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Utilization or Review or RN or Freeport jobs in United States

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RN, Utilization Management II

Gold Coast Health Plan  –  Camarillo, CA, 93010
92531USD - 154219USD per year
... POSITION SUMMARY Under the direction of the department manager, the RN, Utilization Management II will review requests for medical services against National Clinical Guidelines. The RN, Utilization Management II is responsible for assuring the ... - Jun 29

RN - Quality Assurance/Utilization Review - Business Development

Emanate Health  –  Covina, CA, 91722
... **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying ... **Minimum License Requirement :** California RN license. Delivering world-class health care one patient at a time. Pay Range ... - Jun 26

Travel RN Case Manager Utilization Review - per week

Summit Medical Staffing Nursing  –  Greenbrae, CA, 94904
... Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $110 - (8751-62500) - TO About Summit Medical Staffing Nursing Summit Medical Staffing was founded in 2014 and is based in Fremont, ... - Jun 27

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare  –  Rio Rancho, NM, 87144
... **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN) license in good standing ... **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all ... - Jun 29

Utilization Review Assistant

Acadia Healthcare  –  Conway, AR, 72035
... review, concurrent reviews and discharge planning. Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review. Keep leadership advised of status of current patients, in regard to utilization ... - Jun 09

Utilization Review Manager

Ryansg  –  Hartland, WI
... Job Responsibilities: • Performs all utilization review functions within the scope of licensure. • Conducts comprehensive ... • Prescribed: Active unrestricted Registered Nurse (RN), Licensed Practical Nurse (LPN), Physical Therapist (PT) ... - Jun 03

Travel RN Care Manager - Utilization Review

GQR Healthcare  –  Kealakekua, HI, 96750
GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Kealakekua, Hawaii.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: 13 weeks36 hours per weekShift: 12 hours, ... - Jun 29

MARKET APPEALS SPECIALIST - Utilization Review

Universal Health Services  –  Atlanta, GA, 30301
... * Attending facility Utilization Management meetings as needed. * Supporting ongoing partnerships with facilities to optimize payment reimbursement through appeals. Qualifications Qualifications: * RN or master's level clinician preferred. * 3-5 ... - Jun 16

RN Utilization Management Nurse - Inpatient - WCMC Utilization

John Muir Health  –  Walnut Creek, CA
The role of the inpatient utilization review (UR) registered nurse (RN) is to provide patient advocacy through appropriate utilization of resources. The UR RN manages inpatient cases at John Muir Concord and/or Walnut Creek Medical Centers to assure ... - Jun 24

Utilization Review Specialist

Acadia Healthcare Inc.  –  Indio, CA, 92201
... * Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal ... Previous experience in utilization management is preferred * Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I Job Type: ... - Jun 16
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