- 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 $118,161.60 -… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), NYC Children's Center, Queens Campus, P25875 Occupational Category ... Code 11426 Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- Covenant Health Inc. (Louisville, TN)
- …Licensure Requirement: Current RN or Therapy license. Apply/Share Job Title UTILIZATION REVIEW COORD ID 4122409 Facility Peninsula, a Division of Parkwest ... Overview Utilization Review Coordinator, Quality Management Full...Performs other related duties as required. Qualifications Minimum Education: RN License or Licensed Therapist from an accredited program… 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
- 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
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan....+ Minimum of three years clinical experience required. Previous utilization review and/or case management in a… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities VP Utilization Review and Clinical Denials Management will provide strategic ... leadership, direction and operational management for the Utilization Review and Clinical Denial Management teams....accredited school of nursing and currently licensed as a Registered Nurse required. 3. Minimum of 10… more
- CaroMont Health (Gastonia, NC)
- …RAC for reversal of original determination. May serve on the Medical Record/ Utilization Review Committee, providing detailed logs of denial activity and appeal ... accredited college with a clinical background. BSN required. Current RN license to practice in NC (NC license or...NC (NC license or multi-state (compact) license). Certification in Utilization Review / Management, Quality and/or Case… more
- BayCare Health System (Clearwater, FL)
- …Critical Care or Emergency Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our...2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- Trinity Health (Silver Spring, MD)
- …travel paid._** **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review , under the supervision and in collaboration with the Director, is… more
- Trinity Health (Springfield, MA)
- …program. BSN graduate preferred, Master's preferred + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... Shift **Description:** Requires BSN At **Mercy Medical Center** the ** Utilization Review /Appeals & Denials** ** RN **...criteria, and assists the physician, bedside Registered Nurse , ICC and Social Worker with utilization … more
- LifePoint Health (Danville, VA)
- * Registered Nurse , RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * RN - Utilization Review Case… more
- R1 RCM (Pittsburgh, PA)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. **Title: Utilization Review Author** **Location: Hospital Client located in ... vary and some flexibility may be offered** As our ** Utilization Review Author** , you will help...other opportunities that promote growth. **Required Skills:** + Active Registered Nurse license For this US-based position,… more
- LifePoint Health (Hancock, MI)
- …growth of our employees both professionally and personally. We are seeking a detail-oriented Utilization Review Registered Nurse to be responsible for ... outpatient testing along with determining medical necessity of patient while hospitalized. Our Utilization Review RN will be part of an excellent team of… more
- Baptist Memorial (Jackson, MS)
- Summary The Utilization Review Nurse is...+ Employee referral program Job Summary: Position: 19738 - RN - Utilization Review Facility: MBMC - ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...Hospital Department: HS Case Mgmt Administration Corporate Category: Nurse RN Type: Clinical Work Type: Full… more
- 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 ... of Nursing * 2 years of experience as a Discharge Planning and Utilization Review Registered Nurse ( RN ) * American Heart Association BLS * An active,… more
- AdventHealth (Glendale Heights, IL)
- …required. + Behavioral Health RN experience strongly preferred + Experience in utilization review strongly preferred + Registered Nurse credentialed ... health care services regarding admissions, case management, discharge planning and utilization review . **The value you'll bring to the team:** + Reviews… more
- US Tech Solutions (Chicago, IL)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech… more
- Elevance Health (Norfolk, VA)
- **Title:** Licensed Utilization Review II **Location** : This position will work a remote model, but candidates must live within 50 miles of one of our ... 1 weekend day as discussed with manager. The **Licensed Utilization Review II** is responsible for working...unrestricted license or certification as a LPN, LVN, or RN to practice as a health professional within the… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: This Utilization Review Denials Review Unit (DRU) 3 Team Lead will assist the Director of Utilization Review and the Associate Director ... of Utilization Review with daily staff mentoring, leadership and resource provision....for committees. Other duties as assigned. Minimum Qualifications: NYS Licensed/ Registered (or eligible) RN required. Bachelors degree… more