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Utilization Review RN Jobs

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  • 3.0
    THE MAXIS GROUP – Columbus, OH
    Est. Salary $71k-$103k
    9 days ago 9d
    Concurrent patient review. Background Hospital Utilization Management, Insurance Utilization Manage/Review and Millemen experience… have more Utilization Review experience) Summary: Works with the Utilization Management team primarily responsible for…
  • 3.4
    Hendrick Health System – San Antonio, TX
    Est. Salary $54k-$72k
    15 days ago 15d
    JOB SUMMARY: The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized… required. Minimum Work Experience:One (1) year recent Utilization Review (UR) experience in an acute care/hospital setting OR…
  • 4.3
    Professional Services Network, Inc – Sacramento, CA
    Est. Salary $72k-$98k
    26 days ago 26d
    Nurses (RNs) with strong Utilization Review or Case Management experience. The Utilization Review Registered Nurses (RNs) will… The Utilization Review RNs work for a large health care plan in a pleasant office setting. Work hours for these full time temporary…
  • 2.7
    Yakima Valley Memorial Hospital – Yakima, WA
    Est. Salary $61k-$81k
    7 days ago 7d
    education. ROLE SUMMARY The Utilization Review RN is responsible for the concurrent review of clinical documentation and ensures… * Certification Required * RN Required * **This position is eligible for a $3,000 sign on bonus*** At Virginia Mason…
  • 3.2
    ProMedica – Defiance, OH
    Est. Salary $53k-$71k
    5 days ago 5d
    health and personal lives. Position Summary: The Utilization Review Coordinator assesses all admissions in Medical Surgical… as a Registered Nurse. * One year of experience in Utilization Review preferred * Weekend/Holiday Rotation Required Employee…
  • 3.6
    St. Louis University Hospital – Saint Louis, MO
    Est. Salary $43k-$58k
    11 days ago 11d
    University Hospital Utilization Review Representative RN PRN, Days The Utilization Review Representative RN is responsible for… this within the timeframes specified by each payer. UR Rep RN reviews all patient records for those patients admitted to a hospital…
  • 3.2
    Yavapai Regional Medical Center – Prescott Valley, AZ
    Est. Salary $47k-$63k
    1 days ago 13hr
    valid Arizona or compact RN state license Two to five years utilization management/utilization review and care management experience… The RN Utilization Review supports the vision of the Total Healing Environment and the values of respect, integrity, accountability…
  • Onward Behavioral Health – Duncansville, PA
    Est. Salary $43k-$61k
    13 days ago 13d
    clients with copays, deductibles, coinsurance and liabilities. RN duties include: Taking client vital signs, pass Meds, Run Doctor… Excel & Word), copier. Experience: 1 year experience as a RN or UR Coordinator or related position a similar healthcare setting…
  • 3.8
    Saint Luke's Health System – Kansas City, MO
    Est. Salary $46k-$62k
    13 days ago 13d
    staff. As Utilization Review (UR),RN, you would be responsible for reviewing the patient's chart, monitoring utilization of health… Kansas and Missouri RN license . Prefer Bachelor's Degree and strong clinical background and Utilization Review experience. Appeal…
  • 3.4
    U.S. Department of Veterans Affairs – El Paso, TX
    Est. Salary $63k-$86k
    Today 10hr
    companies. Responsibilities of the Registered Nurse (Utilization Review) include the following: * Pre-certification, admission… Nurse Clinical Reviewer; at least five (5) years clinical nursing, managed care or case management experience as a RN; proficiency…
  • 3.1
    Dartmouth-Hitchcock Medical Center – Lebanon, NH
    Est. Salary $65k-$87k
    3 days ago 3d
    Utilization Review RN – Per Diem (Limited patient interaction with this position) Feel the Pulse of Amazing Things… Things: Skilled Utilization Review RN Make It Possible Across Dartmouth-Hitchcock Medical Center, UM nurses are the guardians…
  • 4.0
    Holy Name Medical Center – Teaneck, NJ
    Est. Salary $66k-$89k
    11 days ago 11d
    DescriptionThe Utilization Review RN is responsible for reviewing and documenting the medical necessity for all admissions, continued… Name Medical Center's Utilization Review Plan. Communicates with third party payors/agents or designated review agencies using insurance…
  • 3.3
    The Judge Group, Inc. – Rancho Cordova, CA
    Est. Salary $93k-$127k
