- Actalent (Rancho Cordova, CA)
- Job Title: Utilization Review Nurse Job Description The Registered Nurse will review cases for medical necessity across all levels of care, ensuring that ... Qualifications + Two years of strong clinical nursing experience, preferably as a floor nurse or in direct patient care. + Experience in utilization management is a… more
- UNC Health Care (Kinston, NC)
- …admission, and continued stay reviews and related activities as needed to support UR Nurse team. **Other Information** Other information: + **EDUCATION** + ... documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria to evaluate the… more
- Actalent (Rancho Cordova, CA)
- …Review Nurse About the Role We're looking for a Utilization Review ( UR ) Nurse to join our team and support high‑quality, cost‑effective patient care ... from a fully remote environment. This role is ideal for nurses who enjoy clinical evaluation, structured decision‑making, and collaborating with providers to ensure appropriate levels of care. Key Responsibilities + Conduct utilization reviews for inpatient,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review ( UR ) Registered Nurse is responsible for evaluating the ... **12/2/2025 - REVISED FTE *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department for the/Emergency Department / This… more
- Community Health Systems (Naples, FL)
- …partners with providers and staff to drive compliance with utilization policies. The UR Nurse also contributes to the development of departmental procedures, ... Join us as a **Registered Nurse (RN) - Utilization Review position** at Physicians...internal departments to promote process improvement and compliance with UR standards and KPIs. + Serves as a resource… more
- Providence (Olympia, WA)
- **Description** The Utilization Review ( UR ) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management ... we must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years - Nursing **Preferred Qualifications:** + Bachelor's… more
- Community Health Systems (Franklin, TN)
- Summary The CM/ UR Software Implementation specialist works within the Corporate Case Management department and reports up to the Director of Clinical Data ... to assist with successful implementation of the above software products used by the CM/ UR departments. Employee also works with the third party vendors and all CHS… more
- San Antonio Behavioral Health (San Antonio, TX)
- …staff as needed. Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all ... of appeal letters. + Tracks denial information for reporting to Quarterly UR Committee. + Maintains liaison with the Social Services department to facilitate… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 400051 Med M&D-Infect Dis STD Clinic Work Shift: UR - Day (United States of America) Range: UR URCC 214 H ... and providing HIV/STI prevention counseling and testing in collaboration with nurse practitioners and medical director. Assess clients' suitability for HIV… more
- Katmai (Fort Carson, CO)
- **SUMMARY** Provide a comprehensive utilization review ( UR ) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... link between the providers, staff, and civilian sectors regarding UR guidelines. + Determine if the services requested are...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical ... management on a regular basis to work more complex UR cases for the outpatient UR function...duties as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license in the State of South… more
- University of Rochester (Rochester, NY)
- …Scheduled Weekly Hours: As Scheduled Department: 910156 Anesthes & Periop CRNA Work Shift: UR - Day (United States of America) Range: UR URC 223 Compensation ... selection of monitoring modalities. + 5% Supervises Student Registered Nurse Anesthetists (SRNAs) in the delivery of anesthesia care....PACU. + Gives a thorough report to the PACU nurse . + 2% Evaluates the attainment of anesthesia care… more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 500757 Imaging at UMI Nursing Work Shift: UR - Evening (United States of America) Range: UR URCI 214 H ... and internal equity considerations._ **Responsibilities:** The Level II Registered Nurse , under the direction of the Nurse ...Registered Nurse , under the direction of the Nurse Manager, is accountable for provision of competent direct… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 910156 Anesthes & Periop CRNA Work Shift: UR - Rotating (United States of America) Range: UR URC 223 Compensation ... PACU. - Gives a thorough report to the PACU nurse . Evaluates the attainment of anesthesia care goals. -...in New York State; graduate of a school of nurse anesthesia, accredited by the American Association of … more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 400081 General Pediatrics Work Shift: UR - Day (United States of America) Range: UR URCC 214 H ... 2025; WITH POSSIBLE RENEWAL PENDING GRANT POSITION SUMMARY: The Pediatric Registered Nurse (RN) will work daily to implement interventions aimed at improving asthma… more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 910156 Anesthes & Periop CRNA Work Shift: UR - Day (United States of America) Range: UR URC 223 Compensation ... Accompanies patient to the recovery room and informs the nurse assuming responsibility for the patient's care during anesthesia...of nursing required + Graduate of a school of nurse anesthesia, accredited by the American Association of … more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 500704 Cardiovascular Inpt APP Work Shift: UR - Rotating (United States of America) Range: UR URCB 218 ... Provides patient care in collaboration with a member of medical staff. The Nurse Practitioner (NP) works in a collaborative relationship with a physician provider to… more
- Hartford HealthCare (Manchester, CT)
- …Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people ... in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and interdisciplinary team to support the… more
- Saint Francis Health System (OK)
- …care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details of reimbursement issues and ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of related experience in… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 400031 Environ Med - Finger Lakes Work Shift: UR - Day (United States of America) Range: UR URCB 218 Compensation ... assigned. **MINIMUM EDUCATION & EXPERIENCE** + Master's degree room an Accredited Nurse Practitioner Program required + Or equivalent combination of education and… more