Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Review Supervisor — RN Lead & Compliance

BBSS Beyond Blue

Beyond Blue is seeking a Supervisor, Utilization Review to lead the daily operations of the utilization review team in the UK. The role ensures compliance with payer guidelines and regulatory standards while guiding staff performance and quality assurance. Responsibilities include coordinating with physicians, payers, and interdisciplinary teams to optimize patient care and reimbursement, delivering timely authorization determinations, and contributing to policy development. #J-18808-Ljbffr BBSS Beyond Blue

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Supervisor — RN Lead & Compliance in Brooklyn, NY vacancy
  • INTEGRIS Baptist Medical Center in Oklahoma City, OK is seeking a day shift/variable, full-time RN Case Manager - Utilization Review. You will assess patients, coordinate transfers, and develop discharge plans to optimize resources and patient outcomes. Qualifications... 
    Suggested
    Full time
    Day shift

    INTEGRIS Health

    Brooklyn, NY
    2 days ago
  • Beyond Blue Job Posting Title: Supervisor, Utilization Review Requisition Number: R-000003688 Department...  ...the utilization review team to ensure compliance with regulatory requirements, payer guidelines...  ...related/progressive experience as an RN or in Utilization Review An... 
    Suggested
    Full time
    Part time
    Work experience placement
    Relief
    Internship
    Shift work

    BBSS Beyond Blue

    Brooklyn, NY
    1 day ago
  • $77.08k - $119.47k

    ## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition...  ...cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up as indicated. • Communicates... 
    Suggested
    Shift work

    Albany Medical College

    Brooklyn, NY
    1 day ago
  • $2,749.5 per month

     ...Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 35546746 Job Title RN - Utilization Review (000298) Weekly Pay $2749.5 Shift Details Shift Day -... 
    Suggested
    Weekly pay
    Shift work

    Rikers Island Correctional Facility

    East Elmhurst, NY
    5 days ago
  • $2,883.5 per month

     ...Hospitals Corporation-Rikers Island Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19030015 Job Title RN - Utilization Review Weekly Pay $2883.5... 
    Suggested
    Weekly pay
    Shift work

    Trinity Health

    Elmhurst, NY
    1 day ago
  •  ...Skills: ~1 year of non-acute utilization review experience - required ~ RN experience - preferred Certification: New York State RN License Primary Source Verification AHA BLS Shift: ~8:30 AM-5:00 PM ~42.50 houris/week... 
    Shift work

    ATD Technology LLC

    East Elmhurst, NY
    1 day ago
  •  ...Job Title: RN - Utilization Review (000298) Keywords: Number of Positions: 1 Remaining Positions: 1 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... 

    Compu-Vision Consulting

    Elmhurst, NY
    1 day ago
  • $2,940.02 per month

     ...HHC Correctional Health Services Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19018147 Job Title RN - Utilization Review (000298) Weekly Pay $2940.02... 
    Weekly pay
    Shift work
    Day shift

    Talent4Health

    East Elmhurst, NY
    2 days ago
  •  ...RN - Utilization Review Number of Positions: 1 Remaining Positions: 1 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... 

    Compu-Vision Consulting

    East Elmhurst, NY
    3 days ago
  •  ...Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal...  ...WELCOMING YOU TO OUR TEAM!! Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits... 
    Hourly pay
    Daily paid
    Work experience placement

    Carson Valley Health

    Brooklyn, NY
    1 day ago
  • $55 - $65 per hour

     ...Registered Nurse With Utilization Review Experience A healthcare organization is seeking a Registered...  ...and requires an active New York State RN license. The ideal candidate will have...  ...of review activities. Support compliance with organizational, regulatory, and payer... 
    Hourly pay
    Contract work

    ATRIA Consulting

    East Elmhurst, NY
    4 days ago
  •  ...Visiting Nurses is seeking an experienced OASIS RN to join our in-office clinical team in Pennsylvania. You will review OASIS assessments and support staff to ensure accurate, complete documentation and Medicare compliance. You’ll collaborate with clinicians, stay... 
    Work at office

    Concordia Lutheran Ministries

    Brooklyn, NY
    1 day ago
  • $110k

     ...outcomes in the expected time frame and with the most efficient utilization of resources. Carries out activities related to utilization...  ...physician regarding appropriate documentation for justification. Reviews the patient’s plan of care in conjunction with the clinical... 
    Daily paid
    Full time
    Part time
    Flexible hours
    Shift work

    Montefiore Nyack

    Brooklyn, NY
    1 day ago
  • $55k - $75k

     ...them for fulfilling, post-treatment lives. We are seeking a Utilization Review Coordinator to add to our dynamic team. The Utilization Review...  ...review activities, decisions, and communications in compliance with organizational policies and legal standards Stay current... 
    Full time
    Part time
    Work at office
    Remote work

    Red Oak Recovery

    Brooklyn, NY
    4 days ago
  • RN - Utilization Review Shift: Days Shifts Per Week: 5 Scheduled Hours: 40 Start Date: 09/14/2026 End Date: 11/07/2026 Duration: 8 Week(s) City: Elmhurst State: NY VOCA Healthcare
    Shift work

