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Utilization Review Nurse Jobs in USA: 5,050 Job Openings

Frisco,Texas
Novare
... Position Summary: To perform utilization review for workers compensation claims ... care or utilization review agency environment OR emergency/trauma nursing.3. ... Full description
United States,Chicago
Rising Medical Solutions
... shift?If so, the Utilization Review (UR) Nurse position at Rising may be ... Perform all aspects of the Utilization Review Process Review records and requests for ... Full description
Watertown,United States
K.A. Recruiting
... reporting of Medical Staff, Nursing and hospital departmental quality ... NYPORTS and RCA if requested. UTILIZATION REVIEW Competency: Obtains, records, and ... Full description
Chicago,IL
Rising Medical Solutions
... shift?If so, the Utilization Review (UR) Nurse position at Rising may be ... Perform all aspects of the Utilization Review Process Review records and requests for ... Full description
... The Utilization Review Nurse I provides first level clinical review for ... authorizations to completion utilizing appropriate review criteria. Identifies and ... Full description
United States, Chicago
Rising Medical Solutions
... shift? If so, the Utilization Review (UR) Nurse position at Rising may be ... all aspects of the Utilization Review Process * Review records and requests for UR ... Full description
Washington,US
Washington Hospital Center
... in the administration of utilization functions, the Utilization Review Nurse, assesses patient insurance/status ... Full description
AZ-Phoenix, JOB SUMMARY: The Utilization Review Nu ...
... SUMMARY: The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health ... the member’s medical benefits. Reviews are made on-site, ... Full description
Austin,Texas
Baylor Scott & White Health
... SCHEDULE. The Utilization Review Nurse is a registered nurse who provides clinical review against standard ... Full description
United States,Chicago
Rising Medical Solutions
... to apply! Supervise the Utilization Review Nurses on staff Work with the ... (nurses and pre-clinical reviewers) Perform all aspects of the Utilization Review ... Full description
Chicago,IL
Rising Medical Solutions
... shift? If so, the Utilization Review (UR) Nurse position at Rising may be ... Perform all aspects of the Utilization Review Process Review records and requests for ... Full description
... organization review procedures. Maintains reporting system for Utilization Review. Requires ... Know, understand, and utilize effective discharge planning as ... Full description
Timonium,United States
MJ Morgan Group
... OF THE UTILIZATION REVIEW NURSE: * ... UTILIZATION REVIEW NURSE: * Degree in Nursing * Must be a Registered Nurse * Current unrestricted Maryland Registered Nurse ... Full description
Chicago,US
Rising Medical Solutions
... shift? If so, the Utilization Review (UR) Nurse position at Rising may be ... Perform all aspects of the Utilization Review Process Review records and requests for ... Full description
Carmel,CA
Nurse Management
... . The Case Management Utilization Review Nurse Manager will provide leadership ... results are maintained. The Utilization Review Nurse Manager RN will participate ... Full description
United States, Chicago
Rising Medical Solutions
... you to apply! * Supervise the Utilization Review Nurses on staff * Work with the ... Full description
Chicago,US
Rising Medical Solutions
... to apply! Supervise the Utilization Review Nurses on staff Work with the ... (nurses and pre-clinical reviewers) Perform all aspects of the Utilization Review ... Full description
Chicago,IL
Rising Medical Solutions
... to apply! Supervise the Utilization Review Nurses on staff Work with the ... (nurses and pre-clinical reviewers) Perform all aspects of the Utilization Review ... Full description
United States, Philadelphia
... review of requests received Collaborates with the Medical Director to identify utilization ... skills with nursing staff, physicians, nurse practitioners and ... Full description
Chicago,US
Rising Medical Solutions
... to apply! Supervise the Utilization Review Nurses on staff Work with the ... (nurses and pre-clinical reviewers) Perform all aspects of the Utilization Review ... Full description
Chicago,IL
Rising Medical Solutions
... to apply! Supervise the Utilization Review Nurses on staff Work with the ... (nurses and pre-clinical reviewers) Perform all aspects of the Utilization Review ... Full description
Detroit,US
ViziRecruiter
Our client is a Healthcare Company and they are searching for a Utilization Review NurseTo learn more, please click on the 'apply on company website' button. Full description
Germantown,MD
Nurse Management
... hire their next Case Management Nurse Manager. This position will report ... Director of Case Management and Utilization review. This medical center is centrally ... Full description
Collierville,TN
Nurse Management
... , along with Social Services. The Nursing Director of Case Management will ... be a nurse with a strong background in case management/utilization review. The ... Full description
New Jersey
HealthCare Scouts
... an immediate opening as a Utilization Management Nurse (RN) for one of ... include prior authirization and concurrent review for patients receiving acute care ... Full description
UNITED STATES-VIRTUAL-VIRTUAL
Zurich Insurance Group
Description  Our Medical Review Nurses are experienced in Liability Claims ... standards of medical care by utilizing clinical expertise and professional judgment ... Full description
San Mateo,Hudson
Centene Corporation
Concurrent Review Nurse I','1047391','!*!Position Purpose: Perform onsite review of ... discharge planningEducate providers on utilization and medical management ... Full description
Tulsa,Oklahoma
R1 RCM
... company and your career. The Utilization Review Analyst will be responsible for ... approved school of nursing Current license to practice nursing * Cognitive and ... Full description
Cleveland,OH
Utilization Management Nurse Reviewer-Care Authorizations ... Description Competitive pay and sign on bonus Performs utilization ... Full description
... is seeking an experienced Claims Utilization Review Nurse to join their team on ... ideal candidate for this Claims Utilization Review Nurse Job will have an active ... Full description
Richardson, TX
... seeking to fill a Utilization Review Supervisor in Richardson, TX ... Registered Nurse (RN) - TX (active, no restrictions) 2 years utilization review/ managed ... Full description
New Albany, OH
Aetna
... Dedicated Unit. In the Utilization Management Nurse Consultant role we are looking ... Care/1-3 Years Concurrent Review/discharge planning/1-3 Years ... Full description
London
Nebraska Heart Institute
... from the clinical utilization reviews with the facilities. * Reviews any service denials ... license, as a licensed practical nurse, in Kentucky, is required. ... Full description
... utilizing study methodologies. Essential Duties amp Responsibilities Performs medical review ... Education Bachelors degree in Nursing or equivalent work experience ... Full description
United States, Strongsville
Utilization Management Nurse Reviewer- Care Transitions Description Performs discharge planning and utilization ... appropriate network utilization. RESPONSIBILITIES ... Full description
Westlake Village,US
... individuals involved in the utilization review process. ResponsibilitiesUsing clinical/nursing skills to triage ... Full description
Tulsa,Oklahoma
R1 RCM
... company and your career. The Utilization Review Analyst will be responsible for ... approved school of nursing Current license to practice nursing * Cognitive and ... Full description
Long Beach,California
Long Beach Memorial Medical Group
... Unit/medical group experience in utilization review, insurance contracts, multi-payer ... experience as a Licensed Vocational Nurse. AA Degree and/or healthcare ... Full description
Cleveland,OH
Utilization Management Nurse Reviewer-Care Authorizations ... Description *Competitive pay and sign on bonus* Performs utilization ... Full description
Albany, NY
Aetna
... expertice to assure appropriate benefit utilization -Facilitate safe and efficient ... 1-3 Years Functional - Nursing/Concurrent Review/discharge planning/1-3 Years ... Full description