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Utilization review nurse Jobs

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2103 utilization review nurse Jobs

  • Pyramid Healthcare Inc Logo2.7
    Pyramid Healthcare Inc
    Medical Review Nurse LPN (Remote)
    Altoona, PA
    $41,648 - $86,482 (Glassdoor est.)
    19d
    Current nursing license in state of practice. Provide positive, cordial and appropriate front line interactions with client (patient, family member or……
  • Utilization Review Nurse
    Valhalla, NY
    Easy Apply
    10d
    The successful candidate will possess* a bachelor’s degree in Nursing, and an active New York State Nursing License.…
  • Utilization Review Nurse
    West Palm Beach, FL
    $50,000 (Employer est.)
    Easy Apply
    4d
    Job Summary: * The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse (RN) or health professional (licensed practical nurse (LPN)……
  • Piedmont Healthcare Logo3.7
    Utilization Management RN, FT/Days or PRN, (REMOTE)
    Atlanta, GA
    $42,226 - $90,900 (Glassdoor est.)
    30d+
    Current unrestricted registered nurse (RN) license, in the state of Georgia. Degree from an accredited nursing school required, Bachelor of Science in Nursing……
  • EdiPhy Advisors Logo4.2
    Utilization Review Nurse Weekend Fulltime
    Alabama
    Easy Apply
    30d+
    Our nurses work with a strong group of board certified practicing physicians, skilled administrators and a state-of-the-art technical staff to review medical……
  • eTeam Inc Logo4.3
    Utilization Review Nurse
    Costa Mesa, CA
    $75 - $80 Per Hour(Employer est.)
    Easy Apply
    30d+
    The Utilization Nurse utilizes clinical expertise, discretion, and independent judgment to utilization management and care coordination methodologies and……
  • Ascension Logo3.5
    RN-Utilization Review
    Austin, TX
    22d
    May prepare statistical analysis and utilization review reports as necessary. Provide health care services regarding admissions, case management, discharge……
  • Hamaspik Choice Logo3.9
    Utilization Review Nurse
    Monroe, NY
    $39 - $42 Per Hour(Employer est.)
    Easy Apply
    30d+
    Valid New York State, unrestricted, RN license. The UM Nurse manages providers, members, or care manager generated requests for medical services and renders……
  • US Veterans Health Administration Logo3.7
    Registered Nurse (QM Consultant - Review & Investigations)
    Columbia, SC
    $57,625 - $109,036 (Employer est.)
    30d+
    Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and……
  • Medasource Logo4.2
    Utilization Review Nurse
    Remote
    $28 - $34 Per Hour(Employer est.)
    Easy Apply
    2d
    Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure……
  • Utilization Review Nurse
    Tampa, FL
    $28 - $32 Per Hour(Employer est.)
    Easy Apply
    30d+
    Active RN clinical license required. The utilization management nurse position supports BHM’s Peer Reviewers by assessing and synthesizing clinical……
  • Medical Records Review & Audit Nurse (non remote)
    Myrtle Beach, SC
    Easy Apply
    11d
    Performs medical reviews using clinical/medical information provided by physicians/clinicians and established criteria or clinical guidelines.…
  • Utilization Review Nurse
    Washington State
    $39 Per Hour(Employer est.)
    Easy Apply
    10d
    Must have active Oregon RN license. Ability to dial, answer, and talk on a telephone with a headset for 6-8 hours per day.…
  • Gotham Per-Diem Logo3.6
    New grad Registered Nurse - Chart reviewer
    New York, NY
    $90 - $95 Per Hour(Employer est.)
    Easy Apply
    4d
    Must have NYS RN license. Gotham Companies is hiring Chart Reviewer RN for an ACS child care facility in Manhattan who is computer literate and has a desire to……
  • TheraCare Home Health Logo3.3
    Interim Utilization Review Nurse - REMOTE - RN Required
    Remote
    Easy Apply
    5d
    The position is primarily a desk job that essentially involves sitting, standing, stooping, and walking, as well as an inordinate amount of telephone……
  • RightPro Staffing Logo
    RN Utilization Review
    Binghamton, NY
    $100 - $118 Per Hour(Employer est.)
    Easy Apply
    1d
    Ensures provider and facility requests are processed appropriately in the clinical IT platform by clinical support associates, including data entry accuracy and……
  • Contract- Utilization Review / Management RN (Remote)- S2 M2
    Remote
    $28 Per Hour(Employer est.)
    Easy Apply
    30d+
    The Appeals nurse reviews the provided clinical.  Intermediate typing skills: Minimum of 40 word per minute with high accuracy. Job Types: Full-time, Contract.…
  • Clinical Management Consultants Logo3.7
    Administrative Director Care Management, Utilziation Review
    Santa Monica, CA
    $195,355 - $225,225 (Employer est.)
    8d
    The Director of Utilization Review will work with Health Information Management, Revenue Cycle, Nursing and Physicians to optimize care from both the clinical……
  • Gallagher Logo3.5
    Nurse Consultant Utilization Review
    Franklin, TN
    $55,869 - $99,616 (Glassdoor est.)
    30d+
    Hold an active RN license within the state of practice. Follows national and state guidelines for approval of treatment , medications, etc.…
  • The Maxis Group Logo3.4
    Inpatient Utilization Review Nurse-Must be an RN w/IL License-Remote
    Chicago, IL
    $38 - $40 Per Hour(Employer est.)
    Easy Apply
    30d+
    Assesses services for Healthcare Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.…
  • Clinical Management Consultants Logo3.7
    Executive Director Case Management, Utilization Review
    Los Angeles, CA
    $195,355 - $225,225 (Employer est.)
    8d
    The Director of Utilization Review will work with Health Information Management, Revenue Cycle, Nursing and Physicians to optimize care from both the clinical……
  • TotalMed Medfi Logo3.9
    Utilization Review Nurse
    New York State
    $38 Per Hour(Employer est.)
    Easy Apply
    1d
    Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.…
  • Healthcare Support Logo4.3
    Remote Utilization Review RN
    Remote
    Easy Apply
    1d
    Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.…
  • Professional Services Network, Inc Logo4.4
    Medical Record Reviewer - RN
    Maryland
    $41 Per Hour(Employer est.)
    Easy Apply
    3d
    *2 years clinical experience and use of electronic medical records (EMR).*. Opening for Medical Record Reviewer RN, temp assignment and the project will begin……
  • US Veterans Health Administration Logo3.7
    Registered Nurse-Utilization Management
    Decatur, GA
    $65,108 - $113,257 (Employer est.)
    30d+
    Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and……
  • Case Manager / Utilization Review Registered Nurse
    Atlanta, GA
    $85 Per Hour(Employer est.)
    3d
    case manager, pedi, heme……
  • CareNational Logo4.1
    Utilization Review Nurse
    Houston, TX
    $35 Per Hour(Employer est.)
    Easy Apply
    30d+
    Current, valid, and unrestricted state Registered Nurse (R.N.) or License Vocational Nurse (L.V.N.) license. The Utilization Review Nurse will performs reviews……
  • Manpower Logo4
    URGENT START - Utilization Management Nurse Reviewer - $39 pe
    Tampa, FL
    $38 - $39 Per Hour(Employer est.)
    Easy Apply
    4d
    Performs utilization management reviews in accordance with federal and state regulations. 3 years combined clinical and utilization management experience in a……
  • Case Manager / Utilization Review Registered Nurse
    Indianapolis, IN
    $105 Per Hour(Employer est.)
    30d+
    IU health M-F shift or T……
  • Actalent Logo3.8
    Utilization Review Nurse
    Tampa, FL
    $32 - $40 Per Hour(Employer est.)
    Easy Apply
    9d
    Icd-10, CPT, medical terminology, Milliman, Interqual, Utilization review, Utilization management, Concurrent review, Prior authorization, Case management.…

