Utilization management nurse jobs

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Case Manager Nurse (Utilization Review, Discharge Planner)

 ...WorkSquare is currently looking to hire  RN Case Managers (Utilization review, Discharge Planning)for  great opportunities  with a  large, teaching...  .../educating/implementing and evaluating patient care and nursing practice standards utilizing the nursing process, current... 


Miami, FL
a month ago

Utilization Management Nurse - PT/Day

 ...Description YOU ARE REQUIRED TO UPLOAD A RESUME, LICENSURE/CERTIFICATION WITH YOUR APPLICATION! Utilization Management Nurse AdventHealth Maitland Top Reasons to work at AdventHealth Maitland The Maitland Office Plaza houses our highly skilled... 

AdventHealth Orlando

Maitland, FL
8 days ago

Registered Nurse Utilization Management FT Days

 ...Description Utilization Management Clinical Supervisor -AdventHealth Trickel Building Location Address: 900 Winderley Pl, Maitland,...  ...Will You Need: EDUCATION AND EXPERIENCE REQUIRED : Nursing education Acute clinical experience of at least five (5)... 

AdventHealth Orlando

Maitland, FL
10 days ago

RN Utilization Management Clinical Auditor - Registered Nurse

 ...We have an exciting opportunity for an RN Utilization Management Clinical Auditor - Registered Nurse, at our prestigious managed care company client.   The RN Utilization Management (UM) Clinical Auditor is responsible for oversight and monitoring of the medical... 

Response Companies

New York, NY
20 hours ago

Flight Nurse/Flight Paramedic

Flight Nurse/Flight Paramedic LifeFlight of Maine Location: Bangor, Lewiston, Sanford, ME, Maine Posted: June 2, 2021 LifeFlight of Maine is hiring!! We are looking for Paramedics and Nurses to fill positions in our critical care transport program at... 

LifeFlight of Maine

Lewiston, ME
14 days ago

Science Writer

Science Buzz is a pre-launch blog that's focused on making research in the physical sciences accessible to a general audience. We're looking for contributors with subject matter expertise in Earth Science, Biology, Physics, Astronomy, and Chemistry (and their sub-disciplines...
Remote job


15 days ago

Utilization Management Nurse RN

 ...accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An...  ...County taxpayers.Job ProfileThe UM RN will perform utilization review of Community members requiring authorization for health... 

Harris Health System

Houston, TX
11 days ago

Utilization Management Nurse - RN

 ...InterQual and/or CMS guidelines. Responsibilities include managing the workflow with the standard UM sources for potential inpatient...  ...concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial management as needed... 

Rochester Regional Health Systems

Rochester, NY
5 days ago

Utilization Management Nurse Consultant (RN)

 ...occasional late shift required, working occasional Saturdays and rotating holidays.Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.* Utilizes... 

Aetna Inc.

Bethlehem, PA
6 days ago

Utilization Management Inpatient Nurse

 ...comprehensive healthcare services to the Florida Department of Corrections .   We are currently seeking a full-time Utilization Management Inpatient Nurse to join our Tallahassee Regional Office Team as a remote employee.   This position is a work-from-home... 

MHM Services, Inc.

Tallahassee, FL
6 days ago

Case Manager/ Utilization Review Registered Nurse

MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager/ Utilization Review Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.Requirements:Eighteen months of recent experience in... 

MedPro Healthcare Staffing

Milford, MA
9 days ago

RN Nurse Utilization Management, Inpatient Review

 ...required. HOURS: Monday through Friday, 8:00 am - 5:00 pm. The Nurse Medical Management is responsible to collaborate with healthcare providers...  ....Requires knowledge of the medical management process.Utilization Review knowledge/experience is preferred.Prior Medicaid and... 

Anthem Inc.

Raleigh, NC
9 days ago

RN Manager l Registered Nurse l Utilization Management Team

 ...transform healthcare? Bring your true colors to blue.The Utilization Review RN Manager oversees a Utilization Management team, including the effectiveness...  ...direct clinical experience working in either skilled nursing facilities, inpatient, sub-acute/rehab, LTAC, homecare,... 

Blue Cross and Blue Shield of Massachusetts, Inc.

Quincy, MA
10 days ago

Registered Nurse - Utilization Review Case Manager

 ...fifth consecutive Magnet designation for nursing excellence. From working with a team of...  ...the UR process as defined in the Utilization Review Plan in accordance with the CMS...  ...resource outcomes, and appropriate financial management for the patient and the organization \... 


Los Angeles, CA
5 days ago

Remote Utilization Management (UM) Nurse-Care Management

Employment Type:Full timeShift:Day ShiftDescription:We are currently seeking a Full Time Remote Utilization Management (UM) Nurse to join our team. The UM nurse will perform initial and concurrent Medicare and daily commercial reviews admission to the acute care... 

Trinity Health Corporation

Silver Spring, MD
8 days ago