Utilization Review Nurse
Council Of State and Territorial Epidemiologists
UnitedHealth Group is seeking a Clinical Quality Consultant for the Oncogenetic Program to guide utilization management of advanced molecular and genetic testing in oncology. This role ensures evidence-based decisions, regulatory compliance, and optimal patient outcomes through expert genomic interpretation and cross-disciplinary collaboration. Requires a PhD in molecular pathology, 5+ years in oncology/genetics, and proficiency with NGS tools; remote-friendly in a fast-paced tech-enabled #J-18808-Ljbffr
- ...qualified medical certification professional to conduct reviews for medical necessity. The role demands extensive nursing experience, collaboration with medical staff,... .... You'll support both acute care and resource utilization, offering a unique opportunity to grow within a...Suggested
- ...position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract... ...Organizational skills and prioritization skills. ~ Registered Nurse (RN) with unrestricted license in state . ~3 years clinical experience...SuggestedFull timeContract workRemote work
- ...Description The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent...SuggestedFull time
$40 per hour
...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational... ...members, providers and facilities. Registered Nurse (RN) with valid, current, unrestricted...SuggestedRemote jobFull timeContract workWork at office- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance...SuggestedFull timeTemporary workSummer workWork at officeFlexible hours
$35 - $45.94 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed...Hourly payFull timeRemote workWork from homeHome officeWeekend work$28.9 - $39.3 per hour
...certification • Interviews donors and performs medical history reviews to obtain necessary information to determine suitability to... ...as required Qualifications: • Graduation from a paramedic, nursing, physician assistant, chiropractic, medical school or naturopathic...Full timeLocal area$28 - $37 per hour
...Registered Nurse (RN) Pediatric Home Health A Nursing Role Built for Focused, One-on-One Care At Care Options for Kids, pediatric home health nursing is intentionally different. Instead of juggling multiple patients, alarms, and constant interruptions, you provide...Weekly payFull timeLocal areaFlexible hoursShift work$28 - $37 per hour
...Registered Nurse (RN) Pediatric Home Health Sign-On Bonus Opportunity! Eligible candidates may qualify for a $1500sign-on bonus* as part of their total compensation package. Bonus eligibility and payout structure will be discussed early in the interview process....Weekly payFull timeLocal areaRelocation packageFlexible hoursShift work- ...Current BLS Certification (AHA/ARC) Current ACLS Certification (AHA/ARC) Preferred Qualifications: Progressive Care Certified Nurse (PCCN) Certification NIHSS Certification Other certifications and licenses may be required for this position Summary: A...Full timeTemporary work
- ...AHA/ARC) certification Other certifications and licenses may be required for this position Summary: The Med Surg Registered Nurse delivers comprehensive high-quality, patient-centered care in medical-surgical and telemetry units. This role involves assessing...Full timeTemporary work
- ...Summary: The RN Navigator Home Health Review plays a crucial role in monitoring post-acute... ...facilities to review patient needs. The Nurse makes recommendations to primary care... ...recertification or discharge from service. Utilizes MCG Guidelines for post-acute services...Full timeWork at officeMonday to Friday
$75k
...coordinates the plans of care for hospital and nursing home patients, from admission to... ...Reports directly to the Senior Director of Utilization Management in the Utilization Management... ...include: Admit new clients by reviewing records and applications; conduct orientations...Full timeApprenticeshipWork experience placementWork at officeLocal areaRelocationMonday to FridayFlexible hoursDay shift- ...regulations Current BLS (AHA/ARC) and ACLS (AHA/ARC) certifications Preferred Qualifications: Critical Care Registered Nurse (CCRN) certification TNCC, NIHSS certification Other certifications or licenses may be required for this position Summary:...Temporary work
- Medical City Healthcare is seeking a skilled Registered Nurse - Operating Room to join our Healthcare & Medical Services team. In this role, you’ll provide perioperative nursing care, support surgeons and anesthesia providers, maintain a sterile environment, and advocate...