Jobs

Job TitleEmployerLocationSalary
Medical Review Nurse LPN (Remote)Pyramid Healthcare IncAltoona, PA
Utilization Review NurseBlythedale Children's HospitalValhalla, NY
Utilization Review NurseProminence Health PlanWest Palm Beach, FL
Utilization Management RN, FT/Days or PRN, (REMOTE)Piedmont HealthcareAtlanta, GA
Utilization Review Nurse Weekend FulltimeEdiPhy AdvisorsAlabama
Utilization Review NurseeTeam IncCosta Mesa, CA
RN-Utilization ReviewAscensionAustin, TX
Utilization Review NurseHamaspik ChoiceMonroe, NY
Registered Nurse (QM Consultant - Review & Investigations)US Veterans Health AdministrationColumbia, SC
Utilization Review NurseMedasourceRemote
Utilization Review NurseBHM Health Solutions, Inc.Tampa, FL
Medical Records Review & Audit Nurse (non remote)LymphaCareMyrtle Beach, SC
Utilization Review NurseInnovative Care Management, Inc.Washington State
New grad Registered Nurse - Chart reviewerGotham Per-DiemNew York, NY
Interim Utilization Review Nurse - REMOTE - RN RequiredTheraCare Home HealthRemote
RN Utilization ReviewRightPro StaffingBinghamton, NY
Contract- Utilization Review / Management RN (Remote)- S2 M2E-solhealthRemote
Administrative Director Care Management, Utilziation ReviewClinical Management ConsultantsSanta Monica, CA
Nurse Consultant Utilization ReviewGallagherFranklin, TN
Inpatient Utilization Review Nurse-Must be an RN w/IL License-RemoteThe Maxis GroupChicago, IL
Executive Director Case Management, Utilization ReviewClinical Management ConsultantsLos Angeles, CA
Utilization Review NurseTotalMed MedfiNew York State
Remote Utilization Review RNHealthcare SupportRemote
Medical Record Reviewer - RNProfessional Services Network, IncMaryland
Registered Nurse-Utilization ManagementUS Veterans Health AdministrationDecatur, GA
Case Manager / Utilization Review Registered NurseOnyx Health Care StaffingAtlanta, GA
Utilization Review NurseCareNationalHouston, TX
URGENT START - Utilization Management Nurse Reviewer - $39 peManpowerTampa, FL
Case Manager / Utilization Review Registered NurseAnalytics Med StaffIndianapolis, IN
Utilization Review NurseActalentTampa, FL
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📍What are the top cities with open Utilization Review Nurse jobs?
There are open Utilization Review Nurse jobs in several cities including Los Angeles, Houston, San Diego, San Antonio, Philadelphia, Tampa, New York, Atlanta, Santa Rosa, Dallas
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