• Careerbuilder-US (Atlanta, GA)
    Job Title: Utilization Review Nurse I... RN license . . Must have requirement: Utilization Management experience . Day-to-day: Review cases ... the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities… more
    JobGet (07/01/24)
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  • TalentBurst, Inc (Irving, TX)
    TalentBurst, Inc is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.Job Description & RequirementsSpecialty: ... and vendors to obtain approved certification for services. The RN Utilization Review Nurse...tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review more
    JobGet (06/30/24)
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  • Aequor (New York, NY)
    …York State Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, ... in a smooth transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such as triage, counseling,… more
    HireLifeScience (06/25/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
    JobGet (07/01/24)
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  • Spectraforce Technologies Inc (Branchburg, NJ)
    Job Title: Registered Nurse Location: Branchburg, NJ 08876 Duration: 06 months Work Schedule - 7:30am-4:00pm M-F JOB SUMMARY: * Responsible for maintaining ... on an acute/critical care unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skillset… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (San Antonio, TX)
    …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, ... Full time Case Manager Nurse RN openings in the San...management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Dallas, TX)
    …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, ... Full time Case Manager Nurse RN openings in the Dallas, TX 75244 area with a major healthcare company! Starting ASAP!! Apply now with Luke H. at A-Line! This is… more
    JobGet (07/01/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work… more
    JobGet (07/01/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Shaker Heights, OH)
    …Medical Management, Utilization Review , Utilization Management, Waiver Program, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical ... BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, Appeals,… more
    JobGet (07/01/24)
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  • Saint Francis Health System (Tulsa, OK)
    Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
    JobGet (06/30/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as… more
    JobGet (07/01/24)
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  • Saint Francis Health System (Tulsa, OK)
    Saint Francis Health System is seeking a Registered Nurse ( RN ) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... Protected Veterans/DisabilitySaint Francis Healthcare System Tulsa Job ID #JR14143. Posted job title: Rn , Registered Nurse Endoscopy - Day ShiftAbout Saint… more
    JobGet (06/30/24)
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  • A-Line Staffing Solutions (Grand Rapids, MI)
    A-Line Staffing is now hiring a Behavioral Health Registered Nurse in Grand Rapids, MI! The Position would be working for a great company and has career growth ... assignments and promoting staff development. * Responsible for the utilization and continued review of patient care...first 90 days If you think this Behavioral Health RN position is a good fit for you, please… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Mcallen, TX)
    …Friday, 40 hours per week Competitive Pay Rate! Keywords: RN , Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization Manager, UR, UM, Utilization ... Inbound Calls, Outbound Calls, RN , Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization Manager, UR, UM, Utilization Review , Case… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Tampa, FL)
    …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , HMO, Concurrent Review , Retrospective ... Microsoft office programs Valid driver's license Preferred Skills/ Experience: Current state's RN , LCSW, LCPC, LSW, LPC licensure Home health, discharge planning, or… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Haverhill, FL)
    …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , HMO, Concurrent Review , Retrospective ... Microsoft office programs Valid driver's license Preferred Skills/ Experience: Current state's RN , LCSW, LCPC, LSW, LPC licensure Home health, discharge planning, or… more
    JobGet (07/01/24)
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  • Northeast Georgia Health System, Inc (Braselton, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
    JobGet (07/01/24)
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  • VitalCore Health Strategies (Gardner, MA)
    …the business and are valued for their skills, experience, and unique perspectives. Keywords: Registered Nurse , RN , DON, Director of Nursing #INDMG #ZR ... has an opening for a Director of Nursing / Registered Nurse at Massachusetts Department of Correction...(Certified Correctional Health Professional: CCHP, Certified Correctional Health Professional Nurse : CCHP- RN ) Minimum of 3 years of… more
    JobGet (07/01/24)
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  • Pathways Vermont (Burlington, VT)
    …Supervise three Shift Supervisors, a Services Team Lead, and an Advanced Practice Registered Nurse (APRN). Meet weekly for individual supervision, to review ... and regularly update program policies and procedures; and participate in review , creation, and updating of agency policiesWork with the Intake Team… more
    JobGet (07/01/24)
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