1032
utilization review nurse jobs
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
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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Willow Springs Recovery —Bastrop, TX
Valid registered nursing license in the state of Texas. Ethics – Treat clients, staff, co-workers, visitors, contractors, and guests of Willow Springs Recovery…
$32 - $34 an hour
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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
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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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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Meritus Medical Center Inc —Hagerstown, MD
Licensure/Certification – Current license to practice as a Licensed Practical Nurse in the State of Maryland, or if resident of a state that participates in…
Estimated: $59.9K - $75.9K 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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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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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
2d
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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MUSC —Charleston, SC
Current Basic Life Support (BLS) or ACLS required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA…
Estimated: $69.9K - $88.5K a year
11d
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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1h
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
Avondale Estates of Elgin —Elgin, IL
Monitors clinical systems for changes in patient/resident condition. Utilization review: 1 year (Preferred). Proof of Covid-19 Vaccination or exemption.
Estimated: $64.1K - $81.1K 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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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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2d
The Pines Post Acute & Memory Care —Clintonville, WI
Experiencing with RAI process and MDS certification required. Provides teaching and training for MDS item completion to interdisciplinary team members.
$37 - $41 an hour
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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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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
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