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CareerBuilder Apply Only
CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

DataStaff is seeking several Utilization Review Nurses (Prior Approvals) for one of our direct clients in Raleigh, NC . This is a long-term opportunity with full benefits and paid time off! Work Schedule: Monday thru Friday, first shift hours (8:00 am - 5...

Raleigh, NC

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

RN Utilization Review needed for busy acute care teaching hospital in the New Brunswick, NJ area. This position is responsible for performing utilization review using Milliman guidelines. ,The RN Utilization Review Nurse will work with multidisciplinary t...

New Brunswick, NJ

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CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time

TheHealth Plan of San Mateo (HPSM), a managed care health plan, seeks a full time UtilizationReview Nurse to perform utilization reviews to ensure that HPSM members receivenecessary medical care in a timely and cost-effective manner. This positionwill...

Health Plan of San Mateo

801 Gateway Boulevard
South San Francisco, CA

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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Full-Time

For over 45 years, MemorialHospital has been a leader in providing quality healthcare to NortheastFlorida. Memorial Hospital is a 418-bed acute care hospital offering a fullline of services, including 24-hour emergency care at three differentlocations. We...

Memorial Hospital of Jacksonville

Jacksonville, FL

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4w
4 weeks ago

Per Diem

We are seeking an experienced RN for our Utilization Review Department. This position : Reviews clinical record for all patients within one working day of admission for those admissions requiring concurrent or admitting input from UM. Ongoing review of cl...

LAS VEGAS, NV

CAREERBUILDER APPLY

Full-Time

Title : Utilization Review RN Nurse Duration : 3 Months (Contract to Perm) Location : Harrisburg, PA Job Description: Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing p...

Barrington, IL

CAREERBUILDER APPLY
1w
1 week ago

Full-Time

The Judge Group is currently seeking a Utilization Review Nurse in Trenton! This job will have the following responsibilities: Medical policy determinations on medical claims/cases Follows strict guidelines consistent with Plan Medical Policy for appropri...

Trenton, NJ

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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Are you looking for an opportunity to get your foot in the door with one of the nation’s leading healthcare organizations? If so, Healthcare Scouts has partnered with a Managed Care Organization who is looking for a Utilization Review / UR Nurse with the...

Confidential

Philadelphia, PA

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3w
3 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. We don’t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals...

Chesterfield, MO

3w
3 weeks ago

Full-Time | Pay: $27k - $30k/year

Must Haves: - Register Nurse (RN) license - 2 years of Clinical experience or Utilization Review Experience Duties: - Working with Outpatient UM Physical Health. All patient populations - Responsible for collaborating with healthcare providers and members...

West Des Moines, IA

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CAREERBUILDER APPLY

Contractor

Utilization Review Nurse - Insurance Setting 3 - 6 month Assignment Monday - Friday / 40 hours a week For more details please contact Johanna Stenberg 410-825-6186 www.rsirecruit.com key words: UR, CM, Case Management, Milliman, Midas, Acute Care, RN, Int...

Glen Burnie, MD

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Red Rock Addiction & Treatment Company is a state-of-the-art addiction treatment facility located in Fountain Hills, AZ. We combine the latest evidence-based treatment with a multi-disciplinary therapy approach. Our mantra: treat the whole person, not jus...

Red Rock Addiction & Treatment Center - Fountain Hills, AZ

Fountain Hills, AZ

Full-Time

This professional position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable to promote cost-effective delive...

iCare Independent Care Health Plan

Milwaukee, WI

CAREERBUILDER APPLY

Full-Time

RN - Utilization Review needed for a Full-Time 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: Conduct u...

Yoh

South San Francisco, CA

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CAREERBUILDER APPLY
2w
2 weeks ago

Seasonal/Temp | Pay: $32.00 - $37.00/hour

Ref ID: 04730-9500551959 Classification: Account Executive/Staffing Manager Compensation: $32.00 to $37.00 per hour Analyzing clinical requests for cost effectiveness, prior authorization reviews, identifying the correct benefits and eligibility for treat...

Doral, FL

CAREERBUILDER APPLY

Contractor | Pay: $48.00 - $50.00/hour

EXCLUSIVE Utilization Review Registered Nurses Contracts Available in Kansas City, MO! 7 Openings!! Utilization Review Registered Nurse Details: • Experienced RNs Needed! • 13-26 Week Contracts • Location: Kansas City, MO • Schedule: 8 Hour Days • Start A...

Kansas City, MO

CAREERBUILDER APPLY

Full-Time | Pay: $31.00 - $38.00/hour

Overview of Responsibilities: The inpatient LVN CM will be supporting around 25 to 30 inpatients a day and handling 2 of the Medical Groups Conifer supports. They will be working with patients, handling admissions, determining medical necessity, ensuring...

Huntington Beach, CA

CAREERBUILDER APPLY

Seasonal/Temp

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

San Bernardino, CA

Full-Time

UTILIZATION REVIEW NURSE Emergency Department Northridge Hospital Medical Center, a Dignity Health member Responsible for Quality Assurance/Departmental revenue audits. This person will be responsible for a variety of task including daily review of all Em...

Los Angeles, CA

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CAREERBUILDER APPLY

Full-Time | Pay: $85k - $95k/year

At Medix , we create opportunities for qualified medical professionals through our Healthcare, Scientific, and IT divisions. Our Healthcare division is dedicated to placing you into a career growth opportunity. We are currently seeking an RN Registered Nu...

New York, NY

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CAREERBUILDER APPLY

Full-Time

Direct Hire Opening for a Director of Utilization Management - RN Salary Range: $88,000 to $120,000 per year Plus 20% Bonus Structure Hours: M-F 8 am to 5 pm What are the 3-4 non-negotiable requirements on this position? Bachelor's degree in Nursing or eq...

Harrisburg, PA

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CAREERBUILDER APPLY

Full-Time | Pay: $32.00/hour

Our expanding managed care company is seeking an experienced Registered Nurse for an office-based utilization review position with our Fairport office. We have recently expanded in the area. This is a M-F daytime fulltime (no holidays/no weekends) in-offi...

Fairport, NY

Full-Time

Role: Telephonic Utilization Review Nurse (RN) Assignment: Medicare Location: Torrance, CA – Work at Home Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and prov...

Long Beach, CA

View 1 more

Per Diem

TriStar Centennial Medical Center – Nashville, TN Utilization Review Nurse--PRN Our 657 bed hospital is both nationally and locally recognized, including being named as one of the nation's Top 100 Hospitals in the areas of cardiology, stroke, orthopedics...

Nashville, TN

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