• Detroit Medical Center (Detroit, MI)
    Detroit Medical Center is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Detroit, Michigan.Job Description & ... appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, essential)… more
    JobGet (06/17/24)
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  • The University of Vermont Health Network (Plattsburgh, NY)
    Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
    JobGet (06/01/24)
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  • TalentBurst, Inc (Irving, TX)
    …(subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, ... providers and vendors to obtain approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the… more
    JobGet (06/16/24)
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  • HumanEdge Travel Nursing and Allied Health (Hartford, CT)
    HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job Description ... 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelImmediate need for Utilization Review RNs for a Connecticut Healthcare Network. After orientation,… more
    JobGet (06/16/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
    JobGet (06/16/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
    JobGet (06/16/24)
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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: Virtual ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...via secure virtual link to patient rooms.#RNSINDJob Summary: The Registered Nurse I (Virtual) assesses, plans, implements… more
    JobGet (06/16/24)
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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: ... therefrom.Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6 months related… more
    JobGet (06/17/24)
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  • North Mississippi Health Services (Amory, MS)
    North Mississippi Health Services is seeking a Registered Nurse (RN) Case Management for a nursing job in Gilmore Amory, Mississippi.Job Description & ... Licenses/Certifications Licenses/Certification Details Time Frame Required/ Preferred RN - Registered Nurse - State Licensure and/or Compact State… more
    JobGet (06/16/24)
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  • MUSC (Charleston, SC)
    …Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Required Licensure, Certifications, ... Registrations: Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact state required. Current Basic… more
    JobGet (06/17/24)
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  • MUSC (Charleston, SC)
    …from an accredited school of nursing and three years work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case ... management and/or utilization review work experience preferred. Case Management...education requirement. Required Licensure, Certifications, Registrations: Licensure as a registered nurse by the state of South… more
    JobGet (06/17/24)
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  • MUSC (Charleston, SC)
    …Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Required Licensure, Certifications, ... Registrations: Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact state required. Current Basic… more
    JobGet (06/17/24)
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  • RN Registered Nurse

    Ascension Health (Manhattan, KS)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (06/14/24)
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  • Registered Nurse

    Ascension Health (Saginaw, MI)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (06/04/24)
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  • Registered Nurse , RN-…

    UC Health (Cincinnati, OH)
    …committed to providing an inclusive, equitable and diverse place of employment. The RN- Utilization Review nurse will use established criteria and ... Location: UCMC Department: Utilization Review Hours: 800-1630 Shift: First...inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social… more
    UC Health (06/12/24)
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  • Utilization Management Nurse

    Actalent (Des Moines, IA)
    …clinical documentation platforms, etc. Skills: registered nurse , utilization management, utilization review , case management, interqual, medical ... Top Skills Details: registered nurse , utilization management, utilization review , case management,interqual Additional Skills & Qualifications:… more
    Actalent (06/13/24)
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  • Utilization Review Registered

    Beth Israel Lahey Health (Needham, 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 (06/12/24)
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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 (05/24/24)
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  • Registered Nurse

    McLaren Health Care (Detroit, MI)
    …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
    McLaren Health Care (04/16/24)
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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 $113,309.04 -… more
    The County of Los Angeles (04/02/24)
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