• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...$169,609.20 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
    The County of Los Angeles (04/02/24)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... **Job Type:** Regular ** Time Type:** Full time ...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
    Beth Israel Lahey Health (03/22/24)
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  • Case Manager with Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend and holiday ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review more
    Beth Israel Lahey Health (04/19/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN . This...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… more
    Billings Clinic (03/13/24)
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  • Utilization Review Nurse

    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
    University of Utah Health (04/24/24)
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  • Utilization Review RN

    HCA Healthcare (Largo, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital ... in our organization. We are looking for an enthusiastic Utilization Review RN to help...related health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations… more
    HCA Healthcare (04/18/24)
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  • Regional Utilization Review

    Trinity Health (Maywood, IL)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and ... Position is hybrid, must reside in Illinois. The Regional Utilization Review Documentation Specialist nurse ...skills are necessary. + CPR (Cardiopulmonary Resuscitation) + Current Registered Nurse License State of Illinois +… more
    Trinity Health (05/09/24)
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  • Utilization Review Case Manager,…

    University of Miami (Miami, FL)
    …. The University of Miami is currently seeking Utilization Review Case Manager to work at ... The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager… more
    University of Miami (05/09/24)
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  • Manager Utilization Review /Medical…

    Emanate Health (Covina, CA)
    …ranked company in the country. **Job Summary** The Manager Utilization Review /MediCal Specialist will develop and maintain a full Medi-Cal case management ... of care from pre-admission through post-discharge for Medi-Cal patients. The Manager Utilization Review /MediCal Specialist will manage the program to provide the… more
    Emanate Health (05/03/24)
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  • Interim Nurse Manager, Utilization

    Trinity Health (Fresno, CA)
    **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next ... 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. +… more
    Trinity Health (03/20/24)
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  • RN - Lead Care Coordinator…

    Trinity Health (Maywood, IL)
    **Employment Type:** Full time **Shift:** **Description:** This position is located at the Westmont office Join our small but mighty team to guide and manage ... Utilization Review and Management for the Loyola...or MCO. Leadership experience is preferred. **Licensure/Certifications:** **Required:** Current Registered Nurse License State of Illinois **Our… more
    Trinity Health (04/02/24)
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  • Registered Nurse

    Glens Falls Hospital (Glens Falls, NY)
    …foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for ... management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New...summary of these offerings, which are available to active, full-time and part-- time employees who work at… more
    Glens Falls Hospital (04/26/24)
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  • Utilization Review Coordinator

    Universal Health Services (Scottsdale, AZ)
    Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the great Phoenix ... as depression, anxiety, personality disorders and co-occurring addictions. Benefits include for Full Time Staff: + Challenging and rewarding work environment +… more
    Universal Health Services (04/18/24)
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  • RN Care Manager Utilization

    Catholic Health (Lockport, NY)
    …Weekend and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager, Utilization Review / Transitions of ... USD Facility: Lockport Memorial Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: SEIU...the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services… more
    Catholic Health (02/29/24)
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  • Utilization Review (UR) Coordinator…

    Universal Health Services (Harahan, LA)
    …(Nursing, Counseling, Psychology or Social Work). Masters preferred. + Licensure/Certification: Registered Nurse ( RN ), Licensed Therapist or Social ... River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW COORDINATOR who Evaluates patient medical...- 401k plan with company match - Generous Paid Time Off One of the nation's largest and most… more
    Universal Health Services (03/29/24)
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  • RN Central Utilization Review

    Universal Health Services (Temecula, CA)
    …Southwest Healthcare Regional office in Temecula, CA is seeking Two (2) Full-Time RN Central Utilization Review Nurses who will be responsible for ... correct payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory… more
    Universal Health Services (04/13/24)
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  • Supervisor Care Management - Utilization

    Hackensack Meridian Health (Hackensack, NJ)
    …Support HCP Certification. Licenses and Certifications Preferred: + NJ State Professional Registered Nurse License. + Certified Case Manager. **Job ID** ... standards, and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance… more
    Hackensack Meridian Health (05/07/24)
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  • Dir - Utilization Review / Mgmt

    Universal Health Services (Memphis, TN)
    …Come join our team and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! ... and any other applicable federal and state laws and regulations governing mental health care facilities relating to Patients rights and utilization review . more
    Universal Health Services (03/29/24)
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  • Utilization Review (UR) Specialist

    Universal Health Services (Groton, CT)
    …preferred; minimum Bachelors Degree in Psychology or related Human Service Field or RN . Knowledge of Utilization Review Processes, insurance plans, mental ... Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the...SoFi Student Loan Refinancing Program, and more (for eligible part- time and full-time positions) + Competitive Compensation… more
    Universal Health Services (03/29/24)
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  • PRN Utilization Review Coordinator

    Universal Health Services (Jacksonville, FL)
    …a whole. We are pleased to announce the following available position: PRN Utilization Review Coordinator This position is responsible for monitoring the ... with treatment team members, physician's and co-workers throughout the hospital. Qualifications Registered Nurse , LPN or Master's level Social Worker with… more
    Universal Health Services (04/05/24)
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