- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Aequor (New York, NY)
- …occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, ... current NP license in New York State Master's Degree in Advanced Practice Registered Nursing Current APRN Board Certification Minimum of 3-5 years' experience as an… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...via secure virtual link to patient rooms.#RNSINDJob Summary: The Registered Nurse I (Virtual) assesses, plans, implements… more
- UC Health (Cincinnati, OH)
- …committed to providing an inclusive, equitable and diverse place of employment. The RN- Utilization Review nurse will use established criteria and ... Location: Psychiatry Department: Utilization Review Hours: 800-1630 Shift: 1...inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social… more
- Beth Israel Lahey Health (Needham, MA)
- …difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse (RN), Massachusetts + Three years… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- University of Washington (Seattle, WA)
- …artistic pursuits, and natural beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three years ... Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open... Management Specialist RN2 is responsible for the ongoing review of a designated group of patients through the… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 Utilization (NY HELPS) Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a… more
- University of Virginia (Charlottesville, VA)
- …2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED REQUIREMENTS ... Under general direction: The Utilization Management RN serves as a leader resource...in determining what cases to refer for second level review to external physician consultants and internal UVA UR… more
- Actalent (Houston, TX)
- …& Qualifications: Registered Nurse , LVN, OR LP Prior Authorization/ Utilization Review MUST HAVE CCM Certification PLUS ACLS Certification PLUS Experience ... team to promote quality and cost effectiveness of medical care. Skills: Utilization Review , Acute care, Prior Authorization, CCM Certification, ACLS… more
- Actalent (Houston, TX)
- …+ Acute care + Prior Authorization Additional Skills & Qualifications: + Registered Nurse , LVN, OR LP + Prior Authorization/ Utilization Review MUST HAVE ... team to promote quality and cost effectiveness of medical care. Skills: + Utilization Review + Acute care + Prior Authorization + CCM Certification + ACLS… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- Geisinger (Danville, PA)
- …re-admissions. + Assesses and recommends policies as they relate to readmissions and utilization review activities. + Reviews inpatient level of care and ... of 5 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
- Beth Israel Lahey Health (Burlington, MA)
- …Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 240604-5612FP-002 Location Hartford, CT Date Opened 6/5/2024 12:00:00 AM Salary $76,565 - ... is seeking a highly motivated and compassionate U tilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) to join our team!… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as a member of a team responsible ... retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use...offerings. + Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more
