- Ethos Veterinary Health (Waukesha, WI)
- …only encouraged to grow within the veterinary field, but are also provided support along the way? Have you mastered wellness exams, vaccines, ear infections, nail ... stem from great medicine, outstanding client service , and best-in-class resource utilization . Hospitals excelling in these areas share common traits, including… more
- VitalCore Health Strategies (Munising, MI)
- …quality and integrity of patient medical care including oversight of utilization and quality management, credentialing, and best practice guideline development ... Must have valid unrestricted DEA License. Must have Valid Basic Life Support (BLS) Certification. Must have knowledge of managed healthcare systems, medical quality… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... to learn more about joining our team as a Utilization Review Nurse Coordinator! The State of...Developmental Servicers is to partner with the individuals we support and their families, to support lifelong… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...Board of Registered Nursing. + A current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually Location… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- **12/2/2025 - REVISED FTE *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department for the/Emergency Department / This ... and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating… more
- Katmai (Fort Carson, CO)
- …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in UR/UM and three ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management...Act as coordinator/liaison with providers, staff and Managed Care Support Contractor (MCSC) to ensure that actual health care… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/ Utilization Review Nurse Position Summary: The Quality/ Utilization Review Nurse is responsible for evaluating the medical necessity, ... and recommend corrective actions. * Infection Control Oversight: o Supervise and support the Infection Control Nurse in implementing infection prevention and… more
- Alameda Health System (San Leandro, CA)
- Clinical Nurse III, Acute Inpatient Behavioral Health Utilization Management + San Leandro, CA + John George Psychiatric Hospital + JGP Care Coordination + ... AHS (Alameda Health System) and Behavioral Health Department Alameda County Utilization Review Plan to obtain authorization of acute inpatient services. Provides… more
- CVS Health (Tallahassee, FL)
- …in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,… more
- McLaren Health Care (Port Huron, MI)
- **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per Pay Period:** 40 **Position Summary:** Responsible for determining the appropriate ... hospital admissions are based on medical necessity and documentation is sufficient to support the level of care being billed. Conducts concurrent reviews to ensure… more
- Huron Consulting Group (Chicago, IL)
- …quality patient care. Position is located in Annapolis, MD + Staff Acquisition and Support : Leads and manages the utilization review staff and function for the ... expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing implementation of… more
- University of Utah Health (Salt Lake City, UT)
- …advancement, and overall patient outcomes. **Responsibilities** + Applies approved utilization criteria to monitor appropriateness of admissions with associated ... stay. + Discusses with physicians the appropriateness of resource utilization . + Tracks length of stay (LOS) and resource...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective ... to ensure appropriate levels of care. Key Responsibilities + Conduct utilization reviews for inpatient, outpatient, and ancillary services using established clinical… more
- Saint Francis Health System (OK)
- …placement in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the ... day Friday, Saturday, Sunday 7a-7p.** Job Summary: Provides administrative and clinical support to the hospital and treatment teams throughout the review of patients… more
- US Tech Solutions (Chicago, IL)
- …Medicare). + Independently coordinates the clinical resolution with internal/external clinician support as required. + Processes and evaluates complex data and ... 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior...in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:** + MUST… more
- UNC Health Care (Kinston, NC)
- … the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established ... continued stay reviews and related activities as needed to support UR Nurse team. **Other Information** Other...3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review,… more
- Sanford Health (Rapid City, SD)
- …time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact, data-driven program ... while optimizing value across the care continuum. You'll shape and execute utilization strategies that become the standard for how we coordinate care, authorize… more
- CVS Health (Baton Rouge, LA)
- …do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, ... escalate complex cases, and participate in interdisciplinary rounds as needed. * Support discharge planning and transition of care, engaging with families to address… more
