19 Utilization Management Nurse Jobs in United States
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Utilization Management Nurse Reviewer

Job DescriptionPosition : Utilization Management Nurse Reviewer /  Nurse ReviewerLocation : Tampa - FLDuration: 12 months / One yearHours:   8:00am to ...

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Diverse Lynx
Tampa United States
Diverse Lynx
Tampa, FL, United States
Job DescriptionPosition : Utilization Management Nurse Reviewer /  Nurse ReviewerLocation : Tampa - FLDuration: 12 months / One yearHours:   8:00am to ...

Utilization Management Nurse Reviewer

Job DescriptionPosition: Nurse AdminLocation: Tampa - FLDuration: Long Term Job Description: • Performs utilization management reviews in accordance with federal and state regulations• Maintains ...

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Diverse Lynx
Tampa United States
Diverse Lynx
Tampa, FL, United States
Job DescriptionPosition: Nurse AdminLocation: Tampa - FLDuration: Long Term Job Description: • Performs utilization management reviews in accordance with federal and state regulations• Maintains ...

Utilization Management Nurse

Job Description  Net2Source is a Global Workforce Solutions Company headquartered at NJ, USA with its branch offices in Asia Pacific Region.  We are one of the fastest growing IT Consulting company ...

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Net2Source
Tampa United States
Utilization Management Nurse New Add to Favorites
Net2Source
Tampa, FL, United States
Job Description  Net2Source is a Global Workforce Solutions Company headquartered at NJ, USA with its branch offices in Asia Pacific Region.  We are one of the fastest growing IT Consulting company ...
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Utilization Management Nurse Reviewer

Job DescriptionPosition Summary:The Utilization Management Nurse Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making.The Utilization ...

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UFC Technology
Tampa United States
UFC Technology
Tampa, FL, United States
Job DescriptionPosition Summary:The Utilization Management Nurse Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making.The Utilization ...

Utilization Management Nurse

Job Description A Utilization Management Registered Nurse is needed in Greensboro, NC for a Schedule: December Start, 8hr Days M-F, On call once every 10-12 weeks, 13 week contract.Details:Supports the ...

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PRIDE Healthcare
Greensboro United States
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PRIDE Healthcare
Greensboro, NC, United States
Job Description A Utilization Management Registered Nurse is needed in Greensboro, NC for a Schedule: December Start, 8hr Days M-F, On call once every 10-12 weeks, 13 week contract.Details:Supports the ...

Utilization Management Nurse

Facility Profile Tampa General Hospital (TGH) is a private not-for-profit hospital and one of the most comprehensive medical facilities in West Central Florida serving a dozen counties with a population in excess of 4 ...

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Tampa General Hospital
Tampa United States
Utilization Management Nurse New Add to Favorites
Tampa General Hospital
Tampa, FL, United States
Facility Profile Tampa General Hospital (TGH) is a private not-for-profit hospital and one of the most comprehensive medical facilities in West Central Florida serving a dozen counties with a population in excess of 4 ...

Utilization Management Nurse

Job DescriptionRESPONSIBILITIES:- Performs chart reviews and provides reports on patient's condition to third party payer sources.- Provides information required by third party payer sources within the required time ...

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Rothman Orthopaedic Specialty Hospital
Bensalem Township United States
Utilization Management Nurse New Add to Favorites
Rothman Orthopaedic Specialty Hospital
Bensalem Township, PA, United States
Job DescriptionRESPONSIBILITIES:- Performs chart reviews and provides reports on patient's condition to third party payer sources.- Provides information required by third party payer sources within the required time ...

Utilization Management Nurse Reviewer (RN)

Job DescriptionDuration:0-12 month(s)Description/Comment:The Utilization Management Nurse Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and ...

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Softpath System LLC
Tampa United States
Softpath System LLC
Tampa, FL, United States
Job DescriptionDuration:0-12 month(s)Description/Comment:The Utilization Management Nurse Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and ...

Utilization Management Nurse Consultant

Req ID: 65542BRJob DescriptionUtilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.Fundamental ...

