• CHRISTUS Health (Wake Village, TX)
    Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator will collaborate with relevant providers and partners to determine… more
    JobGet (11/11/24)
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  • Utilization Review Registered

    Community Health Network (Indianapolis, IN)
    Utilization Review Registered Nurse (RN) Job Ref 2407583 Category Nursing Job Family Remote / Work from Home / Virtual Department Utilization ... - and we couldn't do it without you. **Make a Difference** The Utilization Review Registered Nurse is responsible for the assessment, monitoring… more
    Community Health Network (11/19/24)
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  • Utilization Review Registered

    Pipeline Health System, LLC (Toast, NC)
    Job Title: Utilization Review Registered Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse ... compassionate care to our patients. This position is responsible for utilization review , assessment of discharge planning needs and coordination of effective… more
    Pipeline Health System, LLC (10/26/24)
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  • Licensed Practical Nurse (LPN)…

    The Arora Group (Bethesda, MD)
    …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in… more
    The Arora Group (08/23/24)
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  • Registered Nurse

    Mohawk Valley Health System (Utica, NY)
    Registered Nurse - Utilization Review Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of ... compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience.… more
    Mohawk Valley Health System (10/28/24)
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  • RN - Utilization Review

    Health Advocates Network (Medford, OR)
    Review experience. * Pay Rate: $2,608 weekly * Specialty: Discharge Planning and Utilization Review Registered Nurse (RN) * Shift: Day * 13 ... School of Nursing * 2 years of experience as a Discharge Planning and Utilization Review Registered Nurse (RN) * American Heart Association BLS *… more
    Health Advocates Network (11/09/24)
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  • Utilization Review RN

    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 ... testing along with determining medical necessity of patient while hospitalized. Our Utilization Review RN will be part of an excellent team of Case Management… more
    LifePoint Health (10/10/24)
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  • Utilization Review RN for Behavioral…

    AdventHealth (Glendale Heights, IL)
    …+ Behavioral Health RN experience strongly preferred + Experience in utilization review strongly preferred + Registered Nurse credentialed from the ... health care services regarding admissions, case management, discharge planning and utilization review . **The value you'll bring to the team:** + Reviews… more
    AdventHealth (11/09/24)
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  • Utilization Review - RN (999999.33)…

    Bitterroot Health (Hamilton, MT)
    …Hamilton, Montana!! Bitterroot Health is seeking candidates to fill a Utilization Review (UR) Coordinator Registered Nurse position. The UR Coordinator ... ensures that patients get the right treatment from the resources that are available in the hospital. The UR Coordinator is responsible for organizing and facilitating day to day UR activities for all inpatients and observation patients. The duties include… more
    Bitterroot Health (11/07/24)
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  • RN Registered Nurse

    Ascension Health (Tulsa, OK)
    …planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance ... and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board...years of bedside nursing experience + 2+ years of Utilization Review experience **Why Join Our Team**… more
    Ascension Health (11/09/24)
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  • Registered Nurse RN…

    Trinity Health (Springfield, MA)
    …determinations using screening criteria, and assists the physician, bedside Registered Nurse , ICC and Social Worker with utilization management and clinical ... **Shift:** Rotating Shift **Description:** Requires BSN At **Mercy Medical Center** the ** Utilization Review /Appeals & Denials** **RN** performs utilization more
    Trinity Health (11/16/24)
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  • Registered Nurse RN…

    Ascension Health (Destin, FL)
    **Details** + **Department: Utilization Review ** + **Schedule: 3 (8) hour days per week Monday-Friday** + **Hospital: Ascension Sacred Heart Emerald Coast** + ... Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests… more
    Ascension Health (11/16/24)
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  • Registered Nurse RN…

    Trinity Health (Ann Arbor, MI)
    **Employment Type:** Part time **Shift:** **Description:** **POSITION PORPOSE** + The Utilization Review Specialist is responsible for facilitating collection of ... clinical, age specific, developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate communication with external agencies.… more
    Trinity Health (11/16/24)
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  • SRS-Inpatient Case Manager II - Utilization

    Sharp HealthCare (San Diego, CA)
    …or case management experience + 3 Years recent case management, utilization review , care coordination experience + California Registered Nurse (RN) - ... in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing… more
    Sharp HealthCare (10/30/24)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About ... + 3+ years of experience as an RN + Registered Nurse in state of residence +...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1… more
    US Tech Solutions (10/18/24)
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  • Registered Nurse - Clinical Care…

    Trinity Health (Syracuse, NY)
    …**Shift:** Day Shift **Description:** $10,000 NEW HIRE SIGN ON BONUS **Position Purpose:** The Registered Nurse Utilization Review (UR), Clinical Care ... Manger (CCM) actively manages the utilization review process and patient progression from...to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing… more
    Trinity Health (11/01/24)
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  • RN - Utilization Review Case Manager

    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* ** Must ... have Utilization Review experience.** ** * ** *Your...valued as an employee, but as a person. As a* registered nurse (RN)*joining our team, you're embracing… more
    LifePoint Health (09/10/24)
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  • Utilization Management - Registered

    Crouse Hospital (Syracuse, NY)
    Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... + EDUCATION / CERTIFICATION / LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State. + Associates Degree + Preferred:… more
    Crouse Hospital (08/31/24)
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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 $118,161.60 -… more
    The County of Los Angeles (09/30/24)
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  • Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    …Hearing, Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management - Per Diem Days ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate… more
    Cedars-Sinai (11/06/24)
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