RN Utilization Review
AMN HEALTHCARE
Job TitleWith level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies.
Vacancy posted 2 days ago
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Syracuse, NY2 days ago- ...RN - Utilization ReviewLocation: Syracuse, NY, 13210, USStart Date: 11/06/2026Type: ContractShift: 8a-4:30pJob DescriptionBenefits We Offer:Comprehensive health, prescription, dental, vision, life, and disability plansCompetitive pay ratesReferral opportunities? Refer...SuggestedDaily paidLocal area
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Syracuse, NY2 days ago - Methodist Hospital for Surgery in Addison, TX is seeking an RN Utilization Review Coordinator in the Case Management department. The role performs prospective, concurrent, and post-discharge reviews to ensure medical necessity and regulatory compliance. You will collaborate...Suggested
- ...Description Day to Day Responsibilities: Conducts utilization management activities in accordance with... ...to calls, conducts certification reviews, facilitates the discharge planning and referral... ...AT (***) ***-**** ASAP! Qualifications RN License in NY with 2 years of experience...SuggestedHourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
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Syracuse, NY3 days ago - Surgery Partners Brand seeks an RN Utilization Review Coordinator for Methodist Hospital for Surgery in Addison, TX. This full-time, hybrid role supports prospective, concurrent, and post-discharge reviews to ensure medical necessity and payer compliance. The successful...Full time
- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing...Full timeRemote work
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Richardson, TX3 days ago - ...central time zone.Responsible for performing Workers’ Compensation utilization review, which includes prospective, concurrent, expedited, and... ...experience preferredA current, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license recognized in the relevant...Long distance
Tristar-d43fac80
Irving, TX5 days ago - ...Utilization Review RN Work Schedule: Thursday - Sunday; (4) 10-Hour Day Shifts WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-...Full timeWork at officeLocal areaNight shiftDay shift
University of Texas Southwestern Medical Center
Dallas, TX4 days ago - ...Job Summary Are you an experienced RN with a strong background in hospital-based utilization review ? As a PRN Utilization Review RN, you will play an important role in supporting quality patient care by conducting thorough clinical reviews to determine medical necessity...Full timeReliefImmediate startMonday to Friday
- ...must reside in IL or TX Contract: 12/22/2025 to 03/31/2026 RN working in the insurance or managed care industry using medically... ...is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation...Full timeContract workRemote work
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Richardson, TX3 days ago - ...Description Summary: The RN Navigator Home Health Review plays a crucial role in monitoring post-acute patients to ensure they continue to... ...Home Health recertification or discharge from service. Utilizes MCG Guidelines for post-acute services and Home Care to optimize...Full timeWork at officeMonday to Friday
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Syracuse, NY1 day ago- Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances Employee discounts Educational opportunities...Daily paidContract workLocal area
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Syracuse, NY5 days ago $49 per hour
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Garland, TX12 hours ago- ...Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional... ...Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of...Full timeTemporary workShift workAfternoon shift
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Dallas, TX3 days ago - ...Primary Purpose A Registered Nurse (RN) with 2 years of experience. The RN is... ...evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare... .... Participates in SANE Peer Review and quality assurance /performance improvement...Full timeTemporary workTraineeshipWork at officeNight shift
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Dallas, TX3 days ago - ...Certified RN AnesthetistYour adventure starts here...in Syracuse! The Community – Syracuse... ...removal of supplies nearing expiration.Reviewing and updating of departmental operating... ...and monitoring of all types of anesthesia utilized in the delivery of obstetrical anesthesia...Summer work
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Syracuse, NY2 days ago - ...policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.... ...self-care under the supervision of RN. Staff Related ~ Assists in training... ...application in an accurate and timely manner. Review treatment sheets for completeness, ensure...Immediate start
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Balch Springs, TX4 days ago - ...patients, performing physical exams, and reviewing medical histories. Identify short-... ...patient outcomes and efficient resource utilization. Comply with standards and regulations... ...Current licensure as a Registered Nurse (RN) and Advanced Practice Registered Nurse...Temporary work
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Mesquite, TX1 day ago - ...to do so Work experience: 12 months of RN experience Your Job Responsibilities... ...a cooperative work environment by utilizing communication skills, interpersonal relationships... ...Work in Healthcare by Becker’s Hospital Review , 2023 ~ Top 10 Military Friendly®...Work experience placementReliefShift work
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Dallas, TX18 days ago $25 per hour
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Dallas, TX5 days ago- ...SUMMARY The Inpatient Behavioral Health Utilization Management Nurse performs utilization... ...prospective, concurrent, and retrospective reviews; maintains case documentation; communicates... ...program and holds an active unrestricted RN license in the State of Texas ~...Full timeWork experience placementWork at officeLocal area
- .... This practice may include, but is not limited to: Ability to utilize the principles of PA practice in the care of assigned patients... ...development of the PA patient care audit processes involving in‑depth review and analysis of medical records. Reference For more information...Work at office
VETERANS HEALTH ADMINISTRATION
Syracuse, NY3 days ago $91.7k - $163.7k
...provide organizational support that allows our providers to focus on what matters - providing care. Primary Responsibilities: Utilize evidence-based screening tools and diagnostic criteria to formulate comprehensive treatment plans Deliver individual and group...Minimum wageFull timeWork experience placementLocal areaFlexible hoursOptum
Syracuse, NY3 days ago- ...teams to support adults with behavioral health needs. You’ll use evidence-based practices, document in an EHR, and participate in case reviews and quality initiatives. Rula offers flexibility, a supportive, inclusive culture, and the opportunity to expand access to mental...Remote work
Rula Health
Mesquite, TX11 hours ago $60k
...prior authorizations, and referrals to specialty care providers.Review laboratory and diagnostic results with providers and assist... ...effectively within a multidisciplinary healthcare team.Proficiency in utilizing electronic medical records (EMR) systems.Current BLS...Local areaLiberty Resources
Syracuse, NY4 days ago$30 - $40 per hour
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Syracuse, NY2 days ago
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