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Aetna
Canton United States
Aetna
Canton, OH, United States
Req ID: 65542BRJob DescriptionUtilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.Fundamental ...

Utilization Management Nurse

Overview JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality ...

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Centers Plan for Healthy Living
United States
Utilization Management Nurse New Add to Favorites
Centers Plan for Healthy Living
NY, United States
Overview JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality ...

Utilization Management Nurse

Job DescriptionRESPONSIBILITIES:- Performs chart reviews and provides reports on patient's condition to third party payer sources.- Provides information required by third party payer sources within the required time ...

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Rothman Orthopaedic Specialty Hospital
Bensalem Township United States
Utilization Management Nurse New Add to Favorites
Rothman Orthopaedic Specialty Hospital
Bensalem Township, PA, United States
Job DescriptionRESPONSIBILITIES:- Performs chart reviews and provides reports on patient's condition to third party payer sources.- Provides information required by third party payer sources within the required time ...

Utilization Management Nurse

Overview The Utilization Management Nurse works collaboratively with the health care team to ensure proper utilization of medical services, procedures and care settings for individual members by assessing member needs ...

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AdvancedRPO
Smithfield United States
Utilization Management Nurse New Add to Favorites
AdvancedRPO
Smithfield, RI, United States
Overview The Utilization Management Nurse works collaboratively with the health care team to ensure proper utilization of medical services, procedures and care settings for individual members by assessing member needs ...

Utilization Management Nurses

Job DescriptionRole: Utilization Management NursesLocation: Tampa, FLDuration: 11+ MonthsInterview Mode: Face to Face/Skype Job Description 1. At least 3 years of UM Managed Care ...

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ReqRoute, Inc
Tampa United States
Utilization Management Nurses New Add to Favorites
ReqRoute, Inc
Tampa, FL, United States
Job DescriptionRole: Utilization Management NursesLocation: Tampa, FLDuration: 11+ MonthsInterview Mode: Face to Face/Skype Job Description 1. At least 3 years of UM Managed Care ...

1030 Utilization Management Nurse Reviewer

Job DescriptionUM NurseTampa, FLContract for 12 monthsMinimum Qualifications:• Current Active and Unrestricted Nursing License required ( Associate Degree, Nursing Diploma or Bachelor’s degree in ...

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ReqRoute, Inc
Tampa United States
ReqRoute, Inc
Tampa, FL, United States
Job DescriptionUM NurseTampa, FLContract for 12 monthsMinimum Qualifications:• Current Active and Unrestricted Nursing License required ( Associate Degree, Nursing Diploma or Bachelor’s degree in ...

Utilization Management Nurse, Senior

Prior Authorization Essential Responsibilities: Ensures accurate and timely prior authorization of designated healthcare services. Performs prospective and first level determination approvals for members using ...

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Blue Shield of California
Rancho Cordova United States
Blue Shield of California
Rancho Cordova, CA, United States
Prior Authorization Essential Responsibilities: Ensures accurate and timely prior authorization of designated healthcare services. Performs prospective and first level determination approvals for members using ...

Utilization Management Nurse Consultant

Req ID: 65342BRJob DescriptionUtilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.Fundamental ...

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Aetna
Cumberland United States
Aetna
Cumberland, MD, United States
Req ID: 65342BRJob DescriptionUtilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.Fundamental ...

Lead Utilization Management Nurse

Job DescriptionWe have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and ...

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First Match Services, Inc.
Oak Brook United States
Lead Utilization Management Nurse New Add to Favorites
First Match Services, Inc.
Oak Brook, IL, United States
Job DescriptionWe have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and ...

RN - Utilization Management (UM) Nurse

Job DescriptionPeople. Passion. Purpose. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led ...

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P3 Health Partners
Las Vegas United States
P3 Health Partners
Las Vegas, NV, United States
Job DescriptionPeople. Passion. Purpose. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led ...

Utilization Management Review Nurse

Overview Commonwealth Care Alliance’s (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health ...

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Commonwealth Care Alliance, Inc.
Springfield United States
Commonwealth Care Alliance, Inc.
Springfield, MA, United States
Overview Commonwealth Care Alliance’s (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health ...