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

RN Utilization Review Specialist: Optimize Inpatient Care

Dormont Manufacturing Co

Dormont Manufacturing Co in Georgia is seeking a licensed Registered Nurse (RN) for the Utilization Review Nurse position. This role involves conducting medical record reviews to determine care necessity and collaborating with interdisciplinary teams for patient care planning. The ideal candidate should have three years of hospital nursing experience, an RN license, and knowledge of Medicare guidelines. This position requires effective communication skills and the ability to work independently. #J-18808-Ljbffr Dormont Manufacturing Co

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Review Specialist: Optimize Inpatient Care in New York, NY vacancy
  • $75k

     ...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing...  ...decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting salary for this position is... 
    Suggested
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    1 day ago
  • $17.44 per hour

    Job Posting TitleUtilization Review Specialist IAgency452 MENTAL HEALTH AND...  ...IJoin a team that CARES!Here at ODMHSAS, we believe...  ...Behavioral Health is recruiting a Utilization Review Specialist. This position...  ...psychiatric hospital will feature 106 inpatient beds, an expanded residency... 
    Suggested
    Work at office
    Weekend work

    State-of-Oklahoma

    Brooklyn, NY
    4 days ago
  • $10k

    ## Utilization Review RN - PT - Day - Utilization Resource Mgmt Pennington NJApplylocations...  ..., quality patient care with significant investments...  ...functions which help to optimize lengths of stay, utilize resources...  ...for appropriateness for inpatient level of care or observation... 
    Suggested
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Immediate start
    Flexible hours
    Night shift

    Capital Health

    New York, NY
    4 days ago
  •  ...seeking a full-time remote Licensed Utilization Clinician. The role involves evaluating inpatient medical treatments and performing utilization reviews to facilitate optimal health outcomes for members. Key...  ...Candidates must have an active RN license, nursing degree, and at... 
    Suggested
    Remote job
    Full time

    WellSense Health Plan

    New York, NY
    1 day ago
  •  ...Systems, Inc. is seeking a part-time Ohio Licensed Utilization Review Nurse to conduct admissions and transfers reviews while...  ...nursing school, have a minimum of 3 years acute care experience, and possess an active RN license. #J-18808-Ljbffr ProMedica Health Systems,... 
    Suggested
    Remote job
    Part time

    ProMedica Health Systems, Inc.

    New York, NY
    18 hours ago
  • Boston Medical Center is seeking an RN Appeal Administrator responsible for managing the pre-denial, denial, and appeal processes while...  ...teams and payers to secure necessary authorizations and optimize reimbursement. The ideal candidate must have a Bachelor’s degree... 

    Boston Medical Center

    New York, NY
    4 days ago
  •  ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort...  ...contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates will have at... 
    Contract work
    Remote work
    Work from home

    Medix

    New York, NY
    3 days ago
  •  ...clinical member services review assessment processes....  ...integrated delivery of care across the continuum. Contributes...  ...care model. Adhere to utilization management (UM)...  ...hospital acute care, inpatient review, prior authorization...  .... Registered Nurse (RN). License must be active... 
    Work at office

    Molina Healthcare

    New York, NY
    4 days ago
  •  ...thread” of compassionate care that connects staff and...  ...As our Utilization Management Nurse, you will...  ...you will meticulously review medical records, authorize...  ...empathy is paramount for optimal patient care and operational...  ...Collaborates with facility RN Care Coordinators to... 

    Santa Barbara Cottage Hospital

    New York, NY
    18 hours ago
  • $30 - $38 per hour

     ...wellbeing solutions, and comprehensive care navigation together in one place. We...  ...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis...  ...requests for medical appropriateness; inpatient hospital stay including mental health... 
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Monday to Friday
    Weekend work

    Santa Barbara Cottage Hospital

    New York, NY
    18 hours ago
  •  ...community hospital in Arizona is seeking a Utilization Management Nurse to ensure healthcare efficiency and quality through diligent review of medical records and adept communication...  ...us in providing comprehensive patient care in a supportive environment. #J-18808-Ljbffr... 

