Utilization Review Nurse — Clinical Insight & Impact
TurningPoint Healthcare Solutions
TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to perform first-level clinical reviews using established medical criteria for authorization decisions. The role requires independent work, attention to detail, and the ability to meet deadlines in a fast-paced healthcare environment. Ideal candidates are licensed RNs or LPNs with strong nursing knowledge, excellent communication, and proficient computer skills to navigate multiple programs. #J-18808-Ljbffr TurningPoint Healthcare Solutions
- ...career. And yes to making an impact here in ways you never thought... ...Work®. THE JOB Being a Nursing Manager means doing more than... ...preferred ~5+ years in a clinical veterinary nursing role, emergency... ...Curious by nature; you ask insightful questions and continuously...SuggestedFull timeFlexible hoursShift workNight shiftWeekend work
$110k - $130k
...Range: $110,000.00 To $130,000.00 Annually Nurse Practitioner – Primary Care Our Story:... ...healthcare MSO with 70+ value-based primary care clinics serving patients across Florida, Texas,... ...-affiliated clinics. Why Join PCC? Impactful role in a mission-driven organization. Competitive...SuggestedFull timePrivate practiceWork at office- ...team that makes a real impact in our community every... ...love. Job Summary: The Nurse Practitioner functions... ...acute and chronic care, clinical evaluation, diagnosis,... ...payroll sheets, etc.). Review incoming reports (labs,... ...assist you. Personally utilize universal precautions when...SuggestedWork at officeFlexible hours
- ...Position Description: RN The Clinical Nurse Responsibilities Include Cares for a group of patients with minimum supervision applying the nursing process and clinical standards. Delegates appropriate patient care activities to other members of the health care team. Is...SuggestedFull timeRemote workShift workWeekend work
- ...CVS Health’s MinuteClinic is seeking a Nurse Practitioner to deliver evidence-based primary and family care in a clinic setting, with optional virtual visits from the clinic when feasible. You will assess, diagnose, treat acute and chronic conditions, and coordinate care...SuggestedFlexible hours
$115k - $125k
...deliver high-quality, patient-centered care across outpatient and clinical settings. Key Responsibilities Conduct patient assessments,... ...treatment plans and follow-up care Coordinate with physicians, nursing staff, and multidisciplinary teams Maintain accurate and timely...Full time- Jupiter Medical Center is seeking a Registered Nurse in Oncology Clinical Research to join our full-time team. The RN will assist with recruitment, eligibility evaluation, and patient registration for clinical trials, coordinating study visits, procedures, and documentation...Full time
$150k - $300k
...seeking exceptional Psychiatric Mental Health Nurse Practitioners (PMHNPs) across the United... ...and want the time, support, and clinical autonomy needed to provide exceptional patient... ...psychiatrists through consults and peer case reviews. Our vision is to pioneer a new era of...Weekly payFull timePart timeFor contractorsPrivate practiceImmediate startRemote workWork from home- ...Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and medical necessity within an NCQA...Remote work
- BayCare Health System is seeking a Registered Nurse at Mease Countryside Hospital. You will care for a group of patients with minimal supervision, applying the nursing process and clinical standards. The role involves delegating appropriate patient care activities, maintaining...Part timeShift workWeekend work
- ...Our skilled nursing facility is seeking a Social Services Director to join our team in Brevard County- Melbourne, Viera or Rockledge area. The ideal candidate will be energetic, result-orientated team leader with superior interpersonal and communication skills to take...
- BayCare is hiring a Clinical Nurse II for the New Port Richey/Morton Plant North Bay area in Florida. The RN will deliver nursing care to a group of patients, using the nursing process and clinical standards. Responsibilities include delegating tasks, maintaining accountability...Full timeNight shift
- ...strive to have a remarkable impact on people's lives across several... ...the National Lead, Oncology Nurse Educator (ONE) field team,... ...partners to address them. Leverage Insights & Analytics: Use field data,... ...experience preferred. Clinical & Industry Expertise:Strong clinical...
