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Utilization Review Nurse Jobs in USA: 18,785 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
... managed care services, seeking a Utilization Review Nurse (LVN or LPN) to ... this team as a Utilization Review Nurse, you will utilize your clinical experience, ... Full description
Los Angeles
Oscar Health Insurance
Utilization Review Nurse At Oscar, we work hard ... timely, transparent way. As a Utilization Review Nurse, you will determine the medical ... Full description
... The Utilization Review Nurse I provides first level clinical review for ... authorizations to completion utilizing appropriate review criteria. Identifies and ... Full description
Timonium
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
... managed care services, seeking a Utilization Review Nurse (LVN or LPN) to ... this team as a Utilization Review Nurse, you will utilize your clinical experience, ... Full description
... : The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health ... in inpatient stay and utilize peer review, as necessary * ... Full description
... organization review procedures. Maintains reporting system for Utilization Review. Requires ... Know, understand, and utilize effective discharge planning as ... Full description
Dallas
Dallas Medical Center
... Job description/Responsibilities: The Utilization Review Nurse is responsible for maximizing ... for the EPO Plan. Utilization Review Nurse will set up processes, ... Full description
Scotts Valley,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
Rochester
The Judge Group, Inc.
... is currently seeking a Utilization Review Nurse Rochester, MN!!!... This ... responsibilities: The utilization manager conducts utilization management functions ... Full description
We are seeking experiences utilization review nurses (RN) for immediate full time ... . UR Nurses are needed to perform two types of inpatient reviews: medical ... Full description
Syracuse
CorVel Corporation
... EDUCATION/TRAINING The Utilization Review Nurse should have a ... Outpatient utilization review. ESSENTIAL JOB DUTIES The Utilization Review Nurse must identify ... Full description
We are seeking experiences utilization review nurses (RN) for immediate full time ... . UR Nurses are needed to perform two types of inpatient reviews: medical ... Full description
Central Islip
CorVel Corporation
... EDUCATION/TRAINING The Utilization Review Nurse should have a ... Outpatient utilization review. ESSENTIAL JOB DUTIES The Utilization Review Nurse must identify ... Full description
We are seeking experiences utilization review nurses (RN) for immediate full time ... . UR Nurses are needed to perform two types of inpatient reviews: medical ... Full description
Kingman
Kingman Hospital, Inc.
... RESPONSIBILITIES: 1. The Utilization Review Nurse is responsible for conducting ... use of clinical guidelines, utilization review and payer regulations. 11. ... Full description
Bowie,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
Albany
Capital District Physicians' Health Plan, Inc
The Utilization Review Nurse is responsible and accountable for ... . * Minimum of two (2) years Utilization Management experience is preferred. * Demonstrated ... Full description
... managed care services, seeking a Utilization Review Nurse (LVN or LPN) to ... this team as a Utilization Review Nurse, you will utilize your clinical experience, ... Full description
South San Francisco
... ! We are seeking full time Utilization Review Nurse! This opportunity will give you ... or Licensed Vocational Nurse in CAAt Least 1 year utilization review or case ... Full description
... managed care services, seeking a Utilization Review Nurse (LVN or LPN) to ... this team as a Utilization Review Nurse, you will utilize your clinical experience, ... Full description
Bethel
Yukon-Kuskokwim Health Corporation
... /or ability required. The Utilization Review Nurse, reporting to the Revenue Cycle ... for improvement in the entire Utilization Review process. This individual must ... Full description
Springfield
Mercy Healthcare
Overview: The Utilization Review Nurse is responsible for the ... certification, inpatient concurrent review and retrospective chart review. Performs related duties ... Full description
Marlton
The Judge Group, Inc.
... Healthcare is actively seeking a Utilization Review Nurse for one of our top ... will have the following responsibilities: Utilizes Payer specific screening tools as ... Full description
San Diego
San Ysidro Health Center
... to inter-relate with physicians, nurses, patients, internal departments, outside ... 2 years of experience in utilization review, case management, and discharge ... Full description
New Bern
CarolinaEast Health System
... of the Utilization Review Manager and Physician Advisor, the Utilization Review Registered Nurse (UR-RN ... Full description
Sheridan
Sheridan Memorial Hospital
... The performance of the Utilization Review function on all patients ... REQUIREMENTS * Current unrestricted Wyoming Registered Nurse License. * Bachelor's Degree ... Full description
... . The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. ... directed by the Manager, Utilization Management. May design and ... Full description
Winston Salem
The Judge Group, Inc.
... or Licensed Practical Nurses (LPN) for a Utilization Review role with a ... the Healthcare System. Conduct Utilization Reviews Coordinate cost effective care based ... Full description
... the healthcare field. The Utilization Review (UR) Nurse is responsible to the ... Manager of Utilization Management. This individual ... Full description
Buffalo
Fidelis Care New York
... on the medical review process. The Utilization Management clinician makes ... NYS RN Licensure required Previous Utilization Review or Managed Care experience ... Full description
Festus
Mercy Healthcare
... education to staff, hospital nurses, and skilled nursing facilities as requested. ... patients by reviewing plan of care and goals - utilizing appropriate criteria ... Full description
Kirkland
Universal Health Services
... UtilizationReview Nurse conducts initial and concurrent reviews with insurancecompanies ... years experiencein behavioral health utilization. Minimum of three (3 ... Full description
... workers. Reviews and telephonic manages medical only claims. Provides nursing support for ... Full description
Fort Worth
JPS Health Network
Description: The Utilization Review Nurse II (URN) functions as the ... relationship with the payor's utilization review nurses and case managers and maintains ... Full description
Fort Worth
JPS Health Network
Description: The Utilization Review Nurse II PRN (URN) functions as ... relationship with the payor's utilization review nurses and case managers and maintains ... Full description
... InterQual guidelines. The Utilization Review Nurse utilizes clinical skills to ... Surgical experience required; Utilization Review experience preferred. Efficient ... Full description
Austin
Scott and White Healthcare
... SCHEDULE. The Utilization Review Nurse is a registered nurse who provides clinical review against standard ... Full description
We are seeking experiences utilization review nurses (RN) for immediate full time ... ;;;;UR Nurses are needed to perform two types of inpatient reviews:;;;;medical ... Full description