Utilization Review Nurse — Acute Care & InterQual Expert
University Medical Center of Southern Nevada (UMC)
A leading academic medical center in Nevada is seeking a Registered Nurse with extensive experience in Utilisation Management. The role involves reviewing patient admissions and ensuring compliance with care standards. Candidates should possess a valid nursing license and a minimum of five years of clinical experience, including Utilisation Management or similar areas. This position offers a dynamic work environment and the opportunity to impact patient care positively. #J-18808-Ljbffr University Medical Center of Southern Nevada (UMC)
$40 - $63 per hour
A healthcare services provider is seeking a full-time Utilization Review Nurse for a permanent onsite role in Las Vegas, NV. The successful candidate will review patient admissions to ensure efficiency and compliance with third-party payer requirements. Requirements include...SuggestedHourly payPermanent employmentFull time- ...Description Job Description – Utilization Review Nurse Position Summary The... ..., and cost-effective care. This role evaluates clinical... ...payer guidelines. Apply InterQual and Milliman criteria to... ...Experience Minimum 5 years of acute care clinical nursing experience...SuggestedFull timeCasual workWork at officeShift work
$15k
...Description Job Description The Utilization Review Nurse plays a critical role in... ...to ensure appropriate care, resource efficiency, and adherence... ...quality standards within acute care settings.... ...discharge planning teams Apply InterQual and Milliman criteria in utilization...SuggestedRelocation package$63 per hour
...Job Description Title: Utilization Review Nurse (RN) Department: Case Management... ...in Nevada Major tertiary care hospital serving Southern... ...records/charts Apply InterQual & Milliman criteria Coordinate... ...Required: ~5 years acute-care clinical RN experience...SuggestedHourly payFull time$42 - $65 per hour
...Description Job Description Utilization Review Nurse Location: Las Vegas, NV... ...medical necessity. Apply InterQual and/or Milliman (MCG)... ...Support discharge planning and care coordination. Maintain accurate... ...state. ~5+ years of acute care nursing experience. ~...SuggestedFull timeRelocation package$43 - $63 per hour
...Description Job Description The Utilization Review Nurse plays a key role in... ...appropriate levels of care, efficient resource utilization... ...regulatory compliance within an acute care setting.... ...discharge planning teams Utilize InterQual and Milliman criteria during...Relocation package- ...Fusion HCR is hiring! Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced... ...Review admissions using InterQual and/or Milliman criteria Evaluate medical...
- ...Position Summary Reviews patient admissions... ...efficiency of resource utilization and compliance with... ...whether care provided is within... ...accredited school of nursing and five (5) years of acute hospital clinical nursing... ...documented experience with InterQual, and ability to...Work at officeShift workWeekend work
- ...Nevada is seeking a Registered Nurse for a per diem position focused on Utilization Management. This role involves reviewing patient admissions and... ...nursing degree, five years of acute care experience, and familiarity with InterQual. Working at UMC offers the opportunity...Daily paid
- University Medical Center of Southern Nevada (UMC) is seeking a Registered Nurse with extensive experience in acute hospital care and Utilization Management. The role involves reviewing patient admissions, analyzing medical charts, and ensuring compliance with third-party...Daily paid
- ...healthcare organization in Las Vegas is seeking a Registered Nurse to review patient admissions for appropriateness and compliance. The... ...years of clinical nursing experience, including three years in Utilization Management. Responsibilities include analyzing medical...Relocation packageShift workWeekend work
$40 - $63 per hour
...Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-... ...medical records to ensure care meets established clinical... ...nursing program ~5+ years of acute care nursing experience ~... ...: Experience with InterQual (must be able to pass exam)...Full timeWork at officeShift workWeekend work- ...Description Job Description Utilization Review Nurse Location: Las Vegas, NV... ...nursing and five (5) years of acute hospital clinical nursing... ...discharge planning in an acute care facility. Recent documented experience with InterQual, and ability to pass the InterQual...Relocation
- Valley Hospital Medical Center, Inc. in Las Vegas, Nevada is seeking a Health Information Coder to prepare statistical reports and code diseases accurately. The candidate must have at least 3 years of inpatient and outpatient coding experience and strong technical skills...
