- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse ( 40 Hour) Office/On-site Recruitment # 250930-5612FP-001 Location Hartford, CT Date Opened 10/2/2025 12:00:00 AM Salary $78,480* ... Services (DMHAS (https://portal.ct.gov/dmhas) ), is seeking to hire a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&LinkSpec=RecruitNum2&R1=&R3=) at… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator ( 40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 ... (https://portal.ct.gov/dds/searchable-archive/northregion/north-region/welcome-to-the-north-region?language=en\_US) - is accepting applications for a full-time Utilization Review Nurse Coordinator… 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Emory Healthcare/Emory University (Decatur, GA)
- …development _,_ and leadership programs + And more **Description** We're seeking a **Clinical Utilization Review Nurse Preceptor (Registered Nurse / ... . This individual will be responsible for training, mentoring, and coaching for the Utilization Review Department and must be an expert in the utilization… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible for conducting ... with the attending physician and/or physician advisor. This individual will: + Perform utilization review by completing a timely and comprehensive review … more
- New York State Civil Service (New York, NY)
- …Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 Occupational Category Health Care, Human/Social Services ... Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6 PM Flextime...Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited… more
- CVS Health (OH)
- …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... practice experience in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+...in nursing (RN) required, BSN preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical… more
- UNC Health Care (Kinston, NC)
- **Description** Become part of an inclusive organization with over 40 ,000 teammates, whose mission is to improve the health and well-being of the unique communities ... we serve. **Summary:** This position facilitates utilization management processes to support the right care is...the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... and educate to improve outcomes. 8. Assists with preparation and presentation of utilization review monitoring/trending reports for review with physicians… more
- Ventura County (Ventura, CA)
- …the general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or case management. + utilize ... Senior Registered Nurse - Hospital Management Utilization Print...risk and/or patient safety which are identified during case review or other activities; + Reviews, analyses & identifies… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse (RN)** for a full-time position supporting the 2d Medical Group, Barksdale ... strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains… more
- CVS Health (VA)
- … Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and ... MS Office suites experience including Outlook and Excel **Preferred Qualifications** + Utilization Review experience + Managed Care experience + Strong customer… more
- CVS Health (OH)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every ... UMNC participating in non-traditional, weekend shift rotation **Preferred Qualifications** + Utilization review experience + Experience with LTAC, skilled rehab,… more
- CVS Health (Workman, MN)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or...in nursing (RN) required, BSN preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P27076 Occupational ... Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6 PM Flextime...Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate… more
- CVS Health (AZ)
- …difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, ... ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position offers the… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- Nurse ( 40 Hour) Office/On-Site Recruitment # 250924-1969FL-001 Location Bridgeport, CT Date Opened 9/29/2025 12:00:00 AM Salary $79,874 - $104,588/year (Salary ... WISH TO APPLY FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/Registered- Nurse /RN-Licensure-by-Endorsement)… more
- Humana (Lincoln, NE)
- …Coordinator or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...is a plus **Additional Information** + Scheduled Weekly Hours: 40 + Travel: While this is a remote position,… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- Head Nurse ( 40 Hour) Office/On-Site Recruitment # 250923-4356FL-001 Location Bridgeport, CT Date Opened 10/1/2025 12:00:00 AM Salary $91,192 - $120,638/year ... experienced individuals to join our team as a Head Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=4356FL&R1=&R3=) . POSITION HIGHLIGHTS: + SCHEDULE: Full -Time… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more