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Nurse Utilization Review jobs

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REGISTERED NURSE - UTILIZATION REVIEW

Department: Utilization Management Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm Hospital: Ascension St. Vincents Riverside Location: Jacksonville, FL Review admissions and service requests within assigned unit for pr...

CompanyAscension
AddressJacksonville, FL
CategoryEducation/Training
Date Posted 3 days ago See detail

Registered Nurse - Utilization Review

Ascension

Jacksonville, FL

Department: Utilization Management Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm Hospital: Ascension St. Vincents Riverside Location: Jacksonville, FL Review admissions and service requests within assigned unit for pr...

3 days ago seen See more...

REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED)

A-Line Staffing Solutions

Atlanta, GA

Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...

4 days ago seen See more...

Registered Nurse Utilization Review -- Utilization Review -- General Hospital

Camc Health System

Charleston, WV

$61.3K - $77.6K a year

Efficiently coordinate patient needs to assure high quality patient care, reduce length of stay and resource utilization and ensure reimbursement drawing on a broad clinical and systems management knowledge base.Responsibilities...

4 weeks ago seen See more...

Registered Nurse Utilization Review

Edward-Elmhurst Health

Naperville, IL

$69.2K - $87.6K a year

Position: RN Utilization Review Location: Edward Hospital 801 S Washington St Naperville, IL. Full Time; 40 hour week Hours: Monday-Friday 8:00am- 4:30 pm Rotating weekends. Will help out at Elmhurst Hospital and Corp Center Offic...

a month ago seen See more...

Registred Nurse Utilization Review $54.75-$61.25/Hr

Atc Healthcare

Los Angeles, CA

$54.75 - $61.25 an hour

Los Angeles, CA: Relocate before starting work (Required)....

a month ago seen See more...

Case Management Nurse Utilization Review Inpatient: Remote

Florida Health Care Plans, Inc.

Florida, United States

$68.8K - $87.2K a year

Current licensure in Florida as a Registered Nurse. Minimum of 3 years clinical experience; acceptable areas include Ambulatory Care, Medical/Surgical, or ICU required. Previous experience with referrals, Case Management, pre-cert...

2 months ago seen See more...

Utilization Management Nurse - Dallas, TX New

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required.. Minimum of two years Utilization Management acute care setting experience required. . Minimum of one-year drafting and submitting reco...

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Registered Nurse OASIS/Utilization Review Home Health - Lehi, UT

Impact Healthcare Llc

Lehi, UT

Taking inbound calls to review clinical assessments completed upon admission, recertification, evaluation, change of condition, and transfers. Review key OASIS data items and provide education on accurate data collection, utilizat...

2 weeks ago seen See more...

Nurse Case Manager/Utilization Review Nurse I

State Of Vermont

Burlington, VT

80% State paid medical premium and a dental plan at no cost for employees and their families. Work/Life balance: 11 paid holidays each year and a generous leave plan. State Paid Family and Medical Leave Insurance (FMLI). Two ways...

3 weeks ago seen See more...

Clinical/Utilization Review Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

4 weeks ago seen See more...

Utilization Review Nurse (RN)

Managed Resources, Inc

Remote

$38 - $42 an hour

401(k). 401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Life insurance. Paid time off. Referral program. Vision insurance. Pet Insurance. Monthly I...

4 weeks ago seen See more...

Registered Nurse / RN Utilization Review

Lovelace Medical Center

Albuquerque, NM

$64.1K - $81.1K a year

Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more. Lovelace Health System includes s...

4 weeks ago seen See more...

Utilization Review Nurse

American Health Plans Llc

Franklin, TN

$57.9K - $73.4K a year

Affordable Medical/Dental/Vision insurance options. Generous paid time-off program and paid holidays for full time staff. TeleDoc 24/7/365 access to doctors. Optional short- and long-term disability plans. Employee Assistance Plan...

4 weeks ago seen See more...

Utilization Review Nurse

Theoria Medical

Novi, MI

$80,000 - $85,000 a year

Monday-Friday 8am to 5pm. Remote. This is a full-time, remote position. Utilization management. Clinical quality management. Care coordination/Case management. ACO Alignment activities. Review patient medical records and documenta...

4 weeks ago seen See more...

LVN DSD Utilization Review, Skilled Nursing

Community Medical Centers Of Fresno, Ca

Fresno, CA

Join a Forbes Top 10 CA Employer! Direct impact on quality patient care. Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas). Free Continuing Education and certification including BLS, ACLS...

4 weeks ago seen See more...

Utilization Review Nurse- PRN

Netsmart Technologies

Remote

$77.6K - $98.3K a year

Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. Participate in telephonic discussions with emergency department physicians relative to documen...

4 weeks ago seen See more...

