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RN or Utilization or Review or Olympia jobs in United States

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Utilization Review RN Case Manager

Snoqualmie Valley Hospital  –  Snoqualmie, WA, 98065
... FTE 0.6 OBJECTIVE SUMMARY: The Case Manager RN assesses, plans and evaluates the care of a designated case load of patients to assure that clinical and financial outcomes are fully met. The Case Manager RN will perform review of referrals, chart ... - May 06

Utilization Review Team Manager

Johns Hopkins Medicine  –  Baltimore, MD
... of the Utilization Specialists in the department of Utilization/Clinical Resource Management. The Utilization Team Manager oversees Utilization Management functions, which includes: admission, concurrent and retrospective utilization review for ... - May 03

Utilization Management Review Nurse

AmeriHealth Caritas  –  Dover, DE, 19904
... An active OH or compact state Registered Nurse (RN) license in good standing is required. 3+ years of diverse clinical ... Strong understanding of utilization review processes, including medical necessity criteria, care coordination, and ... - Apr 30

Registered Nurse (RN) - Nights

Brentwood Meadows  –  Spurgeon, IN, 47584
... Experience in patient assessments, family motivations, treatment planning and communication with external review organizations or comparable entities. Full Time - May 04

Registered Nurse - Utilization Review

TotalMed  –  Woodfield, SC, 29219
Registered Nurse-Utilization Review Job ID #1822786 Share About this Role Reviews and evaluates medical or behavioral ... Required Qualifications Active, unrestricted RN licensure 4 years recent clinical in defined specialty area. Specialty areas ... - Apr 28

Registered Nurse - Utilization Review

TotalMed  –  Woodfield, SC, 29219
Registered Nurse-Utilization Review Job ID #1822841 Share About this Role Reviews and evaluates medical or behavioral ... Required Qualifications Active, unrestricted RN licensure 3+ years hospital and UM experience Strong computer skills Strong ... - Apr 28

Director of Utilization Review

R.L. Scott Associates, National Healthcare Search  –  Seattle, WA, 98127
The ideal candidate is a leader who has previous experience as a Director or Manager of a busy, for-profit, behavioral hospital Utilization Review team. Qualifications Masters degree in Social Work or Counseling Preferred 5+ years' experience in ... - May 06

Clinical Supervisor-Utilization Review

Kings View Corporation  –  Fresno, CA, 93711
48.05USD - 58.46USD per hour
Job Description Apply Here: Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor-Utilization Review to join our mission to provide compassionate ... - May 06

Interim Director, Care Management & Utilization Review

Trinity Health  –  Des Moines, IA
Employment Type:Full time Shift: Description: Are you an experienced Director of Care Management & Utilization Review looking for an interim assignment? Join Trinity Health 's FirstChoice Mobile Resource Pool as an Interim Leader. FirstChoice ... - Apr 30

Clinical Review Clinician - Appeals

Pyramid Consulting, Inc  –  Clinton Township, OH, 43224
... Key Requirements and Technology Experience: Skills-RN, Utilization management and Appeals, Experience with Utilization Review/Management--2 yrs. Reviews relevant information within denied authorization/prior authorization case to ensure a complete ... - May 06
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