Registered Nurse - Utilization Review
Compu Vision Consulting Inc
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 pay range may vary and/or include certain benefits like: Stipends (for clinical traveler workers only), Medical, Dental, Vision, 401K.
Skills:
1 year of non-acute utilization review experience - required RN experience - preferred
Education:
Required: New York State RN License, Primary Source Verification, AHA BLS
Languages:
English Read Write Speak
Certifications & Licenses:
AHA BLS New York State RN License Primary Source Verification
- ...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...Suggested
$2,940.02 per month
...Client Name HHC Correctional Health Services Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19084478 Job Title RN - Utilization Review (000298) Weekly Pay...SuggestedWeekly payShift workDay shift$2,572 per month
...Type Travel Offering Nursing Profession RN Specialty... ...35546746 Job Title RN - Utilization Review (000298) Weekly Pay $2572.0... ...Job Description Job Title: Registered Nurse Profession: RN Specialty:...SuggestedWeekly payShift work$55 - $65 per hour
...Registered Nurse With Utilization Review Experience A healthcare organization is seeking a Registered Nurse with utilization review experience to support non-acute clinical review activities. This contract opportunity is based in the Queens, NY area and requires an...SuggestedHourly payContract work$65 - $70 per hour
...Hi This is Vikram from Pride Health, Actively hiring RN - Utilization Review for Hospital based in East Elmhurst, New York. All potential... ...PM (8.5x5) Job Summary We are seeking a qualified Registered Nurse (RN) – Utilization Review professional to support...SuggestedContract workLocal areaShift work- ## 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
- ...RN - Utilization Review About the Position Specialty: RN Utilization Review Experience: 2+ years of experience in utilization review, case management, or acute care nursing License: Active State or Compact RN License Certifications: BLS AHA; Certified Case...
- 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 HealthcareShift work
$2,816.09 per month
...Client Name Jacobi Medical Center - NYCHH Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18960406 Weekly Pay $2816.09 Shift Details Shift 5x8 Days...Weekly payShift work- ...healthcare services are covered by insurance. Reviews clinical criteria to support patient... ...Qualifications: Bachelor's degree in nursing. Current Registered Nurse License State of Ohio. Minimum... .... Current working knowledge of, utilization management, case-management,...Shift work
$63k - $65k
...Best Workplaces in Financial Services & InsuranceUtilization Review RN**As a nurse at Sedgwick, you can build a meaningful and rewarding... ...needs.**PRIMARY PURPOSE**: To provide timely, evidence-based utilization review services to maximize quality care and cost-effective...Work experience placementLocal areaRemote workFlexible hours$63.1k - $94.65k
...RN license, or be willing to obtain* Schedule Information Our Utilization Review team provides coverage seven days a week, operating between 8... ...Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration Educates hospital...Work at officeFlexible hoursShift work$2,550 - $2,630 per week
...Job Description Job Description RN – Utilization Review Location: East Elmhurst, NY Employment Type: Contract – 13 Weeks... ...$69–$73 per hour Position Summary We are seeking a Registered Nurse (RN) – Utilization Review to evaluate healthcare services...Hourly payContract workLocal area- 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 payDaily paid
- ...clinically orientated medical chart reviews and other administrative... ...of the medical center's utilization review plan, state and federal... ...: A Bachelor's Degree in Nursing preferred; three (3) years of... ...Must be licensed as a Registered Nurse by the State of Nevada...Hourly payDaily paidWork experience placement
- ...Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical...
- ...coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this...Temporary workPart timeRelief
- ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions... ..., and payer requirements. Bachelor's degree in Nursing, Social Work, Psychology, or a related field required; advanced...Work at officeLocal area
- ## Job Title:RN - Utilization Review - PT## Job Summary:RN-Utilization Review is accountable to perform utilization management services for... ...Experience**Education and Experience Required:**One (1) year of nursing experience in an inpatient setting.**Certifications,...Part timeCasual workSeasonal workShift work
- ...Medusind in Costa Mesa, CA is seeking an UR Representative to conduct Utilization Reviews ensuring proper authorization for behavioral health services. You will review cases across multiple platforms, coordinate peer reviews, and enter authorization data while maintaining...
$50 - $55 per hour
...RN – Utilization Management New York, NY – Midtown $50–$55/hour Monday–Friday,... ...What they’re looking for: ~ NYS Registered Nurse with a Bachelor’s degree ~3+ years of... ...experience, including medical necessity reviews, prior authorizations, appeals, and benefit...Permanent employmentTemporary workMonday to Friday- ...member care. Rotating weekend hours are required to address utilization review cases. Roles and Responsibilities Prepares clinical reviews... ...experience. Must have a current, unrestricted Texas nursing license or Compact License. Please include your license number...Live inRemote workFlexible hoursWeekday work
- SUMMARY The Authorization Nurse will oversee the processing of assigned authorizations... ...assigned. KNOWLEDGE, SKILLS AND ABILITIES Registered Nurse in State of MI with unencumbered... ...managed care environment, preferably in a utilization related role. Must have one year of...Work at office
$77.08k - $119.47k
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition... ...Team and health care team.**Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate's...Shift work- Sedgwick Claims Management Services Ltd seeks an RN Utilization Review professional to assess and optimize patient care for injured employees in a remote setting. You will evaluate treatment utilization, collaborate with physicians and claims teams, and promote cost-effective...Remote jobFlexible hours
- Utilization Review Specialist- Healthcare | Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job The Utilization Specialist... .... Communicates effectively with co-workers, program, and nursing staff regarding charting deficiencies and problems/issues identified...Temporary workWork at office
- AvonRisk LLC is seeking a Medical Case Management nurse in Texas for a hybrid role combining case management and utilization review. The nurse coordinates care, communicates with providers, the injured worker, and employer to achieve optimal medical and disability outcomes...
- Position Title: Case Manager, RN - Utilization Review - PRN Department: OUMC Utilization Review... ...accreditation requirements related to Nursing care management and patient continuum... ...Certification/Registration Requirements Current Registered Nurse License (RN License issued by...Full timeReliefLocal areaRemote workWork from homeRelocationShift work
- OU Health is seeking a Case Manager, RN for Utilization Review on a PRN basis. The role focuses on evaluating medical necessity, coordinating with payors and providers, and ensuring appropriate care while maintaining HIPAA compliance, even in a remote setup. The candidate...Remote jobRelief
- ...environment that allows you to thrive both personally and professionally. Position Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess the medical necessity and quality of healthcare services through prospective, concurrent,...Full timeContract workRemote work
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