LVN - Inpatient Utilization Review Nurse - SRS Copley - Days - FT

Sharp Healthcare

San Diego, CA

$74.8K - $94.7K a year

3 Years experience in the acute patient care, Home Health and/or SNF setting. 2 Years Utilization/Case Management experience, preferably in a Managed Care setting. California Licensed Vocational Nurse (LVN) - CA Board of Vocationa...

a month ago seen See more...

Utilization Review Nurse (40 Hour)

State Of Connecticut

Hartford, CT

Work Unit: Inpatient Unit. Work Schedule: Monday - Friday. Work Hours: Full-time, 40 Hours per week. Work Shift: First shift, 8:00 a.m. - 4:30 p.m. Location: 500 Vine St, Hartford, CT. A Platinum Healthcare Plan, the nation's best...

a month ago seen See more...

Utilization Review Nurse - Case Management

Kern Medical

Bakersfield, CA

$41.32 - $65.10 an hour

New Hire Bonus: $6,000.00. New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. Shift Differential Pay: 10% of base pay for hours worked from 7:00 PM to 7:30 AM, with two (2) ho...

a month ago seen See more...

UTILIZATION REVIEW NURSE - CASE MANAGEMENT

North Oaks Health System

Hammond, LA

Physical Effort RequiredStrength: SedentaryPush: occasionallyPull: occasionallyCarry: occasionallyLift: occasionallySit: frequentlyStand: frequentlyWalk: frequentlyResponsibilities:Monitors and facilitates initial and continued st...

a month ago seen See more...

Utilization Review Nurse

Hamaspik Choice

Spring Valley, NY

$39 - $40 an hour

Temporarily due to COVID-19. Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. Monday to Friday. Clinical Review: 1 year (Required). RN (Required). Spring Valley, NY: Relocate before starting wor...

a month ago seen See more...

Utilization Review Registered Nurse (RN) - 32 hrs/wk, Days

Mainegeneral Health

Augusta, ME

Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria. Collaborates to assess and coordinate patient's di...

a month ago seen See more...

Utilization Review Nurse (RN)

Tidelands Health

Murrells Inlet, SC

$59.9K - $75.9K a year

Associate Degree in Nursing, required; Bachelor of Science Degree in Nursing, preferred Current and in good standing SC RN license with SCLLR. Minimum two years RN Utilization Review with Interchange Health, InterQual tool experie...

a month ago seen See more...

Interim Nurse Manager, Utilization Review

Firstchoice

Fresno, CA

$4,300 a week

State of California Registered Nurse (RN) License. Current American Heart Association (AHA) BLS Certification. Minimum of 2 years of hospital URM supervisory/management experience. MCG or InterQual Certification, preferred. 401(k)...

a month ago seen See more...

Utilization Nurse Reviewer

Access Healthcare Physicians, Llc

Spring Hill, FL

From $65,000 a year

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Medical records: 1 year (Preferred). CTST: 1 year (Required). RN: 5 years (Required). HEALTH P...

a month ago seen See more...

Prior Authorization/Utilization Review Nurse

Indian Health Care Resource Center

Tulsa, OK

$65,000 a year

JOB SUMMARYThe Prior Authorization/Utilization Review Nurse is responsible for carefully recording information regarding patient care on the back end of the clinic and doctor's office visits in hopes of keeping healthcare costs lo...

a month ago seen See more...

HP Utilization Review Nurse

Point32Health

Remote

$92K - $116K a year

Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines...

a month ago seen See more...

Utilization Review Nurse

Veritas Allies, Llc

Remote

$65.7K - $83.2K a year

401(k). Health insurance. 8 hour shift. Day shift. Monday to Friday. Utilization review: 1 year (Required). RN (Required)....

a month ago seen See more...

Utilization Review Nurse - LTSS

Villagecare Of New York

Remote

$90,000 - $105,000 a year

Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retrospective review. Frequently collaborates and comm...

a month ago seen See more...

Utilization Review Nurse

Neuropsychiatric Hospitals

Kalamazoo, MI

Competitive pay rates. Medical, Dental, and Vision Insurance. NPH 401(k) plan with up to 4% Company match. Employee Assistance Program (EAP) Programs. Generous PTO and Time Off Policy. Special tuition offers through Capella Univer...

2 months ago seen See more...

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What are the top cities open Nurse Utilization Review jobs?

There are open Nurse Utilization Review jobs in several cities including Santa Rosa, Overland Park, Spencer, New Bern, Grand Junction, Irving, Saint Paul,

What companies are hiring for Nurse Utilization Review jobs?

The top companies hiring now for Nurse Utilization Review jobs are CarolinaEast Health System, Christus Health, DOCS Management Services, HealthBPM, LifeBridge Health, Netsmart, Netsmart Technologies, TLC Nursing, UST - 3.7, Zenex Partners,

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