    VOCA Healthcare

    Elmhurst, NY
    2 days ago
  • RN - Utilization Review Shift: 5 Day Shifts X 8 Hrs Start Date: 09/14/2026 End Date: 11/07/2026 Duration: 8 Week(s) City: East Elmhurst State: NY TALENT
    Shift work
    Day shift

    TALENT

    East Elmhurst, NY
    2 days ago
  • $2,868 per week

     ...Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in New York City, New York. Job Description...  ..., insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes... 
    Permanent employment
    Temporary work
    Zero hours contract
    Shift work

    Prime Staffing

    Grand Central, NY
    2 days ago
  • $77.02k - $117.58k

     ...named one of the Tampa Bay Times’ Top Workplaces. Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective...  ...Needed: Yes Minimum Licensure: Registered Nurse (RN) Minimum Licensure (Other): Knowledge of utilization management... 
    Full time
    Work at office

    SPEROS

    Brooklyn, NY
    1 day ago
  • MarinHealth is seeking a Utilization Review Nurse II to perform admission, concurrent and retrospective reviews for designated health plans in a 40-hour week on days at Greenbrae, CA. The role requires a BSN preferred, 3+ years of acute care experience, and experience... 

    Marin General Hospital

    Brooklyn, NY
    4 days ago
  • UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters, ensuring accuracy and compliance. You will support OPAS and enterprise...  ...reviews. Requirements include an RN license, 3+ years bedside nursing in acute... 
    Remote job
    Work at office
    Flexible hours

    Construction Association of Michigan

    Brooklyn, NY
    5 days ago
  • Carson Valley Health in Nevada seeks a Per Diem Utilization Review RN to perform clinically oriented medical chart reviews and support the hospital's utilization review plan, ensuring medical necessity and proper documentation. Requirements include Nevada RN licensure,... 
    Hourly pay
    Daily paid

    Carson Valley Health

    Brooklyn, NY
    1 day ago
  •  ...Ltd is seeking an Associate Director, Global Medical Review in Princeton, NJ. The role leads high‑impact medical review of safety data for investigational...  ...products, ensuring quality and global regulatory compliance. Responsibilities include audits, SOP/guide updates,... 

    Otsuka Pharmaceutical Co., Ltd

    Brooklyn, NY
    5 days ago
  • KPFF Consulting Engineers seeks a SUE Lead in Los Angeles to manage field crews, locate and map underground utilities, and ensure ASCE 38-22 compliance. You will lead operations, mentor junior staff, and coordinate with project managers to deliver accurate documentation... 

    KPFF Inc.

    Brooklyn, NY
    2 days ago
  •  ...in Little Rock, AR is hiring a Production Supervisor to oversee daily manufacturing operations, coordinate activities, and lead a team of production workers toward safety,...  ...maintenance, quality, and supply chain; ensure compliance with safety standards; drive continuous... 

    United Solutions Company

    Brooklyn, NY
    1 day ago
  •  ...materials at our outdoor facility. You will manage equipment, enforce safety policies, train staff, and ensure productivity and compliance with company standards. This role requires 3–5 years in related industries, a High School diploma, and strong leadership and communication... 

    Fall Creek Farm & Nursery

    Jersey City, NJ
    2 days ago
  • Vistra's Luminant Generation Company LLC is seeking a Protection and Control Supervisor to lead a team of P&C technicians across fossil generation. You will drive compliance, troubleshoot relays and metering, and oversee upgrades and capital projects to improve plant reliability... 

    TXU Energy

    Brooklyn, NY
    4 days ago
  • $88.85k

     ...net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of...  ...internal teams to ensure accurate adjudication and compliance. This position collaborates closely with internal stakeholders... 
    Full time

    L.A. Care Health Plan

    Brooklyn, NY
    1 day ago
  • Sentara Health Plans Community Care in Norfolk, VA seeks an Utilization Review Nurse to manage utilization management within licensure. You will...  ...decisions to members and providers. The role requires a RN license, 3 years of acute care experience, and familiarity with... 

    Sentara Health Plans

    Brooklyn, NY
    2 days ago
  • $66.83k - $111.38k

     ...Wisconsin, Wyoming. Job Responsibilities Utilization Review Nurse is responsible for utilizing...  ...of treatment setting reviews to ensure compliance with applicable criteria, medical policy...  ...Certification/Licensure: Registered Nurse (RN) License (Compact or Virginia) REQUIRED... 
    Remote job
    Permanent employment
    Full time
    Temporary work
    Shift work
    Day shift

    Sentara Health Plans

    Brooklyn, NY
    20 hours ago
  • Logan Health in Kalispell, Montana is seeking an experienced RN Supervisor for the Acute Care Unit. This role blends bedside patient care...  ...mentoring teammates. You’ll remain actively involved in bedside care, lead during high-acuity situations, and partner with unit... 
    Night shift

    Logan Health

    Brooklyn, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review Supervisor — RN Lead & Compliance. Be the first to apply!