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Utilization Review Nurse Jobs in USA: 8,046 Job Openings

Fountain Valley, California
Memorial Health Services
... * A ppl y Utilization Review Management process to ensure ... Nurse (RN) preferred. Licensed Vocational Nurse (LVN) with consideration made based on utilization ... Full description
Fountain Valley, California
Memorial Health Services
... * A ppl y Utilization Review Management process to ensure ... Nurse (RN) preferred. Licensed Vocational Nurse (LVN) with consideration made based on utilization ... Full description
Quincy
Harvard Pilgrim Health Care
The Utilization Review Nurse is responsible for the administration ... directly impact member utilization of benefits Perform clinical reviews using HPHC criteria ... 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
... Utilization Business Department. Administrative review will be provided by the Utilization Review ... three years of professional nursing experience preferred. * ... Full description
Columbia, SC
... . Performs special projects including reviews of clinical information to identify ... apply for this opportunity please utilize the “Apply Now/Submit Resume ... Full description
Reviews patient admissions for appropriateness, efficiency of resource utilization ... 3) years of clinical nursing experience. Licensing/Certification Requirements ... 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, Fountain Valley
Memorial Health Services
... * A ppl y Utilization Review Management process to ensure ... Nurse (RN) preferred. Licensed Vocational Nurse (LVN) with consideration made based on utilization ... Full description
Utilization Review Nurse ;;Job Description:Job Number: 170842 Department: Utilization Review Hours: Variable Located in Seattle ... Full description
TX-Houston, Utilization Review Nurse Houston, Tx ...
TX-Houston, Utilization Review Nurse Houston, Tx Works as part ... team and is involved in reviews of authorization requests and communicates ... Full description
Quincy, Massachusetts
Harvard Pilgrim HealthCare
Job Description The Utilization Review Nurse is responsible for the ... directly impact member utilization of benefits Perform clinical reviews using HPHC ... Full description
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
New Jersey
... setting, utilizing a defined network of providers. Reviews cases for ... setting • 2+ years Utilization Management/Concurrent Review experience in a Managed ... Full description
Williamsville
Independent Health Assoc., Inc.
... Overview The Utilization Review Nurse (URN) performs clinical reviews to determine ... setting required. Previous utilization review experience preferred. Previous ... Full description
San Jose, 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
... organization review procedures. Maintains reporting system for Utilization Review. Requires ... Know, understand, and utilize effective discharge planning as ... 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
Utilization Review Nurse ;;Job Number: 170842Department: Utilization ReviewHours: VariableLocated in Seattle, WA, ... Full description
Philadelphia, Come work for one of the leading di ...
Philadelphia, Come work for one of the leading diversified health care benefits companies providing medical, pharmacy, dental, behavioral health, group life and ... Full description
Huntsville, Alabama
Healthcare Scouts, Inc
... RN Case Manager will review payment requests for out of ... REQUIREMENTS: Licensed Registered Nurse (RN), BSN preferred Utilization review or prior authorization ... Full description
New Jersey
... setting, utilizing a defined network of providers. Reviews cases for ... setting 2+ years Utilization Management/Concurrent Review experience in a Managed ... Full description
Philadelphia, Pennsylvania
... review of requests received • Collaborates with the Medical Director to identify utilization ... skills with nursing staff, physicians, nurse practitioners and ... Full description
United States, Fountain Valley
MEMORIAL HEALTH SERVICES
... . A ppl y Utilization Review Management process to ensure ... Nurse (RN) preferred. Licensed Vocational Nurse (LVN) with consideration made based on utilization ... Full description
Toppenish, WA
Nurse Management
... satisfaction. The Nurse Coordinator Utilization Review will collaborate with the utilization review nursing staff to identify ... 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
... you to apply! Supervise the Utilization Review Nurses on staff Work with the ... Full description
NY-Remote, Job Number: Job Title: Remote Utilizat ...
... Number: 1190050 Job Title: Remote Utilization Review Nurse Job Type: Full-time Location ... Full description
Midwest City, Oklahoma
MountainView Regional Medical Center
... , but is not a registered nurse. Familiar with standard concepts, practices ... Full description
Philadelphia, Pennsylvania
... review of requests received Collaborates with the Medical Director to identify utilization ... skills with nursing staff, physicians, nurse practitioners and ... Full description
Dallas
UT Southwestern Medical Center
... Graduate of accredited nursing program; BSN preferred. ... utilization assessment to payers that are needed to justify continued stay 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, Chicago
Rising Medical Solutions
... you to apply! * Supervise the Utilization Review Nurses on staff * Work with the ... Full description
Palm Desert, US
Clinical Management Consultants
Utilization Review Nurse Director ;;An impressive medical center ... programs to the community. The Utilization Review Nurse Director should enjoy living and ... Full description
Midwest City, Oklahoma
Fannin Regional Hospital
... , but is not a registered nurse. Familiar with standard concepts, practices ... Full description
Dallas
UT Southwestern Medical Center
... Graduate of accredited nursing program; BSN preferred. ... utilization assessment to payers that are needed to justify continued stay 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
Rockville
Maryland Treatment Centers, Inc.
... to the Director of Nursing, the Utilization Review Nurse assists in implementing ... Registered Nurse) in the State of Maryland Prior Utilization Review experience ... 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
Austin, Texas
Baylor Scott & White Health
... SCHEDULE. The Utilization Review Nurse is a registered nurse who provides clinical review against standard ... Full description