- Elliot Health System (Bedford, NH)
- …quality, risk management, utilization , infection control and resource utilization etc. Participates in multidisciplinary meetings to review ... more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... more
- 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
- 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
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN)...to join our team of talented professionals who provide health care services to our Military Service Members and ... more
- 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
- Ascension Health (Baltimore, MD)
- … health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and service ... more
- 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
- 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 ... more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Review - RN Per Diem, Fully Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. ... more
- CVS Health (Olympia, WA)
- …cardiology **Preferred Qualifications** -1+ years' experience in either Precertification or Utilization Review -1+ years' experience Managed Care -Strong ... more
- Fallon Health (Worcester, MA)
- …level of utilizing established Care Coordination polices and protocols, Fallon Health benefit criteria, applicable regulatory review criteria and nationally ... more
- 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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... more
- CVS Health (Salem, OR)
- …UM ( utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization. + 5 years demonstrated ability to make ... more
- Crouse Hospital (Syracuse, NY)
- …while maintaining the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent and continued stay ... more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every ... more
- CVS Health (Carson City, NV)
- …5:00 PM PST with weekends, evenings, and holiday rotations **Preferred Qualifications** - Utilization review experience - Managed Care experience - Bachelor of ... more
- Aspen Medical (Aurora, CO)
- …and Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing, Ambulatory Care ... more
- Mount Sinai Health System (New York, NY)
- …standards of the Hospital and the Nursing Department. + Performs utilization review in accordance with all regulations, using health plan management tool ... more