    13 days ago 13d
    Our client is currently seeking a RN for Utilization Review/Prior Authorization. **For immediate consideration, please email… to complete review decisions. Acts as liaison between the member, the provider and the health plan to utilize appropriate and…
  • 1.9
    Qualis Health – Anchorage, AK
    Est. Salary $74k-$106k
    5 days ago 5d
    setting, at the right time. We provide web-based utilization reviews and targeted review programs based on extensive data analysis.… internal medicine, or family practice preferred). Prior utilization review experience preferred. Job Location Anchorage, AK…
  • Mountain Home VAMC – El Paso, TX
    Today 5hr
    Registered Nurse (Utilization Review) El Paso, TX Duties: VHA's Consolidated Patient Account Center (CPAC) strives… companies. Responsibilities of the Registered Nurse (Utilization Review) include the following: * Pre-certification, admission…
  • 3.0
    McDonough District Hospital – United States
    Est. Salary $51k-$69k
    6 days ago 6d
    Specifications EDUCATION AND EXPERIENCE: Education and Experience: RN / BSN, BA or BS desirable. Experience in healthcare or hospital… provides leadership in the provision and coordination of utilization management. The UR Specialist will collaborate with the Medical…
  • 2.9
    Sedgwick – Memphis, TN
    Est. Salary $54k-$73k
    8 days ago 8d
    Utilization Review RN Providing both satisfying and challenging work along with a highly professional and friendly work… Current unrestricted RN license in a state or territory of the United States required. Utilization review based certification strongly…
  • SSM St Louis University Hospital – Saint Louis, MO
    13 days ago 13d
    University Hospital Utilization Review Representative RN PRN, Days The Utilization Review Representative RN is responsible for… this within the timeframes specified by each payer. UR Rep RN reviews all patient records for those patients admitted to a hospital…
  • 3.6
    Baylor Health Care System – Dallas, TX
    Est. Salary $58k-$78k
    3 days ago 3d
    The Utilization Review Nurse is a registered nurse who provides clinical review against standard criteria for the purpose of… health plan utilization departments regarding medical necessity for prospective, concurrent, and retrospective reviews. Intervenes…
  • RepuCare – Indianapolis, IN
    Est. Salary $48k-$65k
    12 days ago 12d
    experience (Inpatient Continuous Stay Review). Keywords:RN, Registered Nurse, UM, Utilization Management, MM, Medical Management… provide an equivalent background. Requires current unrestricted RN license in applicable state(s). SKILLS: Requires strong oral…
  • 3.1
    Dartmouth-Hitchcock Medical Center – Lebanon, NH
    Est. Salary $65k-$87k
    9 days ago 9d
    Utilization Review RN – Per Diem (Limited patient interaction with this position) Feel the Pulse of Amazing Things… Things: Skilled Utilization Review RN Make It Possible Across Dartmouth-Hitchcock Medical Center, UM nurses are the guardians…
  • 3.6
    Advanced Resources (IL) – Westchester, IL
    Est. Salary $55k-$75k
    9 days ago 9d
    Other duties as assigned Qualifications: Registered Nurse (RN) with active Illinois license Significant relevant experience… operations. This individual provides the expertise for both Utilization Management (UM) and Quality Improvement (QI) aspects through…
  • 3.4
    Saint Louis University Hospital – Saint Louis, MO
    Est. Salary $58k-$77k
    14 days ago 14d
    University Hospital Utilization Review Representative RN PRN, Days The Utilization Review Representative RN is responsible for… this within the timeframes specified by each payer. UR Rep RN reviews all patient records for those patients admitted to a hospital…
  • 4.0
    Ironside Human Resources – United States
    Est. Salary $48k-$66k
    23 days ago 23d
    Associates degree in Nursing required with One (1) year recent Utilization Review (UR) experience in an acute care/hospital setting -Provides… timely follow-through with the plan of care -Three (3) years of RN experience in an acute care hospital setting working with physicians…
  • 2.9
    Centegra Health System – Woodstock, IL
    Est. Salary $60k-$81k
    9 days ago 9d
    include specific utilization review activities Refers cases not meeting criteria to the In House Physician Reviewer or Contracted… NATURE AND SCOPE OF POSITION The Utilization Management RN (UM RN), functions as the primary liaison between Centegra Health…
