• 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
    JobGet (06/27/24)
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  • 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
    JobGet (06/27/24)
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  • Utilization Review Nurse

    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
    The County of Los Angeles (04/02/24)
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  • Utilization Review Registered

    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 (06/12/24)
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  • Utilization Review Nurse

    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
    Beth Israel Lahey Health (04/17/24)
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  • Licensed Practical Nurse (LPN)…

    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
    The Arora Group (05/24/24)
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  • Case Manager with Utilization Review

    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
    Beth Israel Lahey Health (04/19/24)
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  • Utilization Review Nurse

    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
    State of Connecticut, Department of Administrative Services (06/28/24)
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  • RN - Utilization Review

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN - Utilization Review ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN . This...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… more
    Billings Clinic (06/18/24)
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  • System Manager- Utilization Review

    Baptist Memorial (Memphis, TN)
    …Minimum- RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical ... Summary Responsible for the Utilization Review Program across the system....and computer skills. Problem solving; and governmental regulations. Licensure: Minimum- RN Preferred-CCM; ACM About Baptist Memorial Health Care At… more
    Baptist Memorial (05/18/24)
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  • Utilization Review Nurse

    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 (05/15/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (Cotton Plant, AR)
    …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
    BayCare Health System (04/16/24)
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  • Utilization Review Coordinator

    State of Indiana (Indianapolis, IN)
    Utilization Review Coordinator Date Posted: May 31,...accredited college or university. * Current licensure as a Registered Nurse ( RN ) in the State ... to the treatment team. * Development of the annual utilization review plan. * Serve as the...practice nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain… more
    State of Indiana (06/01/24)
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  • Utilization Review Nurse

    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
    Martin's Point Health Care (06/07/24)
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  • Utilization Review Nurse

    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
    Health First (06/20/24)
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  • Utilization Review Clinician…

    Centene Corporation (Tallahassee, FL)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (06/23/24)
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  • Utilization Review Nurse

    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
    Albany Medical Center (05/08/24)
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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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  • RN - Utilization Review

    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
    Baptist Memorial (06/04/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (Winter Haven, FL)
    …requirement:** every 3rd weekend + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions… more
    BayCare Health System (06/27/24)
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