- VitalCore Health Strategies (Hopkinton, MA)
- …REQUIREMENTS / PREFERENCES Graduate of an accredited School of Nursing Licensure as a Registered Nurse in the state of employment with 1+ years of experience ... Assistance Program and Discount Center 401K EEO Keywords: Utilization Management, RN , Nurse , Administrative, #INDMA Compensation details: 100000-110000 Yearly… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse ... Management - UHFTE: 1.00Full TimeShift: DaysPosition Summary:Responsible for the initial review , triage and assignment of patients to case managers and for… more
- UTMB Health (Galveston, TX)
- …Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP) Licensed Registered Nurse ( RN ) by the Texas Board of Nursing (TBON) ... of a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)...Licensed Advanced Practice Registered Nurse (APRN) in a … more
- The Laurels of Fulton (St. Johns, MI)
- …with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications * Registered Nurse ( RN ) * AANC certification a plus. ... Are you an experienced MDS nurse interested in the next step? The MDS...* Assesses resident through physical assessment, interview and chart review . * Discusses resident care needs with care givers,… more
- University Health (Hondo, TX)
- …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager ... complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years… more
- University Health (San Antonio, TX)
- …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager ... families. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification… more
- Texas Oncology (Brownsville, TX)
- …at Texas Oncology. Awards are reviewed and approved during the annual compensation review . LTIP awards are subject to your continued employment through the award ... include documentation of visits, patient and family education, order and review diagnostic studies, prescribe medications, management of symptoms, counseling and… more
- The Laurels of Fulton (Chesaning, MI)
- …with American Association of Nursing Assessment Coordinators (AANAC) requirements.QualificationsRegistered Nurse ( RN ) AANC certification a plus. RAC-CTKnowledge ... Are you an experienced MDS nurse interested in the next step? The MDS...interdisciplinary teamAssesses resident through physical assessment, interview and chart review .Discusses resident care needs with care givers, including physician,… more
- University Health (San Antonio, TX)
- …Ideal candidate will have 3 years of both inpatient and outpatient experience. Current RN license in the State of Texas . Bachelor's degree required; Master's degree ... Nursing is preferred. Two years' experience as the clinical nurse supervisor/charge nurse /administrator and /or director of...of a multi-system dialysis, operation is preferred. We promptly review all applications on a daily basis and highly… more
- The County of Los Angeles (Los Angeles, CA)
- …or squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...? In the County of Los Angeles, a Utilization Review Nurse is an RN … more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... + + + + Introduction Are you an experienced Registered Nurse looking to make a difference...learn more about joining our team as a Utilization Review Nurse Coordinator! The State of Connecticut… more
- Abbott (Kansas City, MO)
- …a schedule of **Monday-Friday, 8:00 AM - 5:00 PM** . The position of Clinical Review Nurse is within our Toxicology division located at our **Kansas City, MO** ... site within Workplace Solutions. In this role, the **Clinical Review Nurse ** is responsible for accuracy and...assigned. **Required Qualifications** + Associate degree in nursing + Registered Nurse License required + 3-5 years'… 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 ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board… more
- George C. Grape Community Hospital (Hamburg, IA)
- …infection control, and payers to resolve care coordination issues. Qualifications: * Education: Registered Nurse ( RN ) license required; BSN preferred. * ... Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity,… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high ... authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies...+ 3+ years of clinical nursing experience as an RN , preferably in a hospital setting + Utilization management… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established… more
- Centene Corporation (New York, NY)
- …license; and a NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for ... the TRICARE beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary prior authorization requests for medical… more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the Role We're...to case management as appropriate Qualifications + Active CA RN license in good standing + 2-3 years of ... looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective patient care from a fully remote environment. This role is… more
- CDPHP (Latham, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
- UNC Health Care (Kinston, NC)
- …+ Minimum 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience ... the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria… more
Related Job Searches:
Concurrent Review Nurse RN,
Medical Review Nurse RN,
Nurse,
Nurse RN,
Quality Review Nurse RN,
RN,
RN Clinical Review Nurse,
Review,
Review Nurse,
Utilization Review Nurse RN