- Agiliti Health, Inc. is seeking a Surgical Equipment Repair Specialist I for an onsite full-time role in Fort Lauderdale, FL. The technician will inspect, test, disassemble, and repair surgical equipment, documenting parts used and activities, while maintaining a clean...Full time
- ...Galen College of Nursing is seeking a Simulation Lab Manager to coordinate all simulation experiences across nursing programs. You will... ...of Best Practice, supervise staff, and collaborate with clinical leaders to provide high-quality simulated learning opportunities...
- ...beds) A collaborative care model with Neonatologists, Neonatal Nurse Practitioners (NNPs), and Pediatric Hospitalists NNP staffing:... ...clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the...Daily paidWork at officeRelocationRelocation packageShift work
- You will perform frequent case reviews, check medical records and... ...RN license as defined by the Nurse Licensure Compact (NLC) Associate... ...business needs 1+ year of utilization review experience in a managed care setting 1+ years of clinical experience (including at least...
$68.5k - $107.58k
...rethink the reach and impact of their products. **Together... ...to Cardinal Health_** Clinical Operations is... ...**_Job Summary_** The Nurse, Individualized Care Nurse... ...in the development and review of clinical pathway trends... ...solutions and data‑driving insights that advance healthcare...Full timeTemporary workWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours- Description The Utilization Review (UR) Nurse is responsible for conducting admission and continued stay reviews to ensure appropriate utilization... ...). Conduct continued stay reviews using approved clinical criteria and guidelines. Evaluate clinical documentation...Daily paidReliefWork at officeShift workWeekend work
- HCA Florida University Hospital in Broward County, FL is seeking a Surgical Technologist to prepare the operating room, assist during procedures, and collaborate with a high-performing team using advanced equipment. The role emphasizes sterile technique, patient comfort...
- ...certification with cardiovascular specialty experience and the ability to anticipate surgeon needs while collaborating with physicians and nurses. You will ensure patient safety by adhering to infection control standards and contribute to efficient OR turnover. #J-18808-...Flexible hours
- ...Job Description Job Description Neonatal Nurse Practitioner (NNP) – Level III NICU Are you a skilled and compassionate Neonatal... ...delivering exceptional neonatal care. Apply now to make a lasting impact — where your expertise saves lives and shapes futures. \...Temporary workRelocation package
- Southern HealthCare Management is seeking a registered nurse (RN) with an ASN or higher, and an active Florida RN license, to join our team in a full-time role. The ideal candidate will have at least 1 year of nursing experience, with sub-acute or long-term care experience...Full time
- ...Group is seeking a Unit Manager RN to lead the Tallahassee unit, focusing on patient and family centered care. This role supervises nursing staff, coordinates staffing, and ensures adherence to care plans and resident rights. You will recruit and mentor staff, oversee...
- ...Nurse Practitioner Or Physician Assistant At Curana Health,... ...Physician Assistants are trusted clinical leaders who bring proactive,... ..., and make a lasting impact on the lives of older adults.... ...communication platforms, and data-driven insights that allow you to focus on...Full timeTemporary workPart timeFlexible hours
- AdventHealth in Zephyrhills, FL is seeking a skilled Surgical First Assistant to support operating room teams. You will prepare suites, anticipate surgeon needs, and assist with procedures, ensuring aseptic technique and patient safety. Preferred candidates have first assistant...Full time
- Florida Medical Center is seeking an RN to provide professional nursing care in the Neuro Telemetry unit, focusing on adult and geriatric patients. You will monitor cardiac rhythms, intervene as needed, and work under physician direction with a strong emphasis on patient...
- Team Select Home Care in the United States seeks a registered nurse to provide patient-centered in-home care under physician supervision. The role includes developing care plans, direct patient care, and case management for an assigned patient group. You will collect required...Night shiftWeekend work
- ...West Coast University! As a Nursing Faculty member for a certified... ...community! You will make an impact by: Serving as a mentor, role... ...prescribed shared governance culture. Utilizing a variety of teaching... ...If working with students in a Clinical setting you will: Assume...Local areaImmediate startWeekend work
$15k
...where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive... ...coordinates and provides safe care to patients utilizing the nursing process of assessment, planning,...Full timeFlexible hoursShift workNight shift
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