- Ascension Health (Wichita, KS)
- **Details** + **Department:** Utilization Review - Behavior Health + **Schedule:** PRN, Rotating Shift, and Rotating Weekends and Holidays + **Hospital:** ... Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests… more
- Ascension Health (Pensacola, FL)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating closely ... discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. + Assure medical appropriateness… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the Medical Maintenance Team at Eglin ... Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization ...Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC);… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …Solutions is seeking a Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the Medical Maintenance Team at Eglin ... Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager...Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC);… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Cedars-Sinai (Los Angeles, CA)
- …Hearing, Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1261 **Working Title** : Registered Nurse - Utilization Management - 8 Hour Days ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 240404-5612FP-001 Location Hartford, CT Date Opened 4/8/2024 12:00:00 AM Salary $76,565 - ... ) is seeking a qualified individual for the position of Utilization Review Nurse (PCN 26806) to join… more
- Beth Israel Lahey Health (Burlington, MA)
- …Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… more
- SSM Health (Madison, WI)
- …commitment to our mission is what sets us apart. The role of the RN- Utilization Review supports our organization by ensuring patients are at the appropriate ... of nursing or education equivalency for licensing EXPERIENCE + Two years' registered nurse experience REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State… more
- New York State Civil Service (Marcy, NY)
- Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 - Utilization Occupational Category Health Care, Human/Social Services ... of post-licensure clinical nursing experience of which one year was in utilization review and/or discharge planning. Duties Description To be discussed at time… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ... retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use...and offerings. Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more
- 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
- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour ... Management for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State...Basic knowledge of computer systems with skills applicable to utilization review process. + Excellent written and… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... constituents on CDPHP guidelines, policies, and procedures. QUALIFICATIONS + Registered Nurse or Licensed Practical Nurse...acute care experience is required as a Licensed Practical Nurse . + Minimum of two (2) years Utilization… more
- Milford Regional Medical Center (Milford, MA)
- …services to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization ... Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual… more
- Trinity Health (Des Moines, IA)
- …concurrent or post discharge. . Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory ... SKILLS AND ABILITIES REQUIRED: . Current licensure as a registered nurse in the State of Iowa....to reach resolutions to issues. . Specialty certification in Utilization Review within 12 months of hire… more
- Trinity Health (Fresno, CA)
- …Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next adventure?** **Duration:** ... 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. + Current American… more