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63

Rn Utilization Review Jobs in West Virginia





Did you search for location? West Virginia   West Virginia, MN  
Job info
 
Company
**********
Location
Charleston, WV
Posted Date
Nov 28, 2020
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... are Monday-Friday, 8am-5pm EST. The Utilization Management Nurse 2..

 
Company
Location
Charleston, WV
Posted Date
Aug 06, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
Location
Charleston, WV
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
**********
Location
Charleston, WV
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Utilization Management Behavioral Health Professional utilizes ... benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work ... variable factors. Responsibilities The Senior Utilization Management Behavioral..

 
Company
**********
Location
Cheat Lake, WV
Posted Date
May 30, 2023
Info Source
Employer  - Full-Time  90  

Retention Bonus $7000 for Full Time and $3500.00 for Part Time! Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety ..

 
Company
Location
Charleston, WV
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

 
Company
Location
Charleston, WV
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the Soul. Join Us! The Utilization Management Nurse 2..

 
Location
Charleston, WV
Posted Date
Jun 18, 2023
Info Source
Employer  - Full-Time  90  

... case throughout stay to ensure utilization of services are in accordance ... from patient Pre-Admission through Concurrent Review using standard and plan review forms to justify clinical necessity .....

 
Company
Location
Charleston, WV
Posted Date
May 19, 2023
Info Source
Employer  - Full-Time  90  

... refers to internal stakeholders for review depending on case findings. Educates ... case findings. Educates providers on utilization and medical management processes. Enters ... Qualifications Active Registered Nurse License..

 
Company
Location
Charleston, WV
Posted Date
Jul 28, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
**********
Location
Beckley, WV
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

Job Information Kindred at Home RN Clinical Manager in Beckley West ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization..

 
Company
**********
Location
Charleston, WV
Posted Date
Nov 26, 2022
Info Source
Employer  - Full-Time  90  

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

 
Company
**********
Location
Bluefield, WV
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.  As the facility leader, you will be ..

 
Company
**********
Location
Charleston, WV
Posted Date
Jun 22, 2022
Info Source
Employer  - Full-Time  90  

... Line Telephonic Nurse - Remote- RN Compact License States Only in ... of action. Responsibilities Location: WAH, RN candidate must have a valid ... in the future Required Qualifications..

 
Company
**********
Location
Elkins, WV
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..

 
Company
**********
Location
Charleston, WV
Posted Date
Jul 21, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
**********
Location
Charleston, WV
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... Advice Line Telephonic Nurse - RN Compact License States Only in ... of action. Responsibilities Location: Remote, RN candidate must have a valid ... in the future Required Qualifications..

 
Company
**********
Location
Fayetteville, WV
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

About this role: As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and ..

 
Company
Location
Charleston, WV
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

... refers to internal stakeholders for review depending on case findings Educates ... case findings Educates providers on utilization and medical management processes. Enters ... active compact or single state..

 
Company
Location
Charleston, WV
Posted Date
Apr 15, 2023
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the Soul. Join Us! The Utilization Management Nurse 2..

 
Company
Location
Charleston, WV
Posted Date
Apr 24, 2023
Info Source
Employer  - Full-Time  90  

... (Off Wed, Thu, Fri). The Utilization Management RN utilizes clinical nursing skills to ... and/or benefit administration determinations. The Utilization Management RN work assignments are varied and ... the..

 
Company
Location
Charleston, WV
Posted Date
Jul 09, 2022
Info Source
Employer  - Full-Time  90  

... reviews, provider education on the utilization and medical management processes, entering/maintaining ... Required Qualifications 2 years of Utilization Management (UM), Pre-Auth, or other ... Pre-Auth, or other managed care..

 
Company
Location
Charleston, WV
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..

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