12,958 Utilization Review Nurse Jobs

Health Advocates is seeking a Utilization Review Nurse for our main office in Chatsworth, CA. Job Summary Reviews medical records and performs clinical reviews to overturn insurance claim clinical ...

Job Category: Nursing - Registered Nurse Work Shift/Schedule: Varies Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summar...

Description Introduction **Please note this is an LPN role** Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our LPN Utilization Review Nurs...

Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happine...

Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happine...

Job Description St. Luke's Health System is seeking a Registered Nurse (RN) Manager, Utilization Review for a nursing job in Boise, Idaho. Job Description & Requirements Specialty: Utilization ...

Position Summary: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skil...

Job Description Anders Group is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Eureka, California. Job Description & Requirements Specialty: Utilization ...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse...

Department: Utilization Management FTE: 1.00 Full Time (30 - 40 hours per week) Shift: Days Position Summary: Function as a department educator, master teacher, master preceptor for Case Management...

Your Role The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, retirees, and their family. . The FEP Utilization Management Nurse will...

Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality a...

Location: Sayre, PA Description: Description: Provides utilization management services, in coordination with other Case Management staff, using pre established guidelines and criteria to perform re...

Hybrid Stop-Loss & Utilization Risk (Registered Nurse) Healthcare Support is currently interviewing for a Stop-Loss & Utilization Risk (Registered Nurse) position with a top-rated managed c...

Time Type: Full time Hours per Pay Period: 80 Shift: Varied Average rate: $53.43 USD(This represents the rate for an individual with significant experience in this job) Department: Patient Access -...

Location: Costa Mesa, CA Salary: $34.00 USD Hourly - $36.00 USD Hourly Description: Our client is currently seeking a Utilization Management Nurse Care Manager. ***MUST be licensed in California***...

Location: REMOTE Salary: $25.00 USD Hourly - $38.00 USD Hourly Description: The Judge Group looking for a Utilization Review Nurse for a fully remote position! ****RN MUST hold both a Compact RN Li...

Duke University Hospital Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. D...

Responsibilities The primary purpose of the Utilization Management Coordinator (UMC) position is to coordinate the patient’s progress through the system. He/she collaborates with physicians and cli...

Health Advocates is seeking a Clinical Appeals Nurse for our main office in Chatsworth, CA. Job Summary Reviews medical records and performs clinical reviews to overturn insurance claim clinical de...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connec...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connec...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connec...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connec...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connec...