1040
utilization review nurse jobs
Sierra View Medical Center —Porterville, CA
Ability to write routine reports and correspondence if required. Under the direction of the Administrative Director of Revenue Cycle, the Senior Utilization…
$48.80 - $68.31 an hour
Life Care Center of Lewiston —Lewiston, ID
Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Expert knowledge in field of practice.
$38 - $40 an hour
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Willow Springs Recovery —Bastrop, TX
Valid registered nursing license in the state of Texas. Ethics – Treat clients, staff, co-workers, visitors, contractors, and guests of Willow Springs Recovery…
$32 - $34 an hour
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Kidney Associates, Inc. —Marion, OH
Valid Nurse Practitioner license in [Ohio]. Develop and implement treatment plans, including medication management. Diagnose and treat chronic illnesses.
$90,000 - $150,000 a year
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Life Care Center of Lewiston —Lewiston, ID
Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Expert knowledge in field of practice.
$40 - $338 an hour
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Windham Group —Manchester, NH
Current license as a Registered Nurse in the state of New Hampshire. Perform state mandated utilization review (review of medical care) and makes decisions…
Estimated: $62.9K - $79.6K a year
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Lincoln Recovery —Raymond, IL
Valid registered nursing license in the state of Illinois. Ethics – Treat clients, staff, co-workers, visitors, contractors, and guests of Lincoln Recovery with…
$85,000 - $100,000 a year
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4d
WeCare —Waite Park, MN
Identifies documentation deficiencies, admission & Intake screening issues, appropriate service enrollment issues contributing to payment denials.
$46,000 - $50,000 a year
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CVS Health —Springfield, IL
Must be able to obtain CA nursing license within 6 months of hire (paid for by company). Must have active current and unrestricted RN licensure in state of…
$30.39 - $65.66 an hour
3d
Meritus Medical Center Inc —Hagerstown, MD
Licensure/Certification – Current license to practice as a Licensed Practical Nurse in the State of Maryland, or if resident of a state that participates in…
Estimated: $59.9K - $75.9K a year
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Serra Community Medical Clinic, Inc. —Sun Valley, CA
Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps.
$28 - $36 an hour
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Hamaspik Choice —Spring Valley, NY
Valid New York State, unrestricted, RN license. The UM Nurse manages providers, members, or care manager generated requests for medical services and renders…
$39 - $40 an hour
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Kindred Hospitals —Chicago, IL
RN or BSN preferred; OR Masters in Social Work with licensure as required by state regulations; OR Bachelors in Social Work with licensure as required by state…
Estimated: $70K - $88.6K a year
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Memorial Health System —Decatur, IL
Performs telephone reviews as requested to obtain pre-certification and continued stay certification with private carriers and/or review firms.
2d
Blue Cross Blue Shield of Louisiana —Monroe, LA
In lieu of degree, RN license is required or. In lieu of degree, LPN license to practice in Louisiana as well as 2 years of related experience is required or.
Estimated: $48.9K - $61.9K a year
4d
Brighton Health Plan Solutions, LLC —Remote
Current licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) with state licensure. Develop and review member centered documentation and…
Estimated: $75K - $95K a year
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3d
Ochsner Health —Lafayette, LA
Required - Current Registered Nurse (RN) license in state of practice. Registered Nurse (RN) license (Preferred). Master's degree in social work (MSW).
Estimated: $92K - $116K a year
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13d
Kaiser Permanente —Largo, MD
Timely steps in identification of delays in throughput, escalation to correct delays, and recording delays to identify patterns and trends that will require…
$44.54 - $49.90 an hour
2d
Nexus Enterprise —San Antonio, TX
A current license, without restrictions (RN or LVN). Collect data and analyze information to make decisions regarding certification or denial of treatment.
Estimated: $61.8K - $78.3K a year
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Sheakley Group, Inc —Ohio
License: Current unrestricted Ohio RN license and, as applicable and based on program need, West Virginia and/or other State RN license that must be maintained…
Estimated: $70.6K - $89.4K a year
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3d
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