Utilization Review Nurse
Speros
Moffitt Cancer Center in Tampa, FL seeks an Utilization Review Nurse to perform initial, concurrent, and retrospective reviews ensuring medical necessity and appropriate care levels. You will collaborate with case management, physician advisers, providers, and payers to support appropriate resource use and effective appeals. Minimum education includes an Associate's Degree in Nursing with RN licensure; a Bachelor's in Nursing is preferred. #J-18808-Ljbffr
$26.41 - $51.49 per hour
...DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid members... ...from inpatient to discharge to either a nursing facility or back to their home. The position... ...Preferred candidates will have previous utilization management, case management, managed...SuggestedHourly payWork experience placementWork at officeRemote workMonday to FridayWeekend work- ...Molina Healthcare is seeking an RN Care Review Clinician to support Medicaid members during hospital stays, coordinating discharge... ...documentation and UM policy adherence. Preferred candidates have utilization management or case management experience, with strong...SuggestedWork at officeRemote workMonday to Friday
- ...City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary...SuggestedTemporary workRemote workShift work
$77.08k - $119.47k
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition... ...and health care team.**Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate's degree required...SuggestedShift work- ...SUMMARY The Authorization Nurse will oversee the processing of assigned authorizations for participant care, supplies, and other related... ...' experience in a managed care environment, preferably in a utilization related role. Must have one year of experience with a frail,...SuggestedWork at office
$30 - $38 per hour
...Ready to turn clinical expertise into life-changing decisions, one review at a time? Why This Role Matters Every determination you make... ...license accepted where applicable) Graduate of an accredited nursing program (ADN or diploma required; BSN preferred) 1-2+ years of...Hourly payImmediate startMonday to FridayFlexible hours- ## Utilization Review NurseApplyremote type: Hybridlocations: 1301 6th Ave W - BRADENTON, FLposted on: Posted Todayjob requisition id: JR1141... ...possible.**Job summary:**Acrisure is seeking a **Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured...Work at officeImmediate startRemote workFlexible hours2 days per week
$88.85k
...income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically...Full time- ...member care. Rotating weekend hours are required to address utilization review cases. Roles and Responsibilities Prepares clinical reviews... ...appeals experience. Must have a current, unrestricted Texas nursing license or Compact License. Please include your license number...Live inRemote workFlexible hoursWeekday work
- ...Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking a Registered Nurse to join our team. In this role, you will primarily be creating and managing a plan of care for individual patients. You are a...Flexible hours
- ...Job Description Job Description Join a Company That Puts People First! Registered Nurse – RN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages...Weekly payDaily paidFull timePart timeFor contractorsReliefLocal areaFlexible hoursShift workNight shiftWeekend workDay shift
- ...York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan...Work at officeRelocation package
- ...Job Description Job Description Registered Nurse (RN) Instructor Position: Registered Nurse (RN) Instructor Employment Type... ..., or instructional resource needs. Participate in curriculum review, program evaluation, student assessment, faculty meetings, professional...Full timePart timeLocal areaShift workWeekend workDay shiftAfternoon shift
$40 - $50 per hour
...KONNECTION HEALTHCARE STAFFING AGENCY Rite Konnection Healthcare Staffing Agency is currently seeking a highly qualified registered nurse to join our growing healthcare team in New York. In this position, you will provide direct nursing care to patients and tend to...Hourly payDaily paidFull timePart timeFlexible hoursShift workNight shiftDay shiftAfternoon shift- ...personalized treatment. AOM Infusion is looking for an Infusion Nurse to join our team. This is role based in the Brooklyn/Queens,... ...Nurse Practice Act or title acts relating to reporting and peer review. Clinical: Assesses and documents the patient’s...Work at officeMonday to FridayFlexible hours
$35 - $45 per hour
...Offering Sign-On Bonus Up to $2,500.00 If you want to be appreciated, come to BAYADA: BAYADA Home Health Care is looking for a Registered Nurse (RN) who has a passion for Adult and/or Pediatric care to join our Hudson County team. We believe our clients and their families...Weekly payDaily paidFull timePart timeReliefWork at officeLocal areaRelocation packageFlexible hoursShift workDay shift$3,100 - $3,300 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: STecWins Inc Pay: $3,100 to $3,300 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 9/14/2026 About the Role: STecWins Inc...Full timeContract workSummer workShift work$2,693 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: Lancesoft Inc Pay: $2,693 per week Contract Duration: 14 Weeks Start Date: 9/28/2026 About the Position We are currently seeking qualified candidates for RN Position Details...Full timeContract workFlexible hoursShift work- ...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: STecWins Inc Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 48 Weeks Start Date: 9/7/2026 About the Role...Weekly payFull timeContract workSummer workFlexible hoursShift work
$2,731 - $2,875 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: Specialty Professional Services Pay: $2,731 to $2,875 per week Shift Information: 8 hours Contract Duration: 14 Weeks Start Date: 9/28/2026 About the Position TravelNurseSource...Daily paidExtra incomeFull timeContract workShift work$3,038 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: Cynet Health Pay: $3,038 per week Shift Information... ...available community resources to assist clients and help them utilize these resources. Manage assets related to rented medical...Full timeContract workShift work- ...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: STecWins Inc Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 48 Weeks Start Date: 9/7/2026 About the Role...Weekly payFull timeContract workSummer workShift work
$1,448 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Flushing, NY Agency: OneStaff Medical Pay: $1,448 per week Shift Information: Rotating - 5 days Contract Duration: 4 Weeks Start Date: 9/18/2026 About the Position TravelNurseSource...Hourly payFull timeContract workTemporary workWork experience placementWork at officeFlexible hoursShift work$1,448 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Flushing, NY Agency: OneStaff Medical Pay: $1,448 per week Shift Information: Rotating - 5 days Contract Duration: 4 Weeks Start Date: 9/18/2026 About the Position We. Are. OneStaff...Hourly payFull timeContract workTemporary workWork experience placementShift work$2,758 - $2,853 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: GQR Healthcare Pay: $2,758 to $2,853 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W...Hourly payWeekly payFull timeContract workImmediate startShift work$3,054 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: Cynet Health Pay: $3,054 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 14 Weeks Start Date: 9/28/2026 About the Position Job Title: Wound Care...Full timeContract workShift work- ...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: TotalMed Pay: Competitive weekly pay (inquire for details) Shift Information: Days Contract Duration: 13 Weeks Start Date: 10/3/2026 About the Position TotalMed is seeking...Weekly payDaily paidFull timeContract workShift work
$2,693 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: Lancesoft Inc Pay: $2,693 per week Contract Duration: 14 Weeks Start Date: 9/28/2026 About the Position TravelNurseSource is working with Lancesoft Inc to find a qualified...Long term contractPermanent employmentFull timeContract workTemporary workWork at officeFlexible hoursShift work$2,308 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Flushing, NY Agency: Cynet Health Pay: $2,308 per week Shift Information: 3 days Contract Duration: 8 Weeks Start Date: 9/7/2026 About the Position Job Title: Registered Nurse...Full timeContract workShift work$2,731 - $2,875 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Brooklyn, NY Agency: Specialty Professional Services Pay: $2,731 to $2,875 per week Shift Information: 8 hours Contract Duration: 14 Weeks Start Date: 9/28/2026 About the Position Our Client...Extra incomeFull timeContract workShift work
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