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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 a week 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...

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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...

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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...

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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...

3 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...

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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...

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Registered Nurse (RN) - Utilization Review - PRN

Vcu Health System

Richmond, VA

$71.6K - $90.6K a year

The Utilization Review RN PRN is responsible for utilization management and Utilization Review for prospective, concurrent, or retrospective review.This job functions as a part of a multidisciplinary team, including physicians, so...

2 months ago seen See more...

Registered Nurse (RN) - Utilization Review

Foundation Health, Llc

Fairbanks, AK

The position is primarily accountable for performing initial clinical appropriateness reviews of requests for services that require prior authorization or retrospective review. Facilitates cost-effective and quality patient care b...

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Registered Nurse / RN Utilization Review

Bsa Hospital

Amarillo, TX

$60.8K - $77K 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. BSA Hospital is a 445-bed hospita...

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Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN - Now Hiring

Denver Health

Denver, CO

$34.45 - $51.68 per hour

Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments.. (20%). Participates in care planning and discharge planning with the staff, providers an...

3 weeks ago seen See more...

Registered Nurse - Utilization Manager

Erp International

Little Rock Air Force Base, AR

Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. Performs prospective, concurrent, and/or retrospective utilization revi...

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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)....

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Registered Nurse - Utilization Manager

Erp International

Arkansas, United States

$82.5K - $104K a year

Excellent Compensation & Exceptional Comprehensive Benefits!. Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!. Medical/Dental/Vision, STD/LTD/Life, Health Savings Account available, and more!. Annual CME Stipend and...

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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...

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Registered Nurse - Utilization Management - 8 Hour Days

Cedars-Sinai

Los Angeles, CA

$52.47 - $83.95 an hour

The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures an...

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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...

4 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...

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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...

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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...

Registered Nurse (RN) - Utilization Management (Remote)

Uva Health

Charlottesville, VA

$71,988.80 - $115,190.40 a year

They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. All Utilization Management activities are performed in accordance with the mission vision and values of UVA...

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Utilization Management Registered Nurse

Wexford Health

Sylvania, PA

Work with patients and providers for the patients best interests by helping to ensure appropriate care and maximizing clients medical benefits; Review clinical information provided by the Hospital Utilization Management Departm...

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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...

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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...

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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...

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Utilization Management Clinical Registered Nurse (RN) - Clinic

Texas Children's Hospital

Bellaire, TX

In addition, discharge planning and provider education are major components of this process.Think you've got what it takes?Responsibilities* Analyze submitted information including clinical assessments, treatment plan, regulatory...

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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...

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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...

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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...

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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...

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