• 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 (09/15/24)
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  • Blanchard Valley Health System (Findlay, OH)
    …Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review , and Emergency Department Care Navigation to support ... during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration...service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4… more
    JobGet (09/15/24)
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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 (09/15/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …of our communities. About the Role:Job SummaryResponsible for the systematic review of patient throughput including evaluating and implementing strategies and ... Minimum Job QualificationsLicensure or other certifications: Licensed to practice as an RN in Georgia. National Certification in either a clinical or leadership… more
    JobGet (09/15/24)
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  • Pacer Staffing (Atlanta, GA)
    …state or territory of the United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a favorable Interim and ... Job Summary: The position provides case management services for TRICARE beneficiaries registered in the Extended Care Health Option (ECHO) under TRICARE. The ECHO… more
    JobGet (09/15/24)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...$169,609.20 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH ... 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 (07/01/24)
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  • Utilization Review Nurse

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    …Center, South Campus Hospital - is accepting applications for one (1) full-time Utilization Review Nurse Coordinator ... Utilization Review Nurse Coordinator...+ Review the eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) for CT license by… more
    State of Connecticut, Department of Administrative Services (09/06/24)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Manhattan Psychiatric Center, P25480 Occupational Category Health ... 10035 Minimum Qualifications Manhattan Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness,… more
    New York State Civil Service (09/06/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings ... - 44.18 Under the direction of department leadership, the Utilization Review / Management RN . This...and Certification Healthcare Provider and ACLS CPR certifications Current Registered Nurse license in the state of… more
    Billings Clinic (08/06/24)
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  • Utilization Review Case Mgr. - Galv.…

    UTMB Health (Galveston, TX)
    Utilization Review Case Mgr. - Galv. Campus ...current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full ... time wage earning experience as a professional nurse in a health care setting. **JOB DESCRIPTION :**...criteria guidelines. **MAJOR DUTIES / CRITICAL TASKS:** + Implements Utilization review procedures by prospectively, concurrently, and… more
    UTMB Health (09/14/24)
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  • RN Utilization Review

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review Full Time Days -...: Detroit Medical Center Shared Services Job Type: : Full-time Shift Type: : Days : : Req ID: 2406003414 ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
    Tenet Healthcare (08/30/24)
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  • UM Coordinator - Utilization Review

    Hackensack Meridian Health (Belle Mead, NJ)
    …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review more
    Hackensack Meridian Health (07/29/24)
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  • AVP Care Management and Utilization

    Intermountain Health (Murray, UT)
    **Job Description:** The Healthy Connections (Care Management and Utilization Review ) AVP at Select Health oversees development and evaluation of utilization ... management of Select Health's Health Services care management and utilization management programs. Programs include but are not limited...Hold and maintain a clinical specialty license such as Registered Nurse , LCSW, Nurse Practitioner,… more
    Intermountain Health (09/12/24)
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  • Utilization Review RN

    Ascension Health (Austin, TX)
    …Connect with your Talent Advisor for additional specifics._ **Responsibilities** As the Utilization Review RN , you'll provide health care services ... **Details** + **Department:** Utilization Review + **Schedule:** Full-time...and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date… more
    Ascension Health (08/29/24)
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  • RN Manager - Care Management…

    Trinity Health (Silver Spring, MD)
    … **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment Type:** Full Time **Shift:** Day **(SUMMARY) Position ... Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with...will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree… more
    Trinity Health (08/29/24)
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  • Utilization Review Assistant Manager

    Emory Healthcare/Emory University (Atlanta, GA)
    …programs + And more **Description** We're seeking an **Assistant Manager, Utilization Review ** , responsible for supervising and coordinating activities ... of personnel in the Utilization Review Department, including: + Staff schedules...Minimum Qualifications: + Must have a valid, active unencumbered Registered Nurse license or temporary permit approved… more
    Emory Healthcare/Emory University (08/28/24)
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  • RN Registered Nurse

    Ascension Health (Tulsa, OK)
    …planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance ... management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing… more
    Ascension Health (09/07/24)
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  • RN Registered Nurse

    Ascension Health (Manhattan, KS)
    **Details** + **Department:** Utilization Management + **Schedule:** Full Time , 40 hours weekly, Monday - Friday 7:30am - 4pm + **Hospital:** Ascension Via ... Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests… more
    Ascension Health (09/13/24)
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  • Utilization Review Nurse

    UNC Health Care (Rocky Mount, NC)
    …Carolina license without sanctions)** Preferred Certifications & Licensures + Utilization Review or other applicable certification **Professional Experience ... acute care (acute hospital setting) + 0-2 healthcare/medical - - utilization review (or other healthcare-related experience) Preferred...Health Care Organization Unit: NGH Case Management Work Type: Full Time Standard Hours Per Week: 40.00… more
    UNC Health Care (09/13/24)
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  • RN - Utilization Review

    Baptist Memorial (Jonesboro, AR)
    Summary The Utilization Review Nurse is...Nurse RN Type: Clinical Work Type: Full Time Work Schedule: Days Location: US:AR:Jonesboro ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...+ Employee referral program Job Summary: Position: 19942 - RN - Utilization Review Facility: BMH -… more
    Baptist Memorial (09/14/24)
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