• Ascension (Sterling Heights, MI)
    …in the appeal process as needed.QualificationsLicenses/Certifications/Registration:Required Credential(s):Licensed Registered Nurse .Education:High School ... Job Description Job Summary:The Utilization Management Nurse coordinates with physicians offices and insurance companies in obtaining authorization for all hospital… more
    Lensa (05/24/18)
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  • Anthem, Inc. (Glendale, CA)
    …telephone service standards to meet departmental performance metrics Graduate from an accredited School of Nursing program Registered Nurse with a current, ... interests outside of work - consider a career as a Nurse Reviewer. Nurse Reviewer Associate- Glendale, CAOurNurse Reviewers are responsible for conducting… more
    Joblift (03/24/18)
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  • Liberty Mutual Insurance (Mount Laurel, NJ)
    …nursing school required, Bachelor of Science in Nursing preferred.Current unrestricted registered nurse (R. N.) license in the state where the position ... then establishes case-specific target return-to-work (RTW) dates.Qualifications:5+ Years clinical nurse experience with a preference for previous orthopedic, emergency… more
    Lensa (05/15/18)
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  • Liberty Mutual Insurance (Rocklin, CA)
    …nursing school required, Bachelor of Science in Nursing preferred.Current unrestricted registered nurse (R. N.) license in the state where the position ... then establishes case-specific target return-to-work (RTW) dates.Qualifications:5+ Years clinical nurse experience with a preference for previous orthopedic, emergency… more
    Lensa (05/14/18)
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  • Fallon Community Health Plan (Worcester, MA)
    …Bachelors (or advanced) degree in nursing License: Active and unrestricted licensure as a Registered Nurse in Massachusetts. Experience: * A minimum of three to ... five years clinical experience as a Registered Nurse in a clinical setting required. * 2 years' experience as a Utilization Management nurse in a managed… more
    LinkUp (05/14/18)
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  • Highmark Health (Greensburg, PA)
    …Other duties as assigned or requested. QUALIFICATIONS Required Active United States RN ( Registered Nurse ) license 3 - 5 years of related, progressive clinical ... experience, provider operations and / or health insurance experience High School Diploma/GED Preferred Bachelor's Degree in Nursing Advanced training and experience… more
    ZipRecruiter (05/09/18)
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  • Fallon Community Health Plan (Worcester, MA)
    …(or advanced) degree in nursing License: Active and unrestricted licensure as a Registered Nurse in Massachusetts. Experience: A minimum of three to five ... years clinical experience as a Registered Nurse in a clinical setting required. 2 years' experience as a Utilization Management nurse in a managed care payer… more
    Fallon Community Health Plan (05/13/18)
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  • Fallon Community Health Plan (Worcester, MA)
    …Bachelors or advanced degree in nursing License Active and unrestricted licensure as a Registered Nurse in Massachusetts Experience A minimum of three to five ... years clinical experience as a Registered Nurse in a clinical setting required years experience as a Utilization Management nurse in a managed care payer… more
    Geebo.com (05/13/18)
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  • Utilization Management Nurse

    Ascension Health (Sterling Heights, MI)
    …**Licenses/Certifications/Registration:** + **Required Credential(s):** + Licensed Registered Nurse . **Education:** + High School diploma or ... **Job ID: 253972** **Utilization Management Nurse ** **Sterling Heights, Michigan** **Regular/Day** **Additional Job Information** **Title:** Utilization Management … more
    Ascension Health (05/19/18)
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  • Registered Nurse - Utilization…

    Anthem (Deerfield, IL)
    Registered Nurse - Utilization Review - Deerfield, IL (PS6758) **New** **Location:** **Deerfield, Illinois, United States** **Field:** Medical **Requisition #:** ... Nurse Reviewer I & Nurse Reviewer Associate** **SHARED** **qualifications:** + Registered Nurse with a current, valid unrestricted license in the State of… more
    Anthem (05/19/18)
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  • RN Nurse Case Manager

