- 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
- Ascension Health (Jacksonville, 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
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- Beth Israel Lahey Health (Burlington, MA)
- …States of America) Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) Case Manager for ... Clinic inpatient admissions. Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case… more
- Cedars-Sinai (Los Angeles, CA)
- …Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 Hour Days **Department** ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate… 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
- 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
- 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
- Avera Marshall (Sioux Falls, SD)
- …right place. Education and/or Experience + Bachelor's degree in Nursing is preferred. + Registered Nurse with a minimum of five years of professional nursing ... and PowerPoint. Familiarity with data extraction tools is desirable. Licensure/Certification/Registration + Registered Nurse in the state of South Dakota and/or… 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
- Beth Israel Lahey Health (Burlington, MA)
- …right to change signing bonus eligible jobs and amounts at any time. **Job Description:** ** Utilization Review Nurse ** 4 (10 hours) shifts This position is ... required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse (RN), Massachusetts + Three years...of recent clinical or utilization management experience Utilization Review Nurse _Preferred:_ +… 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
- Beth Israel Lahey Health (Burlington, MA)
- …Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Emergency Room 3:00-11:30pm Important Details: * Signing Bonuses ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 240313-5612FP-002 Location Hartford, CT Date Opened 3/14/2024 12:00:00 AM Salary $76,565 - ... is seeking a highly motivated and compassionate U tilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) to join our team!… 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
- 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
- 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
- Trinity Health (Albany, NY)
- …equivalent combination of healthcare and supervisory experience. + Strong knowledge of utilization review practices + PC literate, including Microsoft Office ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days **Position… more
- Kepro (Indianapolis, IN)
- …other information applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) ... partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Job… more