Registered Nurse - Utilization Review
Bestica Healthcare
Registered Nurse - Utilization Review
About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation and synergy are encouraged to build our workplace into a community of like-minded, passionate people. Bestica is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Registered Nurse - Utilization Review in United States vacancy
- ...Nurse In conjunction with the admitting/attending physician,... ...billed. Conducts concurrent reviews as directed in the hospital's... ...concurrent and retrospective utilization management-related reviews and... ...State of Michigan licensure as a Registered Nurse (RN) Two years of...SuggestedLocal area
- ...Job Description: Manager of Clinical Utilization Management - Denial Compliance Location... ..., managing daily tasks, performance reviews, and any necessary disciplinary... ...Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred. 2. Minimum...SuggestedPermanent employmentFull timeTemporary workRemote workFlexible hours
Vivo HealthStaff
Burbank, CA27 days ago - ...Collaborating with the Medical Director, the full-time Registered Nurse Utilization Review will manage care variance reduction, ensure timely discharges, and refer members to appropriate resources while working remotely. Key responsibilities Assist in building and implementing...SuggestedFull timeRemote work
Virtual Vocations Inc
United States1 day ago $25k
...Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS... ...needs, and perform necessary follow-up. Applies the nursing process and critical thinking skills to oversee services and...SuggestedPermanent employmentWork at officeRelocation packagei4 Search Group
Farmington, NM5 days ago- Description: Nurses – are you looking for a change? Want to work... ...DESCRIPTION: This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual interfaces... ...Requirements: QUALIFICATIONS: # Registered Nurse with valid,...SuggestedTemporary workWork at officeRemote workMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL7 hours ago - ...Registered Nurse - Utilization Review Rate Details $15.00/hr $600.00 $2,116.00 $22.85 $15.05 $37.90 $914.00 $602.00 $1,516.00 $130.57 $86.00 $216.57 Shift Schedules 5x8 Day Shift 8:00 AM - 4:00 PM Job Description 8-4:30, 9-5:30 PST Laptop, keyboard and mouse will...Shift workDay shift
Bestica Healthcare
Torrance, CA3 days ago - ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Required Qualifications...Remote work
3B Healthcare, Inc.
Torrance, CA2 days ago - ...Floating Expectation: No • Ratios: 1:40 • Years of experience REQ: 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • First-timers accepted: Seasoned traveler is required Hardstop •...Immediate startShift workWeekend work
Carenest Health Services
Apple Valley, CA2 days ago - ...RN - Utilization Review Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected...
Compu-Vision Consulting
East Elmhurst, NY4 days ago - ...Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered Nurse will be responsible for evaluating...Full timeCasual workWork at officeWeekday work
vTech Solution
Torrance, CA23 hours ago - ...Will Do Conduct clinical reviews of patient records to... ...Collaborate with physicians, nursing staff, and interdisciplinary... ...ensure appropriate resource utilization and care planning Review... ...Graduate of an accredited Registered Nurse (RN) program; Bachelor...Full timePart timeWork at officeLocal areaRemote workShift workRotating shiftDay shift
Saint Alphonsus Health System
United States23 hours ago - ...Job Description Job Summary: Seeking an experienced Registered Nurse specializing in utilization review to assess non-acute cases. This role involves evaluating patient records to ensure appropriate care and resource utilization while maintaining compliance with...
