- Amergis (Cambridge, MA)
- Salary: $3627 / Week Utilization Review RN - Contract Opportunity Location: Float between Cambridge and Somerville worksite Start Date: ASAP Duration: 13 ... to $3,000.00/Wk. About the Role: Amergis HealthcareStaffing is seeking an experienced Utilization Review RN to join acollaborative team focused on ensuring… more
- CHS (Tucson, AZ)
- …HealthTrust Workforce Solutions has partnered with CHS to provide travel nurse opportunities through a nationwide network of caring, compassionate, and inclusive ... neighbors. This community hospital is seeking a highly skilled nurse to join their team for an 8, 10,...949890 Job Board: EV IND_2 **Category:** HWS CHS **Specialty:** Clinical **Job Type:** Contract **Pay Range:** $0.0 - $0.0… more
- Brighton Health Plan Solutions, LLC (NC)
- …regulatory and accreditation requirements. * Duties as assigned. Essential Qualifications * Current Registered Nurse ( RN ) with state licensure. Must retain ... services to its clients. The Utilization Management Nurse performs medical necessity and benefit review ...flexibility in assignment. * Proficient in Utilization Review process including benefit interpretation, contract language,… more
- HCA Healthcare (Panama City, FL)
- …encourage you to apply for our Registered Nurse Cardiac Holding RN opening. Our team will promptly review your application. Highly qualified candidates ... colleagues in their positions. Join our Team as a(an) Registered Nurse Cardiac Holding RN ...Hospital. Prioritizes and organizes patient flow to ensure best utilization of time. Is given general guidance and is… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing ... beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review...RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an… more
- Katmai (Fort Carson, CO)
- …RESPONSIBILITIES** None. **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from a college or ... those required of any military or government civil service nurse of similar experience and in similar duty assignments....+ Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado or… more
- HonorHealth (AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... Nurse in an acute care setting - Required Licenses and Certifications + Registered Nurse ( RN ) State And/Or Compact State Licensure - Required +… more
- Robert Half Accountemps (Boston, MA)
- …seeking RNs to step into impactful non-clinical roles - including chart review , clinical auditing, utilization management, quality assurance, and case ... Description Now Hiring Registered Nurses (RNs) - Ready for a Change...Change from Primary Care? Opportunities Across Massachusetts | Travel, Contract , & Permanent Roles Available Full-time | Part-time |… more
- US Tech Solutions (Columbia, SC)
- **Location: Columbia, SC 29203 (Remote after training)** **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and ... have an active and unrestricted SC RN license. + Training - Will last up to...six weeks but could be extended. + Skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical… more
- HonorHealth (AZ)
- …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization ... Degree in Nursing from an accredited NLN/CCNE institution RequiredExperience3 years Registered Nurse in an acute care setting. Required1 year… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high… more
- Highmark Health (Pittsburgh, PA)
- …+ Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, ... :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the...as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member… more
- Actalent (Sunrise, FL)
- …Utilization Review NurseJob Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work collaboratively with an ... process development, and provide education to the team on utilization review -related issues. Responsibilities + Review... Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... health. + Proficiency in clinical and utilization review processes. + Current unrestricted Florida RN ...remote shadowing. Job Type & Location This is a Contract to Hire position based out of Sunrise, Florida.… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance… more
- Molina Healthcare (GA)
- …and experience. * At least 1 year of health care management/leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- AdventHealth (Burleson, TX)
- ** Contract RN needed for 13 Weeks in our...Degree program in Nursing. Currently licensed to practice as a Registered Nurse in the state of Texas, or ... departments including Great Place to Work by Beckers Hospital Review and Gallup. + Work with the latest technology...low-cost of living. **The role you'll contribute:** The Staff RN coordinates the care and service of selected patient… more
- Molina Healthcare (GA)
- …education and experience. * At least 3 years health care management/leadership required. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Catholic Health Services (Melville, NY)
- …Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... additional clinical documentation. + Acts as liaison between the Utilization and Appeals Management Department and the physician of...care to MCC in response to physician order, or review of updated clinical information + Acts as a… more