- Medical City Healthcare is seeking a compassionate RN Labor and Delivery nurse to join our Healthcare & Medical Services department. In this role, you will provide comprehensive, patient-centered care to mothers and newborns throughout labor, delivery, and immediate postpartum...Immediate start
- Medical City Healthcare seeks an experienced RN Operating Room nurse to deliver high-quality perioperative care in a fast-paced surgical environment. You will assess patients, prepare the OR, circulate and scrub for diverse procedures, and collaborate closely with surgeons...Full time
- Medical City Healthcare seeks an RN Operating Room nurse to deliver high-quality perioperative care in a fast-paced surgical environment. The RN will function as circulator and scrub, coordinate with surgeons and anesthesia, and ensure patient safety through strict adherence...Full time
- ...same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Medical-Surgical nurses provide direct care to adult patients in a variety of settings and is the largest group of nurses. They provide care for patients...Hourly payTemporary workWork experience placement
- RN - CVOR Shift: 08:00 AM - 04:00 PM Shifts Per Week: 5 Scheduled Hours: 40 Start Date: 07/14/2026 End Date: 09/08/2026 Duration: 8 Week(s) Unit Information: Number of Beds: 2 Pedi CVOR rooms Number of Staff: 9 Type of staff: Day Shift 4 CST...Contract workLocal areaShift workNight shiftDay shift
- ...PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including...Night shiftWeekend work
$33 - $41 per hour
...before 5/31/26 to qualify for bonus – apply today! 12 hour day shift. 7a-7p Position Summary Working in harmony with the entire nursing staff, the Registered Nurse RN strives to provide the very best care possible. If you are a Registered Nurse RN with a true passion...Full timeLocal areaRelocation packageFlexible hoursDay shift$2,474 per month
...Details Client Name St Joseph Hospital Health Center Job Type Travel Offering Nursing Profession RN Specialty EP Job ID 37525243 Job Title RN - EP Weekly Pay $2474.0 Shift...Weekly payShift work- ...With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, Utilization management or utilization review, and interfacing with health care payers/regulatory agencies. Benefits Becoming an AMN Healthcare...Temporary work
- ...OR Registered Nurse Reports to: Nurse Manager FLSA Status: Non-Exempt Summary: CNY Fertility is a renowned fertility center... ...questions, and concerns to the appropriate area. # Communicates, reviews, records all laboratory results. # Maintains factual and...Flexible hours
- ...do your best work with patient safety and workflow efficiency in the Operating Room Rounding with unit leaders, including charge nurses, to ensure your voice is heard on suggestions for patient care and surgical workflow improvement On-call is required during...Shift work
- Travel - RN - Transplant Service (770) City/State: Dallas, Texas Shift: 08:00-16:30, 8 Hour Days Contract Length: 13 weeks Start Date: 06/23/2026 Job Description: Position involves working in the Transplant Services unit focusing on abdominal (liver, ...Contract workShift work
$2,158 per month
...Details Client Name Medical City Hospital Job Type Travel Offering Nursing Profession RN Specialty CVOR Job ID 18850277 Job Title RN - CVOR Weekly Pay $2158.0 Shift Details...Weekly payExtra incomeContract workShift workDay shift- Job Title Resume Skills Checklist Current and valid RN license BSN degree preferred Certifications: BLS, ACLS, NRP, Basic/AWHONN Intermediate fetal monitoring certification preferred. Postpartum and vaginal examination experience a plus. Covid patients: Yes Charting...Night shift
- ...Registered Nurse Roles In Texas Registered Nurse roles in Texas (Per-diem, travel and local contracts available) Highlights Per Diem roles = Auto Offer Start in as little as 3 days Flexible shifts (Day/Night | 8/12 hrs) Patient Ratio: 1:6 Competitive...Daily paidLocal areaFlexible hoursShift workNight shiftDay shift
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