  • 4.6
    Healthcare Support – Mason, OH
    Est. Salary $50k-$67k
    30 days ago 30d+
    Job Description Are you an experienced Utilization Review RN looking for a new opportunity with a prestigious healthcare company… company? Do you want the chance to advance your career Utilization Review RN by joining a rapidly growing company? If you answered…
  • 3.6
    Medix Staffing Solutions – Watertown, MA
    EASY APPLY
    Est. Salary $61k-$84k
    15 days ago 15d
    exciting new opportunity and the change to work as a Utilization Review Coordinator in one of the Nation's top Heath Plans? I… individual who wants to progress there career within the utilization review space. Under the general direction of the Manager of…
  • 2.6
    Prime Healthcare Services – Bristol, PA
    Est. Salary $64k-$86k
    18 days ago 18d
    Clinically directs the care provided by the home care staff to ensure that patients receive the most appropriate care for the…
  • 3.5
    Avera Health – Sioux Falls, SD
    Est. Salary $45k-$61k
    24 days ago 24d
    goal. JOB SUMMARY: The Utilization Review RN is a member of a cohesive team of RN's who review scheduled, concurrent and retrospective… experienced RN with a strong clinical background? If so, we are looking for you! Join this team of experienced RNs and put your…
  • 2.8
    Pyramid Healthcare, Inc – Duncansville, PA
    Est. Salary $36k-$48k
    30+ days ago 30d+
    clients with copays, deductibles, coinsurance and liabilities. RN duties include: Taking client vital signs, pass Meds, Run Doctor… (Excel & Word), copier. Experience: 1 year experience as a RN or UR Coordinator or related position a similar healthcare setting…
  • 3.6
    Avera McKennan Hospital – Sioux Falls, SD
    Est. Salary $46k-$62k
    24 days ago 24d
    goal. JOB SUMMARY: The Utilization Review RN is a member of a cohesive team of RN's who review scheduled, concurrent and retrospective… experienced RN with a strong clinical background? If so, we are looking for you! Join this team of experienced RNs and put your…
Job Title Location Employer Salary
Utilization Review RN Columbus, OH THE MAXIS GROUP $71k-$103k
Utilization Review RN San Antonio, TX Hendrick Health System $54k-$72k
Registered Nurse, Utilization Review Sacramento, CA Professional Services Network, Inc $72k-$98k
Utilization Review RN Yakima, WA Yakima Valley Memorial Hospital $61k-$81k
RN Utilization Review Defiance, OH ProMedica $53k-$71k
RN - Utilization Review Saint Louis, MO St. Louis University Hospital $43k-$58k
RN Utilization Review Prescott Valley, AZ Yavapai Regional Medical Center $47k-$63k
RN/Utilization Review Duncansville, PA Onward Behavioral Health $43k-$61k
Utilization Review Registered Nurse Kansas City, MO Saint Luke's Health System $46k-$62k
Registered Nurse (Utilization Review) El Paso, TX U.S. Department of Veterans Affairs $63k-$86k
Utilization Review - Registered Nurse Lebanon, NH Dartmouth-Hitchcock Medical Center $65k-$87k
RN, Utilization Review Teaneck, NJ Holy Name Medical Center $66k-$89k
RN Utilization Review Rancho Cordova, CA The Judge Group, Inc. $93k-$127k
Utilization Review RN Anchorage, AK Qualis Health $74k-$106k
Registered Nurse (Utilization Review) El Paso, TX Mountain Home VAMC $51k-$78k
UTILIZATION REVIEW RN United States McDonough District Hospital $51k-$69k
RN Utilization Review Memphis, TN Sedgwick $54k-$73k
RN - Utilization Review Saint Louis, MO SSM St Louis University Hospital $48k-$71k
Utilization Review RN Dallas, TX Baylor Health Care System $58k-$78k
Utilization Review RN Indianapolis, IN RepuCare $48k-$65k
Utilization Review RN Lebanon, NH Dartmouth-Hitchcock Medical Center $65k-$87k
Utilization Review Registered Nurse Westchester, IL Advanced Resources (IL) $55k-$75k
UTILIZATION REVIEW RN Saint Louis, MO Saint Louis University Hospital $58k-$77k
Utilization Review Registered Nurse United States Ironside Human Resources $48k-$66k
Utilization Review RN Woodstock, IL Centegra Health System $60k-$81k
Utilization Review RN Mason, OH Healthcare Support $50k-$67k
Utilization Review Registered Nurse Watertown, MA Medix Staffing Solutions $61k-$84k
Utilization Review RN Bristol, PA Prime Healthcare Services $64k-$86k
Registered Nurse Utilization Review Sioux Falls, SD Avera Health $45k-$61k
RN/Utilization Review Duncansville, PA Pyramid Healthcare, Inc $36k-$48k
Registered Nurse Utilization Review Sioux Falls, SD Avera McKennan Hospital $46k-$62k
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