Showing 181-200 of 1,500
Showing 181-200 of 1,500
Utilization Review Specialist Rn jobs

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Wexford Health Sources-Punta Gorda, FL-Est. salary: $58,000 - $76,000 a year

For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy,...

STG International Inc-Idabel, OK-Est. salary: $60,000 - $84,000 a year

Family medicine specialist jobs, family practice jobs, family medicine jobs, family practitioner jobs. ‚ Provide medical care based on primary and preventative...

Correct Care Solutions, LLC-Corpus Christi, TX-Est. salary: $70,000 - $93,000 a year

Utilization review process for specialty consultant referralsAssumes responsibility and accountability for his/her individual judgments and actions.Reports any...

Travelers-Vernon, CA-Est. salary: $40,000 - $56,000 a year

Participate in Telephonic and/or onsite File Reviews. Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer...

Wexford Health Sources-Baltimore, MD-Est. salary: $72,000 - $95,000 a year

Coordinates the referral of inmates to specialists or hospitals as necessary. Family practitioner jobs, family nurse practitioner jobs, family medicine...

STG International Inc-Powell, WY-Est. salary: $62,000 - $86,000 a year

Participates in quality improvement, care management, risk management, peer review, utilization review, clinical outcomes, and health enhancement activates....

CoreMedical Group-Chicago, IL-Est. salary: $94,000 - $130,000 a year

Reporting to the Utilization Review Manager. Registered Nurse, RN. RN – Case Manager - Case Management – Registered Nurse - Nurse - Staff RN....

Shriners Hospitals For Children-Los Angeles, CA-Est. salary: $57,000 - $78,000 a year

CareManager, RN – Outpatient Clinic. Work collaboratively with interdisciplinary team consisting of Social Worker, Resource Navigator, Patient Access, HIM, CDI...

AltaMed-Commerce, CA-Est. salary: $76,000 - $110,000 a year

Oversees activities of utilization review as applicable to delegated entities. California LVN or RN with active, unrestricted license....

Sanford Health-Sioux Falls, SD-Est. salary: $43,000 - $57,000 a year

Will consider applicant with associates degree and significant background in case management, transplant services and/or other utilization review experience....

Intermountain Healthcare-Layton, UT-Est. salary: $26 - $36 an hour

The Corporate Clinical Appeals Consultant will execute clinical audits of medical records on behalf of Intermountain hospitals and clinics for denials review,...

Memorial University Medical Center-Savannah, GA-Est. salary: $45,000 - $57,000 a year

RN license in the state of Georgia and a minimum of 5 years Utilization Review experience.Minimum:. Associate's / Diploma RN ....

Memorial Health-Savannah, GA-Est. salary: $43,000 - $58,000 a year

RN license in the state of Georgia and a minimum of 5 years Utilization Review experience.Minimum:. Associate's / Diploma RN ....

Sanford Health-Fargo, ND-Est. salary: $49,000 - $65,000 a year

Performs utilization management activities in accordance with Utilization Management Plan to assure compliance with accreditation/regulatory requirements....

Memorial Health-Savannah, GA-Est. salary: $45,000 - $59,000 a year

RN license in the state of Georgia and a minimum of 5 years Utilization Review experience.Minimum:. Associate's / Diploma RN ....

Vanderbilt University Medical Center-Nashville, TN-Est. salary: $39,000 - $54,000 a year

Utilization Management Appeals Coordinator (RN Licensure). Review charts HIM coders question for status and correct discrepancies when needed....

Penn State Milton S. Hershey Medical Center-Hershey, PA-Est. salary: $48,000 - $71,000 a year

Responsible for the review of clinical documentation in the Electronic Medical Record (EMR), comparing it to the nationally accepted and evidence-based criteria...

L.A. Care Health Plan-Los Angeles, CA-Est. salary: $54,000 - $74,000 a year

5 years of clinical RN experience particularly in review of inpatient or sub-acute admissions. Works with the UM Manager and Physician Advisor on case reviews...

L.A. Care Health Plan-Palmdale, CA-Est. salary: $51,000 - $70,000 a year

5 years of clinical RN experience particularly in review of inpatient or sub-acute admissions. Works with the UM Manager and Physician Advisor on case reviews...

Catapult Consultants-Nashville, TN-Est. salary: $38,000 - $51,000 a year

2 years utilization/quality assurance review. 5 years clinical experience or equivalent experience in the medical review field....


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