- TalentBurst, Inc (Irving, TX)
- …insurance providers and vendors to obtain approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members ... with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst Health & Life… more
- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job Description ... 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelImmediate need for Utilization Review RNs for a Connecticut Healthcare Network. After orientation,… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a...location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... 6:30 AM - 5:00 PMMinimal call required.#RNSINDJob Summary: The Clinical Nurse I assesses, plans, implements and evaluates nursing care, utilizing the… more
- UT Health Tyler (Tyler, TX)
- …to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here's how ... and service of patients across the continuum promoting quality care, effective utilization of resources and assuming a leadership role with the interdisciplinary… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… 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 the Utilization ... requests for services requiring clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies as well as… more
- Health First (Melbourne, FL)
- …personal vehicle. **Job:** **Case Management* **Organization:** **Holmes Regional Medical Center* **Title:** * Utilization Review Nurse - Case Management UR ... *POSITION SUMMARY* The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate admission status and… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as a member of a team responsible ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well… more
- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... excelling in this position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform initial admission and continued stay reviews… 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 ... 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria more
- Justice, Bureau of Prisons/Federal Prison System (TX)
- …Medical Care Level 3 facility, or Federal Correctional Complex (FCC). Serves as the Utilization Review Nurse and assists in quality improvement activities ... to the appropriateness of medical care and communicates findings to the Utilization Review Committee. Applies predetermined evidence-based criteria sets and… more
- University of Washington (Seattle, WA)
- …) **UW Medical Center - Northwest** has an outstanding opportunity for an **experienced Utilization Review Nurse ** to join our team. **WORK SCHEDULE** + ... POSITION QUALIFICATIONS** + 3 years of work experience in utilization management + 5 years of nursing work experience...training + Active licensure to practice as a Registered Nurse in Washington State + Knowledge of medical screening… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical ... + Adaptive to a high pace and changing environment. + Proficient in Utilization Review process including benefit interpretation, contract language, medical and… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate, perform and complete assigned duties… more
- UC Health (Cincinnati, OH)
- …committed to providing an inclusive, equitable and diverse place of employment. The RN- Utilization Review nurse will use established criteria and ... Location: UCMC Department: Utilization Review Hours: 800-1630 Shift: First...inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social… 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
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... environment.* Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.*… more
- US Tech Solutions (May, OK)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION ... policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. ..... 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior… more
- Universal Health Services (Temecula, CA)
- …Healthcare Regional office in Temecula, CA is seeking Two (2) LVN Full-Time Central Utilization Review Nurses who will be responsible for carrying out ... correct payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory… more
