1039
utilization review nurse jobs
First Call Home Health —Salem, OR
Current & valid license to practice in Oregon. Current & valid OR Driver's license. Minimum 1-2 years' recent home health field experience preferred.
$39 - $41 an hour
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Life Care Center of Lewiston —Lewiston, ID
Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Expert knowledge in field of practice.
$38 - $40 an hour
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Sierra View Medical Center —Porterville, CA
Ability to write routine reports and correspondence if required. Under the direction of the Administrative Director of Revenue Cycle, the Senior Utilization…
$48.80 - $68.31 an hour
Pomeroy Living, Sterling Heights —Sterling Heights, MI
Discusses resident care needs with care givers, including physician, nursing, social services, dietary, and activity staff.
$80,000 - $85,000 a year
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Lincoln Recovery —Raymond, IL
Valid registered nursing license in the state of Illinois. Ethics – Treat clients, staff, co-workers, visitors, contractors, and guests of Lincoln Recovery with…
$85,000 - $100,000 a year
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4d
Kidney Associates, Inc. —Marion, OH
Valid Nurse Practitioner license in [Ohio]. Develop and implement treatment plans, including medication management. Diagnose and treat chronic illnesses.
$90,000 - $150,000 a year
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Nexus Enterprise —San Antonio, TX
A current license, without restrictions (RN or LVN). Collect data and analyze information to make decisions regarding certification or denial of treatment.
Estimated: $61.8K - $78.3K a year
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Windham Group —Manchester, NH
Current license as a Registered Nurse in the state of New Hampshire. Perform state mandated utilization review (review of medical care) and makes decisions…
Estimated: $62.9K - $79.6K a year
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WeCare —Waite Park, MN
Identifies documentation deficiencies, admission & Intake screening issues, appropriate service enrollment issues contributing to payment denials.
$46,000 - $50,000 a year
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CVS Health —Carson City, NV
Must have active, current, and unrestricted RN licensure in state of residence. Work requires sitting for extended periods, talking on the telephone and typing…
$29.10 - $62.31 an hour
3d
Hamaspik Choice —Spring Valley, NY
Valid New York State, unrestricted, RN license. The UM Nurse manages providers, members, or care manager generated requests for medical services and renders…
$39 - $40 an hour
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Ochsner Health —Lafayette, LA
Required - Current Registered Nurse (RN) license in state of practice. Registered Nurse (RN) license (Preferred). Master's degree in social work (MSW).
Estimated: $92K - $116K a year
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13d
Hopscotch Primary Care —Shelby, NC
A valid, active Registered Nurse (RN) license in State of employment. A Bachelor of Science Degree in Nursing (BSN) or an RN with a bachelor's degree in a…
Estimated: $68.9K - $87.3K a year
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Blue Cross Blue Shield of Louisiana —Monroe, LA
In lieu of degree, RN license is required or. In lieu of degree, LPN license to practice in Louisiana as well as 2 years of related experience is required or.
Estimated: $48.9K - $61.9K a year
4d
Serra Community Medical Clinic, Inc. —Sun Valley, CA
Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps.
$28 - $36 an hour
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Brighton Health Plan Solutions, LLC —Remote
Current licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) with state licensure. Develop and review member centered documentation and…
Estimated: $75K - $95K a year
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3d
Emerald Coast Behavioral Hospital —Panama City, FL
Active Florida State license as appropriate. Graduate of an accredited RN Program or Master’s Degree in Social Work, Psychology, Counseling, or other Human…
From $65,000 a year
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4d
Northwestern Memorial Healthcare —McHenry, IL
Participates in the development, implementation, evaluation and revision of quality utilization tools in collaboration with the healthcare team.
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3d
Torticity —Remote
The ideal candidate will excel at maintaining high quality standards by inspecting the accuracy of data and medical records, while ensuring that review agents…
Estimated: $62K - $78.5K a year
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5h
AlohaCare —Honolulu, HI
Perform concurrent clinical review via phone and by review of clinical documentation, to determine the appropriate length of a patient’s inpatient stay in…
$70,000 - $85,000 a year
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