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4w
4 weeks ago

Full-Time

The U.R. Nurse gathers demographic and clinical information on prospective, concurrent, and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay. REQUIRED EDUCATION/TRAINI...

Central Islip, NY

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4w
4 weeks ago

Full-Time

Judge Healthcare is currently seeking Registered Nurses or Licensed Practical Nurses for a Utilization Review role with a large healthcare network in Winston-Salem, NC. Candidates must be either an RN or LPN with clinical experience in a hospital setting...

Winston-Salem, NC

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4d
4 days ago

Full-Time | Pay: $38.00/hour

Actively seeking a Utilization Review Nurse to join a leading Healthcare Facility as part of the Utilization Management Team. As the Utilization Review Nurse, you will utilize Milliman and InterQual care guidelines to determine appropriateness of care in...

Confidential

Baltimore, MD

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Full-Time

Overview Comprehensive Industrial Disability Management Services Inc. (CID), a Genex family company, is currently seeking a UR Triage Nurse for the Utilization Management department in Westlake Village, CA. Responsible for assessment and evaluation of tre...

Westlake Village, CA

Full-Time

Utilization Review Registered Nurse As one of the largest and most recognized providers of healthcare professionals, Medical Staffing Network Travel Allied has the UR / UM RN opportunities you want and the pay and benefits you deserve. MSA matches Utiliza...

Medical Staffing Network

Harvey, IL

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CAREERBUILDER APPLY

Full-Time

We are currently seeking to fill a Utilization Review Supervisor in Richardson, TX. This is a full time permanent position – NOT CONTRACT. There are plenty of opportunities for advancement or to move around within the organization. They’ve been in busines...

Richardson, TX

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7d
7 days ago

Full-Time

Utilization Review Nurse Will be handling around 10 authorizations a day telephonically, Electronic Medical Records review, working with clinical and some non-clinical staff. Job Description: Will be handling around 10 authorizations a day telephonically,...

Seattle, WA

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3w
3 weeks ago

Full-Time

Performing chart audits for medical necessity and conducting retro claim reviews....

Phoenix, AZ

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3w
3 weeks ago

Full-Time

This position will NOT be treating patients or distributing medication. The Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post Acute Care services includi...

Franklin, TN

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2w
2 weeks ago

Full-Time

Do you want to impact patient lives by joining a successful healthcare company? If so, please contact us today to discuss this opportunity! Job Responsibilities Audit and analyze patient records to ensure quality patient care and appropriateness of servic...

Oak Brook, IL

2w
2 weeks ago

Full-Time

Overview: We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, you’ll feel our supportive community every step of your day, especially the tough ones. We’re a...

Springfield, MO

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Full-Time | Pay: $70k - $77k/year

Utilization Review Nurse (RN, BSN) - Hospital Buffalo, NY Job Summary: The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent/retrospective review of the patient’s care. The UR Nurse ensures appropriate l...

Confidential

Buffalo, NY

CAREERBUILDER APPLY

Full-Time | Pay: $40.00 - $47.00/hour

AMI Network is proud to partner with one of the fastest growing Medical Groups in Southern California in their search for a full-time Nurse Case Manager (RN or LVN) to join their team in the San Fernando Valley. Just last year they added 400 employees! In...

San Fernando, CA

CAREERBUILDER APPLY

Seasonal/Temp

We are actively seeking full-time highly motivated Registered Nurses (RNs) with strong Utilization Review experience. The Utilization Review Registered Nurses (RNs) will perform comprehensive reviews to determine medical necessity including quality issues...

Seattle, WA

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CAREERBUILDER APPLY

Full-Time

Registered Nurse - Utilization Review needed for a permanent opportunity with Yoh's client located in South San Francisco, CA. Top Skills You Should Possess: Experience in a managed care setting Knowledge of Medicare & Medi-Cal What You'll Be Doing: Condu...

Yoh

South San Francisco, CA

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Full-Time

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Nurses for this position must be comfortable working any eight hour shift Monday-Friday between 8am-9pm. Nurses can ne l...

Virginia Beach, VA

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Per Diem

MountainStarHealthcare is looking for an RN Utilization Review Case Manager. MountainStar is a Utah-based division of HCA, the nation’s leading provider ofhealthcare services . MountainStar hasgood reason to celebrate , and we are excited to invite aquali...

Lakeview Hospital

Bountiful, UT

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CAREERBUILDER APPLY

Full-Time | Pay: $25.00 - $32.00/hour

New Care Manager openings in Pittsburgh, PA 15212. Positions offer a great working environment, room for growth and advancement, continued training, and competitive pay. Hours are 8am - 5pm and there will be flexibility to work casual, after hours, etc. A...

Pittsburgh, PA

Full-Time

HCA West Florida is a comprehensive network of hospitals, outpatient surgery and diagnostic imaging facilities, physician practices, medical education and training programs and a complete continuum of specialized health programs and services that meet the...

WCF Shared Services

Saint Petersburg, FL

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CAREERBUILDER APPLY

Contractor | Pay: $34.00/hour

Registered Nurse- Case Manager or Utilization Review needed for temp position with large, well known managed care company. Assess, plan, implement, coordinate, monitor, and evaluate case management activities across the continuum of care, within the scope...

Allmed Staffing

2716 North Tenaya Way
Las Vegas, NV

CAREERBUILDER APPLY

Full-Time

Med-Scribe, Inc. is in search of professional Registered Nurses to fill an immediate need in Fairport! Our client will provide on the job training and help you add valuable experience to your skill set! Utilization review is used to help ensure that indiv...

Rochester, NY

CAREERBUILDER APPLY

Full-Time

RN Registered Nurse Chart Review / Utilization Review White Glove Placement, Inc, currently has great opportunities for Chart Review – Utilization Review RN Registered Nurses. Chart Review – Utilization Review position available at public teaching hospita...

New York City, NY

CAREERBUILDER APPLY

Full-Time | Pay: $70k - $85k/year

Supervisor, Utilization Management / LPN or RN Looking for a Registered Nurse or Licensed Practical Nurse with utilization management experience to oversee the daily operations of the Utilization Management team and department. Requirements: At least 3 ye...

Fairport, NY

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time

Appeals Registered Nurse Looking for a Registered Nurse with experience in prior authorization, appeals, denials or utilization review experience. Assess the medical nesecity of services in the hospital and processed appeals of denied requests Deal with v...

Phoenix, AZ

CAREERBUILDER APPLY

Full-Time

Utilization Management Nurse- Case Manger (RN) Managed Care Company located in Brooklyn seeks a Utilization Management Nurse – Case Manager (RN) for an immediate long term contract role. Responsibilities include: Assesses all elective, urgent, and emergen...

Confidential

New York, NY

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