• TalentBurst, Inc (Irving, TX)
    …(subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, ... providers and vendors to obtain approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the… more
    JobGet (06/30/24)
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  • Aequor (New York, NY)
    …York State Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, ... in a smooth transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such as triage, counseling,… more
    HireLifeScience (06/25/24)
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  • Spectraforce Technologies Inc (Branchburg, NJ)
    Job Title: Registered Nurse Location: Branchburg, NJ 08876 Duration: 06 months Work Schedule - 7:30am-4:00pm M-F JOB SUMMARY: * Responsible for maintaining ... on an acute/critical care unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skillset… more
    JobGet (07/01/24)
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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 ... 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelImmediate need for Utilization Review RNs for a Connecticut Healthcare Network. After orientation,… more
    JobGet (07/01/24)
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  • Kaiser Permanente (Fontana, CA)
    Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Fontana, California.Job Description & RequirementsSpecialty: Case ... general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management.Working knowledge… more
    JobGet (07/02/24)
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  • Northern California Behavioral Health System (Santa Rosa, CA)
    …documentation of admissions to the Business Office, Admitting Unit and the Utilization Review Department.Communicates with managed care organizations to obtain ... each shift.RequirementsKnowledge and Experience:Current California state licensure as a Registered Nurse .Inpatient experience preferredFamiliarity with continuum of… more
    JobGet (07/02/24)
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  • Memorial Health (Decatur, IL)
    …for licensure with the State of Illinois for practice as a professional nurse .QualificationsTo perform this job successfully, an individual must be able to perform ... work independently or with minimal supervision; ability to assign and/or review work; train and/or evaluate other employees.Environmental FactorsThis position is… more
    JobGet (07/02/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
    JobGet (07/01/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work… more
    JobGet (07/01/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work… more
    JobGet (07/01/24)
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  • UT Health Tyler (Tyler, TX)
    …bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, ... enhance the overall team efforts of the department/organization. Qualifications Job Requirements: Active Registered Nurse License in state of Texas 3 years of… more
    JobGet (07/01/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as… more
    JobGet (07/01/24)
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  • Saint Francis Health System (Tulsa, OK)
    Saint Francis Health System is seeking a Registered Nurse (RN) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... therefrom.Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6 months related… more
    JobGet (06/30/24)
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  • Northeast Georgia Health System, Inc (Braselton, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
    JobGet (07/01/24)
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  • RWJBarnabas Health (Somerset, NJ)
    …report to the PTC Leadership. Qualifications: Required: Requires a New Jersey Professional Registered Nurse License Requires a valid New Jersey Drives License ... Certifications and Licenses Required: Requires a New Jersey Professional Registered Nurse License Requires a valid New...and assesses the use of hospital services by administering utilization review procedures under Federal, State and… more
    JobGet (07/02/24)
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  • Northeast Georgia Health System, Inc (Oakwood, GA)
    Job Category:Executive Leadership, Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving ... and distribution of patient safety metrics and other key data, providing data review and analysis, and partnering with hospital leadership to align data with the… more
    JobGet (07/01/24)
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  • RN Registered Nurse

    Ascension Health (Manhattan, KS)
    …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
    Ascension Health (06/14/24)
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  • Registered Nurse Utilization

    Intermountain Health (Murray, UT)
    …Medicare, Medicaid, Marketplace Qualified Health Plans and commercial health plans. Utilization review behavior health professional proactively manage inpatient ... and outpatient utilization to assure that medical care is appropriate, efficient,...medical necessity, applies clinical expertise to assure appropriate benefit utilization , facilitates safe and efficient discharge planning and works… more
    Intermountain Health (06/29/24)
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  • Registered Nurse , RN-…

    UC Health (Cincinnati, OH)
    …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
    UC Health (06/12/24)
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  • Registered Nurse RN-…

    UC Health (Cincinnati, OH)
    …As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. ... Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse… more
    UC Health (06/19/24)
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