• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...$176,872.80 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,161.60 -… more
    The County of Los Angeles (09/30/24)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Bronx, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), NYC Children's Center, Bronx Campus, P25875 Occupational Category ... Waters Place City Bronx State NY Zip Code 10461 Duties Description As a Utilization Review Coordinator, your duties will include:* Reviewing clinical records for… more
    New York State Civil Service (11/23/24)
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  • Utilization Review RN

    Beth Israel Lahey Health (Boston, MA)
    …people's lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate ... **Job Type:** Regular ** Time Type:** Full time ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts +… more
    Beth Israel Lahey Health (12/12/24)
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  • Case Manager with Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in ... 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 (12/10/24)
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  • UM Coordinator - Utilization Review

    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
    Hackensack Meridian Health (10/28/24)
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  • Utilization Review RN Case…

    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 , ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Review RN Case Manager… more
    LifePoint Health (12/09/24)
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  • RN - Utilization Review - HS…

    Baptist Memorial (Jackson, MS)
    Summary The Utilization Review Nurse is...Nurse RN Type: Clinical Work Type: Full Time Work Schedule: Days Location: US:MS:Jackson ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...+ Employee referral program Job Summary: Position: 19738 - RN - Utilization Review Facility: MBMC -… more
    Baptist Memorial (11/24/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (St. Petersburg, FL)
    …Requirement:** Every 3rd weekend + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical... Review Specialist Senior **Location** St Petersburg | Clinical | Full Time **Req ID**… more
    BayCare Health System (12/13/24)
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  • RN - Utilization Review

    Mohawk Valley Health System (Utica, NY)
    RN - Utilization Review Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary The RN - Utilization Management gathers clinical ... advisors as needed to appeal concurrent UR denials. + Complete daily utilization review of all observation/outpatient/in-bed patients. Collaborate with Care… more
    Mohawk Valley Health System (12/21/24)
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  • RN - Utilization Review *DAYS

    Providence (Olympia, WA)
    **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization ... must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years of...Or + Associate's Degree Nursing + 3 years of Utilization Review , Care Management, Quality Management, and/or… more
    Providence (12/10/24)
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  • Utilization Review Nurse

    BayCare Health System (Clearwater, FL)
    …team member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Nurse - Health Plan **Location** ... 2 years - Case Management + 2 years - Utilization Review + Managed care strongly preferred...System, Utilization Management-BHS **Location:** **Park Place** **Status:** ** Full Time , Exempt: Yes** **On Call:** **Yes… more
    BayCare Health System (12/05/24)
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  • RN Utilization Review

    HonorHealth (Scottsdale, AZ)
    …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... impact. HonorHealth offers a diverse benefits portfolio for our full-time and part- time team members designed to...in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or… more
    HonorHealth (12/03/24)
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  • RN - Utilization Review

    Glens Falls Hospital (Glens Falls, NY)
    …be foundhere. **Job:** **Nursing - Case Management* **Title:** * RN - Utilization Review Nurse * **Location:** *NY-Glens Falls* **Requisition ID:** *2410V* ... acute care, utilization management, or payer experience preferred. *Licenses/Certifications/Registrations* * ** Registered Nurse ( RN ) in New York State* *… more
    Glens Falls Hospital (12/19/24)
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  • Manager, Care Coordination - Utilization

    Stanford Health Care (Palo Alto, CA)
    …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... choices. And so much more - generous leave & time off, Wellness Program, special programs, educational assistance, and...Knowledge of principles and best practices of case management, utilization review , social work, care coordination and… more
    Stanford Health Care (11/20/24)
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  • Utilization Review Specialist

    WestCare Foundation (Henderson, NV)
    Utilization Review Specialist Job Details Job Location...- 1711 Whitney Mesa - Henderson, NV Position Type Full Time Education Level 2 Year Degree Salary ... required Education: + Associates or Bachelors level LPN or RN and/or Bachelors or Masters level CADC/LADC with 2...and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with… more
    WestCare Foundation (11/16/24)
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  • Utilization Review RN

    Providence (Mission Hills, CA)
    …must empower them. **Required Qualifications:** + Associate's Degree - Nursing. + California Registered Nurse License upon hire. + 2 years - Experience working ... Category:** Health Information Management **Job Function:** Revenue Cycle **Job Schedule:** Full time **Job Shift:** Day **Career Track:** Nursing… more
    Providence (12/17/24)
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  • Registered Nurse ( RN )…

    Matrix Providers (Aurora, CO)
    Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management...experience in utilization management, utilization review or case management. Licensure/Registration: Current, full ,… more
    Matrix Providers (11/26/24)
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  • RN Registered Nurse Director…

    Ascension Health (Tulsa, OK)
    …licensure at time of hire. **Additional Preferences** + Strong Utilization Review experience + Exceptional communication skills + Leadership experience ... initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to… more
    Ascension Health (11/21/24)
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  • Utilization Management - Registered

    Crouse Hospital (Syracuse, NY)
    …outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data and client ... up to a $20,000 Sign-On Bonus! Available Schedule(s): + Full Time , 8:00am-4:30pm with occasional weekends (typically...requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities:… more
    Crouse Hospital (11/30/24)
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  • Utilization Mgmt II - Transfer…

    Sharp HealthCare (San Diego, CA)
    Time ** **Shift End Time ** Bachelor's Degree; Associate's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (09/28/24)
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