• Northeast Georgia Health System, Inc (Gainesville, GA)
    …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
    JobGet (05/05/24)
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  • A-Line Staffing Solutions (Grand Rapids, MI)
    A-Line Staffing is now hiring a Behavioral Health Registered Nurse in Grand Rapids, MI! The Position would be working for a great company and has career growth ... 8-hour shifts: 2nd:3:00pm-11:30pm & 3rd:11:00pm-7:30am Inpatient Openings- 3 - full time 32 hours a week Evenings...assignments and promoting staff development. * Responsible for the utilization and continued review of patient care… more
    JobGet (05/12/24)
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  • TulaRay (Frackville, PA)
    …nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and ... Correctional Registered Nurse Correctional nurse ...nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse more
    JobGet (04/29/24)
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  • Signet Health (Clinton, MD)
    …package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time , three (3) 12-hour day ... agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage… more
    JobGet (05/02/24)
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …with Medical Assistance regulations. Nurse Auditor Hybrid / Remote Requirements Registered Nurse issued by the Pennsylvania State Board of Nursing or ... setting behavioral health setting drug and alcohol setting managed care quality management/ utilization review or other related clinical experience Or equivalent… more
    JobGet (05/12/24)
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  • Northeast Georgia Health System, Inc (Demorest, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... surgeries for: General, Gynecology, Orthopedics, Podiatry and ENT. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
    JobGet (05/05/24)
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  • Signet Health (Clinton, MD)
    …agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage ... a Behavioral Health ED Evaluator for the following shifts: Full-time , three (3) 12-hour day shifts for Monday, Tuesday,...Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR… more
    JobGet (04/29/24)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...$169,609.20 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
    The County of Los Angeles (04/02/24)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... **Job Type:** Regular ** Time Type:** Full time ...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
    Beth Israel Lahey Health (03/22/24)
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  • Case Manager with Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend and holiday ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review more
    Beth Israel Lahey Health (04/19/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN . This...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… more
    Billings Clinic (03/13/24)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
    University of Utah Health (04/24/24)
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  • Utilization Review RN

    HCA Healthcare (Largo, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital ... in our organization. We are looking for an enthusiastic Utilization Review RN to help...related health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations… more
    HCA Healthcare (04/18/24)
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  • Regional Utilization Review

    Trinity Health (Maywood, IL)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and ... Position is hybrid, must reside in Illinois. The Regional Utilization Review Documentation Specialist nurse ...skills are necessary. + CPR (Cardiopulmonary Resuscitation) + Current Registered Nurse License State of Illinois +… more
    Trinity Health (05/09/24)
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  • Utilization Review Case Manager,…

    University of Miami (Miami, FL)
    …. The University of Miami is currently seeking Utilization Review Case Manager to work at ... The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager… more
    University of Miami (05/09/24)
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  • Manager Utilization Review /Medical…

    Emanate Health (Covina, CA)
    …ranked company in the country. **Job Summary** The Manager Utilization Review /MediCal Specialist will develop and maintain a full Medi-Cal case management ... of care from pre-admission through post-discharge for Medi-Cal patients. The Manager Utilization Review /MediCal Specialist will manage the program to provide the… more
    Emanate Health (05/03/24)
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  • Interim Nurse Manager, Utilization

    Trinity Health (Fresno, CA)
    **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next ... Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case...families, and hospital staff **Requirements** + State of California Registered Nurse ( RN ) License. +… more
    Trinity Health (03/20/24)
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  • RN - Lead Care Coordinator…

    Trinity Health (Maywood, IL)
    **Employment Type:** Full time **Shift:** **Description:** This position is located at the Westmont office Join our small but mighty team to guide and manage ... Utilization Review and Management for the Loyola...or MCO. Leadership experience is preferred. **Licensure/Certifications:** **Required:** Current Registered Nurse License State of Illinois **Our… more
    Trinity Health (04/02/24)
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  • Registered Nurse

    Glens Falls Hospital (Glens Falls, NY)
    …foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for ... management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New...summary of these offerings, which are available to active, full-time and part-- time employees who work at… more
    Glens Falls Hospital (04/26/24)
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  • Utilization Review Coordinator

    Universal Health Services (Scottsdale, AZ)
    Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the great Phoenix ... as depression, anxiety, personality disorders and co-occurring addictions. Benefits include for Full Time Staff: + Challenging and rewarding work environment +… more
    Universal Health Services (04/18/24)
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