• Kern Health Systems (Bakersfield, CA)
    …to property, and to individual safety. EDUCATION, EXPERIENCE & TRAINING REQUIRED: Registered Nurse with an active, current, unrestricted license Minimum of ... Medical Director and Administrative Director of Health Services, the Utilization Management Nurse , RN, is responsible for clinical review for members receiving care… more
    ZipRecruiter (08/04/18)
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  • IASIS Healthcare (Odessa, TX)
    …An Arizona state nursing license is required.The Medical Claims Review RN / Registered Nurse reviews and analyzes medical record and claims data, utilizing ... is the place for you. Equal Opportunity Employer Minorities/Women/Veterans/DisabledQualificationsQualifications:High School Diploma or GEDAssociate's or Bachelor's degree from an… more
    Lensa (08/11/18)
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  • Liberty Mutual Insurance (Plano, TX)
    …nursing school required, Bachelor of Science in Nursing preferred.Current unrestricted registered nurse (R. N.) license in the state where the position ... not be considered.CCMC, CMAC, CRRN, CDMS or COHN preferred5+ Years clinical nurse experience with a preference for previous orthopedic, emergency room, critical… more
    Lensa (08/07/18)
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  • Ascension (Sterling Heights, MI)
    …the appeal process as needed.QualificationsLicenses/Certifications/Registration:Required Credential(s):Licensed Registered NurseEducation:High School diploma or ... Job Description: Job Summary:The Appeals Nurse coordinates with physicians offices and insurance companies in obtaining authorization for all hospital… more
    Lensa (08/07/18)
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  • Appeals Nurse

    Ascension Health (Sterling Heights, MI)
    …as needed. **Qualifications** **Licenses/Certifications/Registration:** + **Required Credential(s):** + Licensed Registered Nurse **Education:** + High School ... **Job ID: 258989** **Appeals Nurse ** **Sterling Heights, Michigan** **Regular/Day** **Additional Job Information** **Title:** Appeals Nurse **City, State:**… more
    Ascension Health (07/05/18)
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  • Medical Claims Review RN / Registered

    IASIS Healthcare (Phoenix, AZ)
    …An Arizona state nursing license is required. The Medical Claims Review RN / Registered Nurse reviews and analyzes medical record and claims data, utilizing and ... the place for you. Equal Opportunity Employer Minorities/Women/Veterans/Disabled Qualifications: High School Diploma or GED Associate's or Bachelor's degree from an… more
    IASIS Healthcare (08/11/18)
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  • Nurse Reviewer -Utilization Review Call…

    Anthem (Westchester, IL)
    … Reviewer at our Westchester, IL, location at the beautiful Westbrook Center. Registered Nurse : (Recent Grads and Experienced RNs) - AIM Utilization Review ... metrics Nurse Reviewer I & Nurse Reviewer Associate SHARED qualifications: Registered Nurse with a current, valid unrestricted license in the State of… more
    nexxt.com (08/12/18)
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  • Telephonic Nurse Case Manager (RN),…

    Liberty Mutual (East Syracuse, NY)
    …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 (08/15/18)
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  • Telephonic Nurse Case Manager (RN),…

    Liberty Mutual (Las Vegas, NV)
    …your 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 (08/10/18)
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  • Telephonic Nurse Case Manager (RN),…

    Liberty Mutual (Plano, TX)
    …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 (07/22/18)
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  • RN Nurse Case Manager - Fallon Community…

    Fallon Community Health Plan (MA)
    …or a health care related field preferred. License: Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and a vehicle to ... (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
    Neuvoo.com (08/09/18)
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  • RN Nurse Case Manager - Growing Health Care…

    Fallon Health (Lawrence, MA)
    …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 (07/12/18)
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  • RN Nurse Case Manager - Looking for a new…

    Fallon Health (Worcester, MA)
    …**License/Certifications:** + RN required - BSN preferred + Active licensure as a Registered Nurse (RN) in Massachusetts + Certification in Case Management (CCM) ... to put these skills into practice + 3-5 years clinical experience as a Registered Nurse managing chronically ill high-risk patients + Home Health Care experience… more
    Fallon Health (07/05/18)
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  • Utilization Management Nurse (RN), 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 (08/10/18)
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  • Medical Review Nurse - Certified…

    Centene Corporation (Chesterfield, MO)
    …of Managed care programs and practices required. **License/Certificates:** + Licensed Registered Nurse + Certified Professional Coder (CPC) HIGHLY PREFERRED ... clinical function of medical review **Education/Experience:** + Graduate from an accredited school of Nursing. + Advanced degree and/or certification preferred. + 2+… more
    Centene Corporation (08/11/18)
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  • High Intensity Case Manager

    Prospect Medical Systems (Orange, CA)
    …preferably in a medical group or health plan setting. Req. Certification/Licensure: Registered Nurse or Licensed Vocation Nurse unrestricted active ... consisting of a mix of chronic and high risk members. * Collaborate with Nurse Practitioner, Pharmacist, PCP, SPC healthplans and other IDT members. * Require a… more
    Prospect Medical Systems (08/11/18)
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