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Manager or Utilization or Review or RN jobs in United States

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Distance: Job alert Jobs 391 - 400 of 1401477

Registered Nurse (RN) - Manager, Cardiology

OU Health  –  Nichols Hills, OK, 73116
OU Health is seeking a Registered Nurse (RN) Manager, Cardiology for a nursing job in Oklahoma City, Oklahoma. Job ... Becker's Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU ... - Apr 15

Utilization Review Nurse LTSS (Contract-to-Perm) - REMOTE

Morgan Stephens  –  Richmond, VA, 23222
Utilization Review Nurse – LTSS (Contract-to-Perm) Location: Remote however Candidates must reside in one of the following ... compliance at all times Requirements Active, unrestricted RN license in Virginia or Compact State (required) Completion ... - Apr 11

Utilization Review Tech II - Social Work Services

Prime Healthcare  –  Passaic, NJ, 07055
... Know Your Rights: Responsibilities The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone ... - Apr 17

Documentation Review Nurse

One Home Health LLC  –  Downers Grove, IL, 60515
... • Minimum of 2 years recent Home Health ICD.10 coding and OASIS review experience • Graduate of an approved educational program for nursing • Active RN license in IL • Background in a management, operations, or quality assurance performance ... - May 05

Director, Utilization Management

Alameda Health System  –  Oakland, CA
... Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. Monitor and evaluate the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of ... - Apr 28

Travel RN Care Manager - Utilization Review - per week

Access Healthcare  –  Louisville, KY, 40201
Access Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Louisville, Kentucky. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 05/27/2025 Duration: 13 weeks ... - May 05

RN Utilization Specialist-Utilization Review Part Time Days

Northwestern Memorial Healthcare  –  Palos Heights, IL, 60463
... Responsibilities: RN Utilization Review: Applies medical necessity screening criteria, level of care guidelines, and professional nursing knowledge to ensure that admissions & length of stay are appropriate Completes initial admission and thereafter ... - May 03

RN Utilization Review

Healthier Mississippi People (HMP)  –  Jackson, MS, 39216
... review medical necessity criteria. Reports quality of care issues identified during the um process to the appropriate manager ... Must be licensed as RN and have at least one (1) year acute care experience. Utilization management or previous ... - May 05

Utilization Review Clinician - Behavioral Health

Centene Corporation  –  Manhattan, NY, 10261
... Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... - Apr 29

Senior KYC Review Officer

HSBC  –  Buffalo, NY
... applicable internal policies and procedures and external regulation Escalate more complex or significant issues to manager to ensure their timely resolution. Participate in special KYC Services review, projects, and training efforts, as required. ... - May 04
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