• Alameda Health System (Oakland, CA)
    …each individual in the classification. Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. ... more
    JobGet (03/26/25)
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  • Utilization Review Nurse

    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 ... 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) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... more
    Matrix Providers (01/29/25)
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  • Utilization Review Nurse

    MD Anderson Cancer Center (Houston, TX)
    …students, trainees, professionals, employees and the public. The primary purpose of the Utilization Review Nurse position is to: Evaluate the necessity, ... more
    MD Anderson Cancer Center (03/21/25)
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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 ... 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 ... more
    CDPHP (03/12/25)
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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 ... more
    The Arora Group (02/20/25)
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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 ... more
    Beth Israel Lahey Health (02/14/25)
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  • Utilization Review Nurse (RN)…

    Ascension Health (Baltimore, MD)
    …salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes ... more
    Ascension Health (03/26/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? ... more
    US Tech Solutions (01/17/25)
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  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION ... more
    US Tech Solutions (01/17/25)
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  • Clinical Outpatient Utilization

    US Tech Solutions (Canton, MA)
    …RN license required.** + The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role ... more
    US Tech Solutions (03/26/25)
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  • Case Manager Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... more
    Beth Israel Lahey Health (02/09/25)
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  • RN, Utilization Review Flexi

    Chesapeake Regional Healthcare (Chesapeake, VA)
    Summary The Utilization Review Nurse combines clinical expertise with knowledge of medical appropriateness criteria, and applies principles of utilization ... more
    Chesapeake Regional Healthcare (02/16/25)
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  • RN- Utilization Review - HS Case…

    Baptist Memorial (Jackson, MS)
    Overview  Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment ... more
    Baptist Memorial (02/17/25)
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  • LVN - Quality Assurance/ Utilization

    Emanate Health (Covina, CA)
    …the United States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... more
    Emanate Health (01/22/25)
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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 Week ... more
    Health Advocates Network (02/08/25)
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  • Utilization Management Denial Review

    UCLA Health (Los Angeles, CA)
    …leader with: + Current CA LVN licensure required + Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, or health ... more
    UCLA Health (03/27/25)
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  • Utilization Review (UR) Registered…

    Community Health Systems (Naples, FL)
    …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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  • Registered Nurse - Utilization

    Ascension Health (Baltimore, MD)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... more
    Ascension Health (03/14/25)
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