- 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: ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Labor and Delivery for a nursing job in Tulsa, Oklahoma.Job Description & ... therefrom.Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6 months related… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- State of Connecticut, Department of Administrative Services (Wallingford, CT)
- …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... Utilization Review Nurse Coordinator...(https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization ... requiring clinical review prior to payment. The Utilization Review Nurse will use...License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse + Certification in managed care… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as a member of a team responsible ... retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use...offerings. + Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more
- Health First (Melbourne, FL)
- …personal vehicle. **Job:** **Case Management* **Organization:** **Holmes Regional Medical Center* **Title:** * Utilization Review Nurse - Case Management UR ... *POSITION SUMMARY* The Utilization Review (UR) nurse ...*Education:*Associate's Degree in Nursing. *Licensure:*Current, valid State of Florida RN license or endorsement. *Certification:*Current American Heart Association Basic… more
- University of Washington (Seattle, WA)
- …) **UW Medical Center - Northwest** has an outstanding opportunity for an **experienced Utilization Review Nurse ** to join our team. **WORK SCHEDULE** + ... POSITION QUALIFICATIONS** + 3 years of work experience in utilization management + 5 years of nursing work experience...and training + Active licensure to practice as a Registered Nurse in Washington State + Knowledge… more
- Southeast Health (Dothan, AL)
- Southeast. Always the right career direction. Job Description Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Education Required + Associates degree in Nursing + Current RN license in the state Minimum Education Preferred +...(3) years acute care experience + One (1) year utilization review experience Required Skills/Abilities + Demonstrates… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical ... and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse ( RN ) with state...a high pace and changing environment. + Proficient in Utilization Review process including benefit interpretation, contract… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- UC Health (Cincinnati, OH)
- …is committed to providing an inclusive, equitable and diverse place of employment. The RN - Utilization Review nurse will use established criteria and ... Location: UCMC Department: Utilization Review Hours: 800-1630 Shift: First...inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State...Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal… more
- US Tech Solutions (May, OK)
- …of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1...months of Prior Authorization. Education: . Active and unrestricted RN licensure in state of residence **About US Tech… more
- Beth Israel Lahey Health (Needham, MA)
- …a difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts +… more
- Beth Israel Lahey Health (Burlington, MA)
- …40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review… more
- Dartmouth Health (Lebanon, NH)
- …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - Basic Life Support ... (BLS) Certificate required. * Remote:Fully Remote; * Area of Interest:Nursing; * FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week; * Shift:Day; * Job ID:24613; Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants… more
- Baptist Memorial (Memphis, TN)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as ... prescribed by utilization review standards. The UR ...+ Employee referral program Job Summary: Position: 19738 - RN - Utilization Review Facility: BMHCC Corporate… more
- CVS Health (Raleigh, NC)
- …3 months. Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse is responsible for ... care innovators. Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility… more
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