• Southern New Hampshire Health (Milford, NH)
    …organizational goals. Who You Are: Graduate from an accredited school of nursing (BSN required) Registered Nurse , licensed in the state of NH Minimum of two (2) ... CLINICAL TEACHER / NURSE EDUCATOR - EMERGENCY DEPARTMENT Who We Are:...the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area.… more
    JobGet (03/19/25)
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  • Licensed Practical Nurse (LPN)…

    The Arora Group (Bethesda, MD)
    …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in… more
    The Arora Group (02/20/25)
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  • Utilization Review (UR)…

    Community Health Systems (Naples, FL)
    …written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure Current ... Benefits **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical… more
    Community Health Systems (02/20/25)
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  • RN - Utilization Review

    Health Advocates Network (Medford, OR)
    Review experience. * Pay Rate: $2,608 weekly * Specialty: Discharge Planning and Utilization Review Registered Nurse (RN) * Shift: Day * 13 ... School of Nursing * 2 years of experience as a Discharge Planning and Utilization Review Registered Nurse (RN) * American Heart Association BLS *… more
    Health Advocates Network (02/08/25)
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  • Registered Nurse

    Ascension Health (Baltimore, MD)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (03/14/25)
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  • Registered Nurse (RN) Case Manager

    Ochsner Health (New Orleans, LA)
    …case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from ... and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager To perform...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
    Ochsner Health (01/29/25)
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  • Registered Nurse (RN)…

    Dartmouth Health (Lebanon, NH)
    …effective patient care. Actively involved in discharge planning process. * Utilization Review with appeal experience preferred. Strong candidate identified. ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote *… more
    Dartmouth Health (03/18/25)
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  • Registered Nurse (RN)…

    Dartmouth Health (Lebanon, NH)
    Overview Utilization Review - RN Per Diem, Fully Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote *… more
    Dartmouth Health (03/15/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About ... + 3+ years of experience as an RN + Registered Nurse in state of residence +...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1… more
    US Tech Solutions (01/17/25)
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  • Case Manager Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) Case Manager for ... Clinic inpatient admissions. Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case… more
    Beth Israel Lahey Health (02/09/25)
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  • Utilization Management - Registered

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage ... with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN)...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
    Crouse Hospital (02/07/25)
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  • Registered Nurse

    Aspen Medical (Aurora, CO)
    JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing,...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
    Aspen Medical (01/22/25)
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  • Utilization Management Behavioral Health…

    Humana (Columbus, OH)
    …**Use your skills to make an impact** **Required Qualifications** + Active unrestricted registered nurse license in the state of Virginia or obtain a ... problem-solving skills, facilitation skills **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change,… more
    Humana (03/18/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 -… more
    The County of Los Angeles (12/29/24)
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  • Utilization Review Nurse (RN)

    Matrix Providers (Aurora, CO)
    Utilization Review Nurse (RN)...Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management: ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse (RN) to...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
    Matrix Providers (01/29/25)
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  • Registered Nurse (RN)…

    Ochsner Health (New Orleans, LA)
    …a difference at Ochsner Health and discover your future today!** This job is a registered Nurse with a diverse medical background, who is able to determine the ... Contents are subject to change at Ochsner's discretion. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required - 1… more
    Ochsner Health (03/04/25)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse (RN), Massachusetts + Three years… more
    Beth Israel Lahey Health (02/14/25)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …Rotation **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse (RN), Massachusetts + Three years… more
    Beth Israel Lahey Health (02/14/25)
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  • Utilization Review Nurse

    Independent Health (Buffalo, NY)
    …perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review ... Degree in Nursing required; Bachelor's degree preferred. Current, active, unrestricted, and licensed registered nurse (RN) required. + Two (2) years of clinical… more
    Independent Health (03/14/25)
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  • Utilization Review Nurse

    CDPHP (Albany, NY)
    …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization...to provide excellent customer service. + Demonstrated ability to review health care delivery against established criteria. + Must… more
    CDPHP (03/12/25)
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