Utilization Review RN Jobs
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Search Results - Utilization Review RN Jobs
Net2Source Healthcare-Omaha
Job Title: Lead Utilization Review RN
Location: Anacortes, WA
Duration: Permanent full time | Per Diem
Shift: Days
Qualifications:
• Education: Bachelor's Degree in Nursing (BSN) required; Master's in Nursing or Healthcare Management preferred...
resume-library.com -
MedixTM-Westbury (NY)
Job Title: Utilization Management / Appeals RN
Must have BSN***
Location: Onsite required; offices in Lake Success/New Hyde Park, NY
Hours: M-F 8-5 *flexible
Start date: ASAP
Pay: $48-54/hr *DOE
Experience: UM, Appeals, or strong clinical...
Houston
Matching Retirement Programs
• Wellness Programs
Responsibilities:
1. At the request of third party payers, Provides concurrent and retrospective reviews in an effort to extend authorized
days and ensure reimbursement due for services provided
2. Subject...
icims.com -
Capital Health (US)-Pennington (NJ)
Registered Nurse - NJ
• Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review or discharge planning experience. CPHQ, CCM or CPUR preferred.
• Special Training: Basic computer skills including the working...
Upper Valley Medical Center-Troy (OH)
Position: ASSOCIATE NURSE MGR/ UTILIZATION REVIEW RN
Dept: Inpatient Behavioral Health
Shift: Full time 72 hours/pp: 7am-7:30pm
Facility: Upper Valley Medical Center
• NOTE: THIS IS A COMBINATION POSITION: 24 HOURS/PP ASSOCIATE NURSE MANAGER...
HexaQuEST Global - Healthcare-Kealakekua
Job Description:
Works a case manager/utilization review RN. Day shift with some weekends possible. Must have medical and Mental Health/Psych experience
Position Urgency:
Normal
Shifts:
Dayshift
State License Details:
Upon Acceptance
Minimum...
resume-library.com -
Supplemental Health Care-Syracuse
Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40...
Woodland (CA)
that are vital to maintaining excellence in care and service.
Responsibilities:
***This position is hybrid in-clinic/hospital and work from home.
Position Summary:
This position will review medical records, benefit, contractual and other guidelines...
icims.com -
Health Advocates Network-Nursing-Lansing
Health Advocates Network-Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Lansing, Michigan.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 01/14/2025
• Duration: 10...
First Connect-Tuba City
POSITION SUMMARY
Incumbent serves as an Outpatient/Inpatient CaseManager/Utilization Review Registered Nurse (CM/UR RN) for TCRHCC and isresponsible for direct supervision and supportive contact for the specificgroup of identified patient assignments...
resume-library.com -
Salem Hospital-Hamilton (MA)
Great opportunity to join an experienced Case Management team. Role focuses on transition planning and Utilization Review.
RN Case Managers are assigned geographically to inpatient units and paired with a Care Team to facilitate through put...
The Staff Pad-Helena
their team. Job Description In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Management/Utilization Review RN facilitates the patient’s progress through the Emergency Room and acute episode of care in an efficient...
Mobile Health Team Inc-Peterborough
this assignment MUST be noted and verified at upload. NO RTO REQUESTS AFTER UPLOAD. NO MORE THAN 5 DAYS OF RTO WILL BE ACCEPTED (less is better). Holiday rotation is required so must be available.
The Utilization Review RN is accountable for a designated caseload...
jobvertise.com -
Scottsdale
as a Registered Nurse in an acute care setting Required
1 year experience in UR/UM or Case Management Required
Licenses and Certifications
Registered Nurse (RN) State And/Or Compact State Licensure Required
Responsibilities: Job Summary
The Utilization Review RN...
honorhealth.com -
Neptune (NJ)
as appropriate.
• Verifies admission and discharge date information.
• Updates Utilization Review RN needed for payors.
• Enters all documentation into EPIC/Applicable IT system for denials/ lower level of cares.
Insurance Authorizations
• Contacts insurance...
icims.com -
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