- 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
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for Full-Time ... utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse (RN) in New York State *Skills and… more
- Health Advocates Network (Medford, OR)
- … Review experience. + Pay Rate: $2,696 weekly + Specialty: Discharge Planning and Utilization Review Registered Nurse (RN) + Shift: Day + 13 ... School of Nursing + 2 years of experience as a Discharge Planning and Utilization Review Registered Nurse (RN) + American Heart Association BLS +… more
- Baylor Scott & White Health (Dallas, TX)
- …for quarterly meetings. + 3, 12 hour shifts. Saturday, Sunday, Monday. **JOB SUMMARY** The Utilization Review Registered Nurse (RN) provides a clinical ... type of service. + Alerts and partners with appropriate Utilization Review , Physician leadership and/or Provider Team...EXPERIENCE - 3 years of experience + CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) As a health care… 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
- 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)
- …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
- 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
- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform...onsite at a hospital setting. **Required Skills:** + Active Registered Nurse license For this US-based position,… 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
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse -case-manager utilization ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… 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
- Humana (Columbus, OH)
- …guidelines/procedures **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) with no disciplinary action + 3 - 5 ... put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination,… more
- Humana (Dublin, OH)
- …your skills to make an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse (RN) (unrestricted) with no disciplinary action + 3 - ... help us put health first** Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination,… more
- US Tech Solutions (May, OK)
- …years of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...setting. Performs telephonic and/or on site admission and concurrent review , and collaborates with onsite staff, physicians, providers, member/family… 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