- Intermountain Health (Murray, UT)
- …FEHB, Marketplace Qualified Health Plans, fully funded and self-funded Commercial plans. Utilization Review nurses at Select Health proactively oversee inpatient ... and outpatient utilization to assure that care related to health insurance...applicable regulatory guidelines (NCQA, CMS, State) and ensures timely review with clear accurate communication to members and requesting… more
- CVS Health (Salt Lake City, UT)
- …weeks on camera training required 100% participation during 8:30am-5pm Monday-Friday. * A Registered Nurse that must hold an unrestricted license in their state ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Community Care (CC) Nurse is a licensed professional registered nurse assigned to coordinate care for Veterans requesting or referred for ... evidence of self-direction and application of Care Management and/or Utilization Management, with a broad knowledge of clinical treatment...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Salt Lake City, UT)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
- CVS Health (Salt Lake City, UT)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Sharecare (Salt Lake City, UT)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- HCA Healthcare (Bountiful, UT)
- …Surgery Center have the opportunity to make a real impact. As an Operating Room Registered Nurse you can be a part of change. **Benefits** Mountain West Surgery ... outcomes for your patients as a (an) Operating Room Registered Nurse . We want your knowledge and...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Salt Lake City, UT)
- …us apart from any other healthcare provider. We are seeking an Operating Room Registered Nurse to join our healthcare family. **Benefits** Mt. Olympus Surgery ... for patient care. Apply today for our Operating Room Registered Nurse opportunity. **Job Summary and Qualifications**...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Bountiful, UT)
- …you passionate about delivering patient-centered care?** Submit your application for Operating Room Registered Nurse position and spend more time at the bedside ... the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your...career! We are interviewing candidates for our Operating Room Registered Nurse opening. **Apply today and a… more
- Molina Healthcare (Salt Lake City, UT)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- University of Utah (Salt Lake City, UT)
- …a nurse specialty from an accredited program; current licensure to practice as a Registered Nurse or as an Advance Practice Registered Nurse (APRN) ... **Open Date** 06/18/2025 **Requisition Number** PRN42207B **Job Title** PS Clinical Nurse Specialist **Working Title** Clinical Research Nurse **Job Grade**… more
- Veterans Affairs, Veterans Health Administration (Ogden, UT)
- Summary A nurse practitioner (NP) is to practice, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner ... teamwork, high quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-effective services. Responsibilities NP is a… more
- University of Utah Health (Salt Lake City, UT)
- …and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives ... discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies,...related field. + One year of experience in a utilization review or case management environment. +… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... Occupational Therapist in the State of Utah. + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under… more