- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Description** **Remote Position** We're seeing an **Assistant Manager, Utilization Review ( Registered Nurse / RN)** responsible ... for supervising and coordinating activities of personnel in the Utilization Review Department, including staff schedules to ensure appropriate department… more
- 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
- 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
- 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
- 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
- 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
- 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
- The Cigna Group (Nashville, TN)
- …and inpatient rehab facilities, home health care, care management, and utilization review . The Registered Nurse is responsible for the implementation, ... The Registered Nurse will perform clinical and...and operational processes related to transition/coordination of care and utilization /case management of Post-Acute Care services including but not… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Intermountain Health (Las Vegas, NV)
- **Job Description:** Partially Remote Registered Nurse - Utilization Management position. Full Time, 40 Hours Per Week, 8:00 am - 5:00 pm with 1 weekend day ... Medicare, Medicaid, Marketplace Qualified Health Plans and commercial health plans. Utilization review behavior health professional proactively manage inpatient… more
- Ascension Health (Tulsa, OK)
- …initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to ... codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing obtained… more
- 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