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Manager or Utilization or Review or RN jobs in United States

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Utilization Manager

APLA Health  –  Los Angeles, CA, 90079
... and operations of utilization management are fully implemented for APLAHW. The Utilization Manager will be proactive in ... Ensures staff competency utilizing inter-rater reliability tools and evidence-based criteria for utilization review. Develop ... - Apr 10

Travel Utilization Review RN - per week

PRIDE Health  –  Tuba City, AZ, 86045
... Posted job title: RN:Case Manager,09:00:00-17:00:00 About PRIDE Health PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel ... - Apr 28

Utilization Review Nurse

Unavailable  –  Gilbert, AZ, 85233
... test for Utilization Review product(s) used Preferred: Bachelor's Degree in Nursing (BSN) or related healthcare field At least five (5) years of nursing experience Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification - Apr 29

Medical Director, Utilization Management - Concurrent Review

Blue Shield of California  –  El Dorado Hills, CA, 95762
... The Medical Director, Utilization Management will report to the Vice President, Medical Management. In this role you will deliver and collaborate on clinical review activities, which includes management of the physician processes in support of ... - May 05

Utilization Manager

Samaritan Daytop Village  –  Bronx, NY, 10461
... care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements. ... - May 01

Utilization Review Nurse - Remote - Contract

HireOps Staffing LLC  –  Dallas, TX, 75215
... RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of ... - Apr 29

Physician Review Administrative Assistant

Hines & Associates Inc  –  Rockford, IL, 61107
... Specific duties may include: Communicates with physician reviewers, case managers, utilization review nurses, providers and ... on reports to reviewers, enter reports into the system accurately for RN QA, prepares biographies, creation of invoices for ... - May 05

Utilization Review RN

Catholic Health Initiatives  –  Omaha, NE, 68197
... This position offers the flexibility to work remotely with proven Utilization Review experience. Medical Coding experience is a plus! As our Utilization Review RN, you will be responsible for conducting comprehensive reviews of medical records using ... - May 04

Category Manager - SOW Review and Negotiation

Planet Pharma  –  San Rafael, CA
We are seeking a skilled and proactive Category Manager to oversee the review and negotiation of Statements of Work (SOWs) ... Ensure compliance with the company's sourcing policies, including competitive bidding and preferred supplier utilization. ... - May 05

Registered Nurse (RN) - Manager, Nephrology

OU Health  –  Nichols Hills, OK, 73116
OU Health is seeking a Registered Nurse (RN) Manager, Nephrology 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 ... - May 05
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