Review / Care Coordinator

    TRC Staffing Services - Phoenix, AZ

    TOP managed care organization in town has an opening for Utilization Review Specialist RN.This is a fantastic ... professional healthcare experience prior experience in Utilization review, Quality Assurance or health insurance,...

    15 days ago from CareerBuilder

  • Quality Improvement Nurse Consultant (RN)

    Humana - Cleveland, OH

    measures/HEDIS knowledge and/or experience * Utilization management knowledge and/or experience * ... Reporting Relationships This role reports to the POD Manager. Additional Information Humana is an organization...

    12 hours ago from CareerBuilder

  • Onsite Nurse - RN

    Humana - Little Rock, AR

    resolves barriers and constraints. Role Essentials Active RN license Ability to be licensed in multiple states without ... Call center or triage experience Previous experience in utilization management, discharge planning and/or home...

    2 days ago from CareerBuilder

  • RN Clinical Reviewer

    Medrisk - Norristown, PA

    developmental tasks are required.10. Communicate with Manager, Team Lead and Director of Clinical Review Services ... performing clinical reviews for Workers' Compensation or Utilization Review is preferred. Must have working knowledge...

    21 days ago from CareerBuilder

  • RN Transition Coordinator - Medicaid/LTC- Daytona

    Humana - Daytona Beach, FL

    resolves barriers and constraints. Role Essentials Active RN license in the state of Florida 2 years of clinical ... Call center or triage experience Previous experience in utilization management, discharge planning and/or home...

    23 days ago from CareerBuilder

  • (RN) Health Coach

    Blue Cross Blue Shield of Massachusetts - Boston, MA

    with a goal of improving quality and cost May include some Utilization Management functions The principles and core technology of chronic condition management are applied to members across various product lines, benefits, demographics,...

    30+ days ago from CareerBuilder

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