- University Medical Center of Southern Nevada (UMC) is seeking a skilled RN to provide critical care to acutely ill patients. The ideal candidate will have at least one year of emergency room or ICU experience and possess a Nevada RN license. Responsibilities include administering...
$25 - $30 per hour
...A leading veterinary group in Las Vegas is seeking a Veterinary Technician to provide exceptional care in a collaborative setting. Responsibilities include assisting veterinarians, monitoring patient conditions, and ensuring cleanliness of medical areas. The ideal candidate...Full timeRelocation package- ...Responsibilities Provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Provides... ...(1) year full-time or three (3) years part-time experience in acute care setting preferred. License/Certification: Current RN...Full timePart timeInterim roleLocal area
- ...Valley Hospital have provided quality patient care to all who enter our doors. Valley... ...Las Vegas Medical District (LVMD) with 306 acute care beds, including a 48-bed behavioral health... ...providers including physicians, nurses, therapists and others in the allied health...Internship
- A women’s health provider is seeking a board-certified Nurse Practitioner to deliver comprehensive care to women. This fully remote role requires a minimum of 2 years of experience in women's health, particularly in managing chronic conditions. Responsibilities include...Remote jobFor contractors
$139k - $250.5k
A leading pharmaceutical company is seeking a Field Reimbursement Manager in Eye Care based in Las Vegas, NV. The role entails educating healthcare professionals on patient support programs and reimbursement challenges. The ideal candidate will have at least 3 years of...- ...Henderson area. We are an OB hospitalist program that is patient-focused and evidence-based. We strive to provide an optimal level of care placing emphasis on patient safety, quality, and customer service. We are redefining the future of womens health. Hera Womens...Full timeLocal areaRelocation packageShift workNight shift
- MountainView Hospital in Las Vegas, NV, is hiring a Registered Nurse for the CTICU department. The role involves delivering high-quality, patient-centered care and collaborating with medical teams to enhance patient outcomes. Applicants should possess a current RN license...Hourly pay
- A premier entertainment company in Las Vegas is hiring a Shoeshine Associate to provide professional footwear care services and ensure excellent customer experiences. Candidates should have at least 6 months of relevant experience and knowledge of leather and shoe care...
$40.72 - $63.12 per hour
...Job Description Job Description Registered Nurse Case Manager (RN) – Acute Care Location: Las Vegas, NV Salary: $40.72 – $63.12 per... ...with physicians and multidisciplinary teams Monitor utilization review and care management processes Ensure compliance...Hourly payPermanent employmentFull timeRelocation package- ...Acute Care Float Pool Registered Nurse (RN) The Acute Care Float Pool Registered Nurse (RN) provides high-quality, compassionate nursing care to patients across various acute care units. As a Float Pool RN, you will be a valued member of our team, bringing flexibility...Shift work
- ...healthcare provider in Las Vegas seeks an experienced Registered Nurse to deliver quality patient care while guiding a dedicated healthcare team. The role demands a Nevada RN license and expertise in acute care, with responsibilities including patient-centered nursing...
- ...Vegas, Nevada is seeking a qualified RN to join their team. Candidates must have a nursing degree, current Nevada RN license, and certifications in BLS, ACLS, and PALS. Experience in acute care is preferred. The position offers competitive compensation and a range of...
$35 - $44.39 per hour
Kindred Hospital Las Vegas - Sahara is seeking a Registered Nurse to provide high-quality patient care in a long-term acute care context. The RN will be responsible for planning and delivering direct and indirect patient care while coordinating with the care team. The position...Hourly pay- HCA Healthcare in Las Vegas is seeking a Radiology Technician PRN. The role requires providing health care services using x-ray energy and performing radiographic procedures for diagnosis. The ideal candidate will have a high school diploma or equivalent, graduate from...Daily paidRelief
- ...overseeing contract negotiations and ensuring timely credentialing processes. Your involvement directly supports high-quality patient care and enhances collaborative partnerships. Ideal candidates will possess strong ultrasound experience, interpersonal skills, and a...Contract work
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