• Utilization Review Specialist

    Rochester Regional Health (Rochester, NY)
    …Hire + Tuition & Loan Assistance + Employee Referral Program + Free Parking Job Title: Utilization Review RN Department: Utilization Review Location: ... Time/40 hours Schedule: Days (8am-4:30pm or 8:30am-5pm) SUMMARY: The Utilization Review Specialist actively participates...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (04/26/25)
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  • Utilization Review Specialist

    Medical Center Hospital (Odessa, TX)
    Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... hospital Utilization Review Program and makes appropriate referrals to designated Physician...Advisors. Education: Holds a current Texas license as a Registered Nurse . Training and Experience: Three years… more
    Medical Center Hospital (03/22/25)
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  • Utilization Review Specialist

    Emory Healthcare/Emory University (Duluth, GA)
    …+ Ongoing mentorship, _development,_ and leadership programs + And more **Description** The Utilization Review (UR) Specialist is responsible for conducting ... the attending physician and/or physician advisor. + The UR Specialist will perform utilization review ...with a strong background in healthcare, either as a Registered Nurse ( RN ) or a… more
    Emory Healthcare/Emory University (04/29/25)
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  • RN Utilization Review

    HonorHealth (Scottsdale, AZ)
    …different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
    HonorHealth (03/12/25)
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  • Utilization Review Specialist

    Great River Health (West Burlington, IA)
    …browser Qualifications + 4-6 years clinical experience Required + Previous experience in Utilization Review Preferred + Knowledge of the structure and content of ... maintaining compliance with the CMS Conditions of Participation for Utilization Management.What you will do + Review ...identify and understand the speech of another person. + Registered Nurse Iowa Board of Nursing (IBON)… more
    Great River Health (04/05/25)
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  • Utilization Review Specialist

    Nuvance Health (Danbury, CT)
    …as required. Education: ASSOCIATE'S LVL DGRE Required- Registered Nurse ( RN ) Preferred - Two Years Utilization Review Experience Working Conditions: ... *Description* Summary: The purpose of the Utilization Management Nurse is to support...marked evidence-based criteria (ie, InterQual/MCG). Responsibilities: 1)Ensures that Admission Review using InterQual, or MCG is completed within 24… more
    Nuvance Health (04/19/25)
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  • Behavioral Health Utilization Review

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current ... group of colleagues. Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for creating positive patient interactions… more
    HCA Healthcare (04/25/25)
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  • Behavioral Health Utilization Review

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Behavioral Health Utilization Review Specialist ? At Parallon, you come first. HCA Healthcare has ... the opportunity to make a difference. We are looking for a dedicated Behavioral Health Utilization Review Specialist like you to be a part of our team. **Job… more
    HCA Healthcare (04/25/25)
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  • Utilization Review RN

    Catholic Health Initiatives (Omaha, NE)
    …innovative healthcare delivery system. **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding ... Review experience.** Medical Coding experience is a plus! As our Utilization Review RN , you will be responsible for conducting comprehensive reviews of… more
    Catholic Health Initiatives (04/23/25)
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  • RN - Registered Nurse

    Geisinger (Danville, PA)
    …information, suggests alternatives and assists in ensuring documentation integrity. + Enters utilization review data into database for tracking and trending ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (04/26/25)
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  • Registered Nurse ( RN )…

    LifePoint Health (Las Cruces, NM)
    …**Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) - Utilization Review - Full Time* **Location:** *New ... as an employee, but as a person. As a registered nurse ( RN ) joining our...the lives of those we serve. *Connect with our RN recruiting specialist * Not ready to complete… more
    LifePoint Health (04/28/25)
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  • Registered Nurse RN

    Banner Health (Mesa, AZ)
    …your future. If you're looking to leverage your abilities - apply today. **As a Registered Nurse Support Operations Specialist , you will provide support for ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...when applicable** **.** If you are a New Graduate Nurse with less than 12 months of experience, please… more
    Banner Health (03/08/25)
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  • RN Registered Nurse Care…

    AdventHealth (La Grange, IL)
    …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
    AdventHealth (02/11/25)
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  • Registered Nurse ( RN )- Case…

    LifePoint Health (Johnstown, PA)
    * Registered Nurse ( RN ), Case Manager*...team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
    LifePoint Health (04/28/25)
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  • Registered Nurse ( RN ) Case…

    LifePoint Health (Henderson, NC)
    * Registered Nurse ( RN ) Case Manager* *Job Type: PRN* *Your experience matters* *At Maria Parham Hospital, we are driven by a profound commitment to ... as an employee but as a person. As a Registered Nurse ( RN ) joining our...skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
    LifePoint Health (04/29/25)
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  • Registered Nurse Case Manager

    The Arora Group (Bethesda, MD)
    Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). + National Board for Certification… more
    The Arora Group (03/27/25)
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  • Senior Registered Nurse Supv

    MyFlorida (Port Charlotte, FL)
    …that all verbal orders, including telephone orders from attending physicians are received by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50009026 Date:...current status and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
    MyFlorida (04/23/25)
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  • Senior Registered Nurse Supv

    MyFlorida (St. Augustine, FL)
    …all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50950037 Date:...resident's status, and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
    MyFlorida (04/22/25)
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  • Utilization Management Nurse

    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 ... that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (03/27/25)
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  • Case Manager Registered Nurse - Case…

    McLaren Health Care (Flint, MI)
    … of resources, and cost of care. _Required:_ * Current Michigan licensure as Registered Nurse required. * BSN or Bachelor degree in health related field ... _Preferred:_ + National certification. + Nursing skill mix equivalent to setting. + Utilization review experience + Master of Science Nursing or Clinical … more
    McLaren Health Care (04/29/25)
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