- Molina Healthcare (Columbus, OH)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... more
- HCA Healthcare (Chattanooga, TN)
- …is your next step in your career path, we encourage you to apply for our Medical ICU Nurse opening. We review all applications. Qualified candidates will be ... more
- Elevance Health (Indianapolis, IN)
- …to 5:00pm EST. Will work 2-3 Saturdays per year** The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases that ... more
- Elevance Health (Indianapolis, IN)
- …**Schedule:** Monday through Friday 8:00 am - 5:00 pm. The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... more
- Actalent (Albuquerque, NM)
- …Titles: + Quality Manager + Registered Nurse + Licensed Practical Nurse + Medical Review Nurse + Nurse Top Skills - Must Haves: + Care Management ... more
- HCA Healthcare (San Antonio, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... more
- HCA Healthcare (Austin, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Trauma Medical Surgical Nurse opening. We promptly review all applications. Highly qualified candidates will be ... more
- HCA Healthcare (Austin, TX)
- …path, we encourage you to apply for our Medical Surgical Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation ... more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... more
- Independent Health (Buffalo, NY)
- …collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN ... more
- HCA Healthcare (Webster, TX)
- …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse (RN) Quality - Peer Review Coordinator for our facility to ... more
- Ascension Health (Baltimore, MD)
- … processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. + Collaborate with ... more
- Beth Israel Lahey Health (Burlington, MA)
- …of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria ... more
- Trinity Health (Chelsea, MI)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **Registered Nurse Utilization Review Specialist** **Department:** Utilization Management ... more
- Ascension Health (Baltimore, MD)
- …care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and service requests within ... more
- Centene Corporation (Sacramento, CA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... more