    Fallon Health (Worcester, MA)
    …a health care related field preferred. **License:** Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and a vehicle ... **Experience:** A minimum of one year of clinical experience as a Registered Nurse managing chronically ill/geriatric patients or related experience working… more
    Fallon Health (05/09/18)
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  • Field Nurse Case Manager (RN), Workers'…

    Liberty Mutual (San Francisco, CA)
    …career at Liberty Mutual Insurance - A Fortune 100 Company! * If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional ... rehab care experience. * Degree from an accredited nursing school required, Bachelor of Science in Nursing preferred. *...Bachelor of Science in Nursing preferred. * Current unrestricted registered nurse (RN) license in the state… more
    Liberty Mutual (05/22/18)
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  • Telephonic Nurse Case Manager (RN),…

    Liberty Mutual (Portland, OR)
    …career at Liberty Mutual Insurance - A Fortune 100 Company! * If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional ... rehab care experience. * Degree from an accredited nursing school required, Bachelor of Science in Nursing preferred. *...Bachelor of Science in Nursing preferred. * Current unrestricted registered nurse (RN) license in the state… more
    Liberty Mutual (05/09/18)
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  • RN Per Diem Nurse Case Manager - Growing…

    Fallon Health (Worcester, MA)
    …a health care related field preferred. **License:** Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and a vehicle ... (CORI) results A minimum of two years of clinical experience as a Registered Nurse managing chronically ill/geriatric patients or experience in a coordinated… more
    Fallon Health (05/09/18)
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  • Utilization Management Nurse , Workers'…

    Liberty Mutual (Wausau, WI)
    …career at Liberty Mutual Insurance - A Fortune 100 Company! * If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional ... Mutual Insurance has the opportunity for you. The Utilization Management Nurse performs review services to determine if medical treatment and/or hospitalization… more
    Liberty Mutual (05/09/18)
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  • Medical Review Nurse

    Centene Corporation (Chesterfield, MO)
    …review. Knowledge of Managed care programs and practices required. License/Certificates: Licensed Registered Nurse _Centene is an equal opportunity employer that ... clinical function of medical review Education/Experience: Graduate from an accredited school of Nursing. Advanced degree and/or certification preferred. 2+ years in… more
    Centene Corporation (05/10/18)
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  • RN - Utilization Management - Health Insurance

    Fallon Health (Worcester, MA)
    …advanced) degree in nursing ** **License:** **Active and unrestricted licensure as a Registered Nurse in Massachusetts.** **Experience:** + A minimum of three to ... five years clinical experience as a Registered Nurse in a clinical setting required. + 2 years' experience as a Utilization Management nurse in a managed… more
    Fallon Health (05/09/18)
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  • Facility Clinical Investigator - US Telecommute

    UnitedHealth Group (Tampa, FL)
    … Diploma / GED (or higher) Must be one of the following: unrestricted RN ( registered nurse ), LPN (licensed practical nurse ), LVN (licensed vocational ... ), RHIT ( registered health information technician), RHIA ( registered health information administrator), CDIP (certified documentation improvement practitioner)… more
    Jobsflag.com (05/24/18)
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  • HEDIS Clinical Practice Consultant - Southwest

    UnitedHealth Group (Lebanon, VA)
    …of provider practice and community education on state specific quality measures. The Registered Nurse CPC will work closely with the quality director to ... licensure required in state of Virginia or Foreign Medical School Graduate 2+ years clinical or HEDIS experience 2+...pass a drug test before beginning employment. Job Keywords: Registered Nurse , Nurse , RN, Quality,… more
    Jobsflag.com (05/24/18)
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  • Telephonic RN Case Manager

    Highmark Health (Pittsburgh, PA)
    …Other duties as assigned or requested. QUALIFICATIONS Required Active United States RN ( Registered Nurse ) license 3 - 5 years of related, progressive clinical ... experience, provider operations and / or health insurance experience High School Diploma/GED Preferred Bachelor's Degree in Nursing Advanced training and experience… more
    Ziprecruiter.com (05/21/18)
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