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 1 day ago
Similar jobs that could be interesting for youBased on the Registered Nurse - Utilization Review in United States vacancy
- ...expectation: No Ratios: 1:40 Years of experience required: 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: Weekend...SuggestedImmediate startShift workWeekend work
Carenest Health
Apple Valley, CA5 days ago - ...Registered Nurse – Utilization Review (Remote) 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). Minimum of 3 years acute medical Care...SuggestedRemote work
3B Healthcare, Inc.
United States5 days ago - ...Job Details Client in NM seeking Registered Nurse: Utilization Review for the following shift(s): Days We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract/travel role. Contract/travel assignments are typically...SuggestedHourly payWeekly payContract workShift work
CoreMedical Group
Portales, NM5 days ago - ...Registered Nurse - Utilization Review Job Location: Apple Valley, CA, 92307, United States Start Date: ASAP Shift Schedules: 5x8 Day Shift 8:00 AM - 4:00 PM Weekend Requirements: 4 weekend shifts (days) in a six-week period but can be more Ratios: 1:40...SuggestedImmediate startShift workWeekend workDay shift
Bestica Healthcare
Apple Valley, CA5 days ago $46 per hour
...Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your clinical expertise to evaluate the medical necessity...SuggestedRemote workTotalMed Staffing
United States1 day ago$38.42 - $57.62 per hour
...discharge and risk assessments, discharge plan, utilization management and follow-up care to assure... ...initial and concurrent medical record review for third party payers. May review... ...and arrange placements to skilled nursing facilities, rehab, long-term care, specialty...Contract workShift workWeekend workWeekday workIsland Health
Anacortes, WA8 hours ago- ...Experience: 2 preferred Unit accepts first time travelers The Case Manager is responsible for medical necessity review, discharge planning, and utilization review. • Identifies and communicates changes in the patients plan of care to the health care team. • Maintains detailed...Local areaShift work
Windsor Healthcare Recruitment Group, Inc.
Pocatello, ID4 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
Quantum Health
Dublin, OH1 day ago $38.16 - $59.15 per hour
...factors. Position Highlights Position: RN Utilization Review Location: Naperville, IL Full Time: 40... ...Utilization Review Coordinators, and nurses regarding utilization issues. Perform... ...of utilization review experience Registered Nurse (RN) licensed by Illinois Department...Hourly payFull timePart timeFor contractorsMonday to FridayEndeavor Health Services
Naperville, IL5 days ago$81.12k - $115.94k
...Saint Agnes Hospital **Department:** Utilization Management **Schedule:** Day-Shift | Full... ...** + Advocate for appropriate care by reviewing admissions and service requests to... ...Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board...Full timeLocal areaRemote workDay shiftAscension
Baltimore, MD3 days ago- ...The R egistered Nurse – Utilization Review is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare... ...management and patient outcomes Required Qualifications Active Registered Nurse license in the state of practice Minimum of 2–3...
Compunnel
Fort Myers, FL1 day ago - ...Registered Nurse-Utilization Review A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since...Local area
Careers Integrated Resources Inc
Trenton, NJ5 days 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...Work at officeRelocation packagei4 Search Group
Farmington, NM4 days ago- Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor... ...Preferred Skills & Certifications: Experience in Utilization Review or case management roles. Specialty certifications relevant...Remote workFlexible hours
vTech Solution
Santa Rosa, CA3 days ago - ...POSITION SUMMARY The Utilization Review Specialist is responsible for assisting in the facilitation of critical criteria reviews on patients... ...; and behaviors consistent with the role of the professional nurse Reviews patient's medical records to collect data pertaining...Full timeShift work
St. Joseph's Medical Center
Houston, TX5 days ago - ...Job Description Job Summary: The Utilization Review Nurse specializes in ensuring appropriate patient care through comprehensive review... ...level of care. Qualifications: Hold a valid Registered Nurse (RN) license. Proven experience in utilization review...
TactStaff
Portales, NM4 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, CA5 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 $1,678 - $1,801 per week
...Overview Registered Nurse – Utilization Review Case Manager | Pocatello, Idaho, United States | Start 07/27/2026 | Assignment duration: weeks (travel - temporary) | Weekly pay $1,678 - $1,801 per week | No guaranteed hours | Shift: 5x8-hour days | Setting: hospital-based...Weekly payContract workTemporary workShift workHealth Force
Pocatello, ID1 day ago$1,678 - $1,801 per week
Overview Registered Nurse – Utilization Review Case Manager | Pocatello, Idaho, United States | Start 07/27/2026 | Assignment duration: weeks (travel - temporary) | Weekly pay $1,678 - $1,801 per week | No guaranteed hours | Shift: 5x8-hour days | Setting: hospital-based...Weekly payDaily paidOngoing contractContract workTemporary workLocal areaFlexible hoursShift workTLC NURSING SERVICES
Pocatello, ID4 days ago$44.16 - $77.58 per hour
...assessment, care coordination, resource utilization, discharge planning,... ...utilization. Conduct utilization review and/or review of care planning, discharge... ...Associate’s degree in Nursing or diploma upon hire. Alaska Registered Nurse license required upon hire....Hourly payFull timeRelocation packageDay shift1 day per weekProvidence Health and Services
Richmond, VA1 day ago$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Hourly payRemote workAstrana Health
California, MO4 days ago- ...fifth consecutive Magnet designation for nursing excellence. From working with a team of... ...to complete initial and continued stay reviews in determining appropriate level of patient... ...Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS...Daily paidSeasonal work
$50.14 - $77.83 per hour
...Description Utilization Review RN at Providence Health Plaza. Utilization Management covers... ...: Bachelor's Degree Nursing, OR Associates Degree and 2 or more years... ...Bachelor's Degree Upon hire: Oregon Registered Nurse License Five (5) years Clinical...Minimum wageFull timePart timeLocal areaShift workDay shift$50 per hour
...GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non...Hourly payRemote workGreenLife Healthcare Staffing
New York, NY3 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 - ...Job Description A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team! Utilization Review Registered Nurse Opportunity: Full-time, permanent position Schedule: Monday-Friday, 9: 00AM-5: 00...Permanent employmentFull timeMonday to Friday
Ironside HR
Kearney, NE1 day 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- ...Utilization Review Registered Nurse Texas Institute for Surgery LL SURG - Dallas, TX 75231 Description The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status, medical necessity, and payer compliance through prospective,...
Texas Institute for Surgery
Dallas, TX3 days ago - ...DESCRIPTION: This individual will utilize clinical knowledge and... ...criteria sets and acceptable nursing practice guidelines for outpatient... ...decision to a second level reviewer. This individual interfaces... ...performance reviews. QUALIFICATIONS: Registered Nurse with valid,...Temporary workWork at officeRemote workMonday to FridayFlexible hoursNight shift
Hinesassoc
Rockford, IL4 days ago
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