• 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 & RequirementsSpecialty: ... Utilization ReviewDiscipline: RNDuration: Ongoing36 hours per weekShift: 12 hours,...communication and documentation of clinical data to payors to support admission, level of care, length of stay and… more
    JobGet (06/17/24)
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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 & ... RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 06/24/2024Duration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelImmediate need… more
    JobGet (06/16/24)
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  • UNC Health (Chapel Hill, NC)
    …unique communities we serve.RN Utilization Manager position specifically for a Utilization Manager/Clinical Appeals Nurse . This person is based at the ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the support more
    JobGet (06/16/24)
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  • MUSC (Charleston, SC)
    Job Description Summary The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions. Under guidance of the Nurse Case Manager ... to ensure the efficient movement of the patient through the hospital system. The Nurse Case Manager I serves as a clinical expert related to discharge planning,… more
    JobGet (06/17/24)
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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 ... visit: />The purpose of this position is to provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation… more
    JobGet (06/16/24)
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  • MUSC (Charleston, SC)
    …with 2-year commitment. Fair Labor Standards Act Status: Salaried Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management and ... Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the Nurse ...as a clinical expert related to discharge planning, resource utilization , and case management. Minimum Training and Education: Bachelor's… more
    JobGet (06/17/24)
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  • MUSC (Charleston, SC)
    …Days. 8:00a:4-:30p. Fair Labor Standards Act Status: Hourly Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management ... and Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the Nurse ...as a clinical expert related to discharge planning, resource utilization , and case management. Minimum Training and Education: Bachelor… more
    JobGet (06/17/24)
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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 ... Employees - Please click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a remote position)Will perform admit,… more
    JobGet (06/16/24)
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  • Dana-Farber Cancer Institute (Boston, MA)
    …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement… more
    JobGet (06/14/24)
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  • Dana-Farber Cancer Institute (South Boston, MA)
    …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement… more
    JobGet (06/17/24)
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  • Advocate Aurora Health (Berwyn, IL)
    …stated purpose of helping people live well. To encourage you to be the best nurse you can, Advocate Aurora will provide support , tools and resources for ... demonstrates the ability to thoroughly and decisively document to support reimbursement and regulatory requirements.Care and Service Coordination: Practices as… more
    JobGet (06/16/24)
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  • Advocate Aurora Health (Adell, WI)
    …stated purpose of helping people live well. To encourage you to be the best nurse you can, Advocate Aurora will provide support , tools and resources for ... caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress,… more
    JobGet (06/17/24)
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  • Registered Nurse - Utilization

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Utilization Management** in support of the30th Medical Group at Vandenberg AFB, ... as identified in the TO. * Conduct research in support of improved practice and patient outcomes. **Qualifications** **Minimum...to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC BLS… more
    ERP International (05/17/24)
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  • Licensed Practical Nurse (LPN)…

    The Arora Group (Bethesda, MD)
    Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... Services will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW: + Initiate, perform and complete assigned… more
    The Arora Group (05/24/24)
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  • Utilization Review Nurse Supervisor…

    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 ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
    The County of Los Angeles (04/02/24)
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  • Utilization Management Nurse

    CVS Health (Raleigh, NC)
    …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize… more
    CVS Health (04/28/24)
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  • Utilization Management Nurse

    CVS Health (Olympia, WA)
    …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is 100% remote, and the ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...willing to work Pacific Time Zone hours. As a Utilization Management Nurse Consultant, you will utilize… more
    CVS Health (06/15/24)
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  • Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize… more
    CVS Health (06/13/24)
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  • Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is 100% remote and the ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize… more
    CVS Health (06/13/24)
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  • Utilization Review Registered Nurse

    Beth Israel Lahey Health (Needham, MA)
    …in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based ... based on medical necessity and documentation is sufficient to support the level of care being billed. Conducts concurrent...billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to… more
    Beth Israel Lahey Health (06/12/24)
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