• Utilization Review Denials Nurse

    UNC Health Care (Kinston, NC)
    …admission, and continued stay reviews and related activities as needed to support UR Nurse team. **Other Information** Other information: + **EDUCATION** + ... documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria to evaluate the… more
    UNC Health Care (11/20/25)
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  • Staff Nurse - Utilization Review (ED)

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review ( UR ) Registered Nurse is responsible for evaluating the ... **12/2/2025 - REVISED FTE *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department for the/Emergency Department / This… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • RN - Utilization Review - *EVENINGS

    Providence (Olympia, WA)
    **Description** The Utilization Review ( UR ) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management ... we must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years - Nursing **Preferred Qualifications:** + Bachelor's… more
    Providence (12/18/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    …staff as needed. Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all ... of appeal letters. + Tracks denial information for reporting to Quarterly UR Committee. + Maintains liaison with the Social Services department to facilitate… more
    San Antonio Behavioral Health (11/26/25)
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  • Registered Nurse - Utilization Review Case…

    Cedars-Sinai (Los Angeles, CA)
    …most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG ... estimation of the patient's expected length of stay. The UR Case Manager secures authorization for the patient's clinical...required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM… more
    Cedars-Sinai (01/02/26)
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  • Utilization Management Registered Nurse

    Katmai (Fort Carson, CO)
    **SUMMARY** Provide a comprehensive utilization review ( UR ) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... link between the providers, staff, and civilian sectors regarding UR guidelines. + Determine if the services requested are...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… more
    Katmai (11/26/25)
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  • Licensed Practical Nurse / LPN

    InGenesis (Columbia, SC)
    InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical ... management on a regular basis to work more complex UR cases for the outpatient UR function...duties as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license in the State of South… more
    InGenesis (11/14/25)
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  • RN, Physician Practice - Public Health…

    University of Rochester (Rochester, NY)
    …time Scheduled Weekly Hours: 40 Department: 400051 Med M&D-Infect Dis STD Clinic Work Shift: UR - Day (United States of America) Range: UR URCC 214 H ... and providing HIV/STI prevention counseling and testing in collaboration with nurse practitioners and medical director. Assess clients' suitability for HIV… more
    University of Rochester (11/30/25)
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  • Nurse Anesthetist

    University of Rochester (Rochester, NY)
    …Scheduled Weekly Hours: As Scheduled Department: 910156 Anesthes & Periop CRNA Work Shift: UR - Day (United States of America) Range: UR URC 223 Compensation ... selection of monitoring modalities. + 5% Supervises Student Registered Nurse Anesthetists (SRNAs) in the delivery of anesthesia care....PACU. + Gives a thorough report to the PACU nurse . + 2% Evaluates the attainment of anesthesia care… more
    University of Rochester (11/06/25)
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  • Imaging Sciences at UMI - Registered Nurse

    University of Rochester (Rochester, NY)
    …Full time Scheduled Weekly Hours: 40 Department: 500757 Imaging at UMI Nursing Work Shift: UR - Evening (United States of America) Range: UR URCI 214 H ... and internal equity considerations._ **Responsibilities:** The Level II Registered Nurse , under the direction of the Nurse ...Registered Nurse , under the direction of the Nurse Manager, is accountable for provision of competent direct… more
    University of Rochester (11/06/25)
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  • Nurse Anesthetist

    University of Rochester (Rochester, NY)
    …time Scheduled Weekly Hours: 40 Department: 910156 Anesthes & Periop CRNA Work Shift: UR - Rotating (United States of America) Range: UR URC 223 Compensation ... PACU. - Gives a thorough report to the PACU nurse . Evaluates the attainment of anesthesia care goals. -...in New York State; graduate of a school of nurse anesthesia, accredited by the American Association of … more
    University of Rochester (11/06/25)
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  • Pediatric Registered Nurse

    University of Rochester (Rochester, NY)
    …Time Type: Full time Scheduled Weekly Hours: 40 Department: 400081 General Pediatrics Work Shift: UR - Day (United States of America) Range: UR URCC 214 H ... 2025; WITH POSSIBLE RENEWAL PENDING GRANT POSITION SUMMARY: The Pediatric Registered Nurse (RN) will work daily to implement interventions aimed at improving asthma… more
    University of Rochester (11/06/25)
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  • Clinical Research Nurse II

    University of Rochester (Rochester, NY)
    …Full time Scheduled Weekly Hours: 40 Department: 400048 Medicine M&D-Infect Dis Unit Work Shift: UR - Day (United States of America) Range: UR URCI 214 H ... and assumes an expanded role which may include charge nurse , preceptor, and committee member responsibilities. ESSENTIAL FUNCTIONS -...in Nursing and 6 months experience as a Registered Nurse working in an Acute Care Setting required -… more
    University of Rochester (01/10/26)
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  • Nurse Anesthetist

    University of Rochester (Rochester, NY)
    …Full time Scheduled Weekly Hours: 40 Department: 910156 Anesthes & Periop CRNA Work Shift: UR - Day (United States of America) Range: UR URC 223 Compensation ... Accompanies patient to the recovery room and informs the nurse assuming responsibility for the patient's care during anesthesia...of nursing required + Graduate of a school of nurse anesthesia, accredited by the American Association of … more
    University of Rochester (01/08/26)
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  • Cardiac ICU - Nurse Practitioner/Physician…

    University of Rochester (Rochester, NY)
    …Full time Scheduled Weekly Hours: 40 Department: 500704 Cardiovascular Inpt APP Work Shift: UR - Rotating (United States of America) Range: UR URCB 218 ... Provides patient care in collaboration with a member of medical staff. The Nurse Practitioner (NP) works in a collaborative relationship with a physician provider to… more
    University of Rochester (11/06/25)
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  • Nurse Practitioner, Nsg

    University of Rochester (Rochester, NY)
    …time Scheduled Weekly Hours: 40 Department: 400031 Environ Med - Finger Lakes Work Shift: UR - Day (United States of America) Range: UR URCB 218 Compensation ... assigned. **MINIMUM EDUCATION & EXPERIENCE** + Master's degree room an Accredited Nurse Practitioner Program required + Or equivalent combination of education and… more
    University of Rochester (12/28/25)
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  • Clinical Resource Management Nurse (RN)…

    Hartford HealthCare (Manchester, CT)
    …Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people ... in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and interdisciplinary team to support the… more
    Hartford HealthCare (12/23/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …(LOS) and resource utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization ... the payer per university contractual obligation. + Participant in UR Committee as needed. + Collects data on variances...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
    University of Utah Health (01/06/26)
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  • Utilization Review Nurse LVN

    Prime Healthcare (Ontario, CA)
    …Referral Technicians with regard to referral distribution and tracking. Assists Director of UR Dept. in providing oversight and monitoring productivity of UR ... Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse (LVN) license. + Minimum (2) two years of experience in acute… more
    Prime Healthcare (12/31/25)
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  • Program Director Nurse Practitioner…

    University of Rochester (Rochester, NY)
    …School of Nursing **Salary Range or Pay Grade** $110,000-$161,000 **Description** The Nurse Practitioner (NP) program director (PD) is a faculty member who holds ... maintenance and audits of student records in SONDB and UR Student information system. + Assists students with academic...regulations; the statutes of the State of New York; UR , and community partner guidelines. + Provides ongoing feedback… more
    University of Rochester (11/15/25)
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