Utilization Management RN

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Anthony S.
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Utilization Management Nurse

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Utilization Management RN

We're not just out to help people lead healthier lives. We also are working hard to help make health care work better for everyone. This role has a major impact on that goal.  You'll work on a multidisciplinary team to help ensure that care settings of members meet their specific needs, co-manage member outcomes, reduce hospital bed days, provide discharge planning assistance and make referrals to other services when necessary.
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Latest Utilization Management RN Jobs

Registered Nurse, RN, Utilization Management Nurse - WellMed - San Antonio, TX (698918)

Full-time San Antonio, TX

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Region: North America Country United States
State/Province: TX City: San Antonio
Position Description
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)   The Utilization Management Nurse (UM) is responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency in accordance with CMS coverage guidelines. The UM Nurse determines medical appropriateness of inpatient and outpatient services following evaluation of...

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UM – MMQ RN Reviewer - Telecommute - Bristol County, MA (709894)

Full-time Taunton, MA or Telecommute Considered

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Region: North America Country United States
State/Province: MA City: Taunton
Position Description
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live health...

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UM – MMQ RN Reviewer - Telecommute - Middlesex County, MA (702811)

Full-time Cambridge, MA or Telecommute Considered

Quick Look
Region: North America Country United States
State/Province: MA City: Cambridge
Position Description
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthi...

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UM – MMQ RN Reviewer - Telecommute in Essex County, MA (709844)

Full-time Peabody, MA or Telecommute Considered

Quick Look
Region: North America Country United States
State/Province: MA City: Peabody
Position Description
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live health...

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UM – MMQ RN Reviewer - Telecommute - Worcester County, MA (709842)

Full-time Worcester, MA or Telecommute Considered

Quick Look
Region: North America Country United States
State/Province: MA City: Worcester
Position Description
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live health...

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Utilization Management RN - National Posting (695170)

Full-time Memphis, TN or Telecommute Considered

Quick Look
Region: North America Country United States
State/Province: TN City: Memphis
Position Description
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As an Inpatient Care Manager you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier l...

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