Utilization Review Nurse
Dane Street
A leading healthcare provider in the United States is seeking a Physician to provide utilization review services. The successful candidate will utilize clinical expertise to review medical records and ensure compliance with guidelines. This role includes reviewing prior authorizations and appeals, maintaining proper licensure, and tackling QA issues. Ideal candidates will have a minimum of five years of postgraduate experience and strong communication skills. We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. #J-18808-Ljbffr
- ...LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer guidelines. You will document workflows in EPIC, identify barriers in treatment...SuggestedShift workNight shiftWeekend work
$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...SuggestedHourly payPart timeRemote work- ...A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with...SuggestedRemote work
- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...SuggestedRemote workFlexible hoursWeekend workDay shift
$34 - $40 per hour
.../hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services. In this role, you will coordinate and...SuggestedFull timeRemote work$35 - $43 per hour
...Base pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside... ...The Clinical Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right care...Remote work$140 - $145 per hour
...Oscar is hiring a Physician Reviewer to join our Utilization Management Team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote role is open...Hourly payRemote workWeekend work- ...Currently seeking a Utilization Management RN . Please see details and qualifications below... ...Must have an active PA license or a Nurse Licensure Compact to include PA. ** Minimum... ...conditions through medical record review to determine medical necessity for services...Immediate startRemote workDay shift
$65 per hour
...Job Title: Registered Nurse (RN) – Case Management Location: New York, NY 10037 Start... ...manage resources, and ensure appropriate utilization of healthcare services while maintaining... ...discharge planning. Conduct utilization review to ensure appropriate level of care and...Hourly payWeekly payLocal areaShift work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Contract workRemote work
- ...in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This position is ideal for an RN with prior work in insurance utilization...Full timeContract workRemote work
$32 - $46.15 per hour
...workplace for our team members. At Sunrise Senior Living, we champion the quality of life for all seniors. As an LPN Medication Nurse, you provide licensed nursing support through safe medication administration, health monitoring, and accurate clinical documentation...Part time$3,650 per month
Job Description Job Description Post Partum RN - NYC, NY $3650 4x12hrs Days Or Nights / 13wk / June 2 ~ BLS ~ BSN ~ Travel Experience ~ Level 1 Trauma Experience ~2yrs of exp \nCompany Description LanceSoft is rated as one of the largest staffing firms...Night shift- Job Description Job Description Requirements: Active RN license (NY) Minimum 2 years of OR experience Experience in all surgical services, including trauma cases BLS and ACLS certifications (preferred) Previous Level I or II trauma center experience strongly...
$85k - $95k
...function and/or contract. Please refer to applicable regulations/contracts for all position requirements. All Registered Nurses (RNs) must meet the following minimum requirements: ~ NYS Registered Nurse (RN) License Preferred Qualification...Contract work- ...York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan...Work at officeRelocation package
- ...Job Description Job Description Are you an Registered Nurse looking to move beyond traditional bedside nursing while continuing to... .... Job Responsibilities: Complete pre-visit planning and review daily patient appointments. Conduct proactive outreach to high...Permanent employmentFull timeMonday to FridayFlexible hours
$120k - $150k
...Job Description Job Description Photopheresis Registered Nurse Location: New York, NY Salary: $120,000-$150,000 Schedule: Monday-Friday, 9:00 AM-5:00 PM Employment Type: Full-Time Position Overview A leading healthcare organization is seeking an experienced...Full timeMonday to Friday$85k - $95k
...Position Under the supervision of the Nursing Supervisor or other designated manager,... ...to state(s) of assignment. Utilizes the nursing process with each person supported... ...required by applicable regulations. Writes, reviews and/or updates plans of nursing care,...Temporary workWork at officeLocal areaFlexible hours- ...Job Description Job Description We are seeking a registered nurse to join our dual endocrinology and longevity practices under the... ...Placing lab orders and writing prescriptions for the doctor’s review. Drawing blood and preparing lab samples accurately as directed...
$40 - $45 per hour
...highest quality care to clients with complex medical needs. Why Nurses Choose BAYADA: Control Your Schedule – Flexible scheduling... ...Providing 24/7 clinical support and ongoing mentorship Utilizing user-friendly electronic charting (Statewise) so you can focus...Weekly payDaily paidFull timePart timeLocal areaFlexible hoursShift workNight shiftDay shift- ...Job Description Job Description The Registered Nurse provides coordinated medical and health services to residents under the supervision of the Nurse Manager and Director of Medical Services. The RN is responsible for medication administration, medical assessments,...Shift workNight shiftWeekend work
- ...Job Description Job Description 5 Star Rated Long Term Care nursing facility is seeking for motivated and compassionate Registered Nurses (RNs) to join our growing staff and provide direct care to residents while promoting the highest level of functioning. We are...Full timeTemporary workPart timeAll shiftsWeekend work
- ...team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients. Responsibilities: Administer nursing care to ill, injured, or disabled patients Diagnose and establish patient treatment plans Monitor and report changes in...
- ...Job Description Job Description Registered Nurse (RN) – Group Home / Residential Care Locations: Staten Island Schedule: Monday–Friday | Flexible start times (8–4, 9–5, or 10–6) Type: Full-Time | Contract with opportunity to become permanent We are seeking...Permanent employmentFull timeContract workMonday to FridayFlexible hoursWeekend workWeekday work
- ...Job Description Job Description Ambulatory Surgery Center is currently seeking an Part time OR RN Nurse to join our team. We are a pain management practice with a one room OR where we do epidurals, nerve blocks, medial branch block etc...the RN will be responsible...Part time
$99.84k - $114.4k
...Description **$10,000 Sign-On Bonus** Hamilton Park Center for Nursing and Rehabilitation is looking for a Registered Nurse (RN) to... ...in long-term care, rehabilitation, and supportive services. We utilize advanced technology and evidence-based practices to ensure our...Daily paidFull timePart timeLocal areaRelocationRelocation packageShift workNight shiftDay shift$40 - $45 per hour
...highest quality care to clients with complex medical needs. Why Nurses Choose BAYADA: Control Your Schedule – Flexible scheduling... ...Providing 24/7 clinical support and ongoing mentorship Utilizing user-friendly electronic charting (Statewise) so you can focus...Weekly payFull timePart timeReliefLocal areaFlexible hoursShift workNight shiftDay shift- ...Job Description Job Description The Registered Nurse (RN) provides comprehensive nursing care and clinical support to individuals and families across the organization’s behavioral health programs, including therapeutic preschool, early childhood program, school-based...Immediate start
- Job Description Job Description NYS Licensed Home Care Agency in Brooklyn, NY currently has a RN position open Part Time/Full Time New Grads Welcome All Boros, all languages Bilingual a plus Good Salary and BenefitsFull timePart time
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