TactStaff
East Elmhurst, NY1 day ago - ...Registered Nurse - Utilization Review Job Opportunity: Registered Nurse - Utilization Review Facility: Providence SoCal Shared Services Case Management Location: Torrance, CA Employment Type: Travel/Contract Shift: Day (5x8 Hours) 8:00 16:30 Start Date: 10/5/2026 Job...Hourly payContract workShift work
Zenex Partners
Torrance, CA3 days ago - ...Travel Job 17789408 Apply Now Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective Review* Admission Criteria Care coordination Concurrent...Remote work
B2B Staffing Services
Torrance, CA2 days ago - ...Registered Nurse - Utilization Review The right role can make all the difference in your career. At VyTalent Solutions, we support healthcare professionals with opportunities designed to meet today's workforce needs. We're currently looking for a Registered Nurse -...Contract workRemote workRotating shift
VyTalent Solutions
Fort Myers, FL3 days ago $1,851.96 per month
...Name Lee Health-Corporate Center Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty Utilization Review Job ID 38245223 Job Title Registered Nurse (RN) - Utilization Review...Weekly payContract workLocal areaRemote workMonday to FridayShift workWeekend workLee Health-Corporate Center
Fort Myers, FL3 days ago- ...Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric... ...Skills & Certifications: Experience in Utilization Review or case management roles. Specialty certifications relevant...Remote workFlexible hours
vTech Solution
Santa Rosa, CA3 days ago - 1st TIME OK/ 2 YR EXP required for Utilization Review RN every other weekend required or more depending on unit needs no call or floating required... ...Hospital Experience!! The Emergency Prospective Review (EPR) Nurse - RN has the responsibility to conduct a review of all...Casual workWeekend work
Reliant Staffing Solutions
Whittier, CA23 hours ago - ...RESPONSIBILITIES Performs utilization management activities including prior authorization review, concurrent review, retrospective... ...school of professional nursing required. Bachelor's degree in... ...LICENSURE Current unrestricted Registered Nurse (RN) license issued by the...
University Health
Pleasanton, TX-17 $2,500 - $2,800 per week
...Job Description Job Description Registered Nurse (RN) – Case Manager / Utilization Review / CDI Job Category: Nursing / Case Management / Utilization Review / CDI Location: Syracuse, NY Duration: 13 Weeks Employment Type: Contract Schedule: Monday...Contract workSecond jobMonday to FridayShift workCompu-Vision - Northeast
Albany, NY7 days ago$2,275.3 per week
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...Weekly payShift workEverett, WAmore than 2 months ago$2,292.28 per week
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...Weekly payShift workTuba City, AZa month ago- ## Registered Nurse (RN) Manager - Utilization Review - FT/Day - AugustaApply: Onsite: AU Medical Center, Inc.: Full time: Posted Yesterday: JR-75604How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion...Full timeContract workLocal areaShift work
- ...Remote RN Utilization Review Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There... ...appropriate setting. Minimum Requirements: Education: ~ Nursing Diploma/Associate's Experience: ~2-5 years...Full timeReliefLocal areaRemote workMonday to FridayFlexible hoursShift work
Missouri Baptist Medical Center
United States15 hours ago $1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...consecutive months in Utilization Management, Utilization Review, or Case Management Preferred Certifications: Not required...Contract workImmediate startRemote workMonday to FridayJ Edward Staffing LLC
Aurora, CO2 days ago$38.11 - $98.61 per hour
...In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status... .... Qualifications Required: Licensure as a Registered Nurse (RN), Massachusetts Three years of recent clinical or utilization...Hourly payLocal areaShift workBeth Israel Lahey Health
Boston, MA2 days ago- ...Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is a non-profit healthcare system serving 10 counties in...Full timePart timeWork from homeMonday to FridayFlexible hoursWeekend work
Prairie Lakes Healthcare System
Watertown, SD3 days ago - ...experience doesn’t match every requirement. About the role The Utilization Review Nurse is responsible for reviewing and processing medical... ...Qualifications) Licensure: Current and active license as a Registered Nurse (RN) in the state of Ohio. Licensed Practical Nurses...Work at office
$31.03 - $46.54 per hour
...was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.Job SummaryThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application of...Full timeEmanate health
Covina, CA1 day ago$38.11 - $98.23 per hour
...making a difference in people's lives. The Utilization Analyst works with physicians, the... ...care. Using the concepts of utilization review, clinical documentation improvement and... ...care. Collaborates with case managers, nursing staff, coding team, the physicians and finance...Hourly payDaily paidShift work
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