    Santa Barbara Cottage Hospital

    New York, NY
    18 hours ago
  •  ...institution in the United States is hiring for a Concurrent Review Nurse responsible for performing utilization management activities remotely. The role involves...  ...professionals to ensure appropriate patient care. The ideal candidate will be a registered nurse with... 
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    18 hours ago
  •  ...General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization...  ...collaborating closely with Physician Advisors and Care Management teams. The ideal candidate...  ...a Bachelor's of Science in Nursing, an RN license, and extensive experience in... 
    Remote work
    Flexible hours

    Santa Barbara Cottage Hospital

    New York, NY
    3 days ago
  • $118.13k - $155.79k

     ...Hospital is seeking a Case Manager - RN for Inpatient Units. This full-time position involves discharge planning and utilization management for patients in...  ...Responsibilities include managing clinical reviews and coordinating post-acute care plans. Candidates should have a... 
    Full time

    New York-Presbyterian Hospital

    New York, NY
    1 day ago
  •  ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence... 
    Remote work

    IntePros

    New York, NY
    2 days ago
  • $78k - $92k

     ...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming...  ...expertise without direct patient care. The role involves reviewing medical cases... 
    Remote work

    TalentLNX LLC

    New York, NY
    18 hours ago
  • $18k

     ...has focused on quality patient care and service to the community....  ...concurrent and retrospective utilization review to support and encourage the...  ...in order to achieve optimal clinical, financial, operational...  .... Collaborates with facility RN Care Coordinators to ensure progression... 
    Full time
    Part time
    Live out

    Santa Barbara Cottage Hospital

    New York, NY
    18 hours ago
  •  ...Job Title RN-Utilization Review Nurse (Hybrid, Inpatient) Overview VillageCare is looking for a self‑motivated and passionate RN as Utilization Review Nurse...  ...that promote high quality and cost‑effective health care services. Responsibilities Review planned, in‑process,... 
    Full time
    Work from home

    VillageCare

    New York, NY
    4 days ago
  • $85.7k - $128.54k

    ## Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)Applyremote type: Fully Remotelocations: Anywhere...  ...mold in conventional health care, committed to serving...  ...Nurse Lead is responsible for reviewing requests for inpatient and prior... 
    Remote job
    Immediate start
    Monday to Friday

    Alignment Healthcare LLC

    New York, NY
    3 days ago
  •  ...Currently seeking a Utilization Management RN . Please see details and qualifications...  ...through medical record review to determine medical...  ...determine medical necessity for inpatient admissions, continued stays...  ...to ensure appropriate care settings. Report utilization... 
    Immediate start
    Remote work
    Day shift

    The Judge Group, LLC

    New York, NY
    3 days ago
  •  ...Title Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT...  ...for reimbursement, clinical care assessment, education,...  ...applicable) Name: Certified Coding Specialist (CCS) Issuing Agency:... 
    Remote job
    Full time
    Traineeship
    Work at office
    Local area
    Shift work

    Mount Sinai Hospital

    New York, NY
    2 days ago
  • $65 per hour

     ...Title: Registered Nurse (RN) – Case Management...  ...will coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while...  ...planning. Conduct utilization review to ensure appropriate...  ...and healthcare teams to optimize patient outcomes.... 
    Hourly pay
    Weekly pay
    Local area
    Shift work

    PRIDE Health

    New York, NY
    2 days ago
  • $35 - $45 per hour

     ...IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison,...  ...promotes collaboration across teams to optimize care, drive cost‑effective resource utilization...  ...professional nursing program (RN, LPN, or LVN). Minimum of two years of... 
    Contract work
    Remote work
    Weekend work

    IntePros

    New York, NY
    18 hours ago
  • Santa Barbara Cottage Hospital is looking for a Utilization Review Clinician to ensure that medical necessities are reviewed effectively. This...  ...with physicians and healthcare providers to manage patient care through established guidelines. The ideal candidate will possess... 

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  • EmblemHealth is seeking a Clinical Reviewer in New York to perform...  ...'s degree in nursing, a valid RN license, and 4-6 years of nursing...  ...Responsibilities include coordinating care, communicating with providers,...  ...include certification in utilization management and strong... 

    EmblemHealth

    New York, NY
    4 days ago
  •  ...Description Job Description REPORTS: Director of Utilization Review DEPARTMENT: Clinical LOCATION : George...  ...direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving... 
    Temporary work
    Flexible hours

    Odyssey House INC

    New York, NY
    12 days ago
  • $3,017 - $3,112 per week

     ...Registered Nurse (RN) | Utilization Review Location: West Bronx, NY Agency: GQR Healthcare Pay: $3,017 to $3,112 per week Shift...  ...Profession: Registered Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $3017.13 - $3112.13 Duration:13 weeks... 
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Temporary work
    Immediate start
    Shift work

    GQR Healthcare

    Bronx, NY
    18 hours ago
  • $3,017 - $3,112 per week

     ...Registered Nurse (RN) | Utilization Review Location: West Bronx, NY Agency: GQR Healthcare Pay: $3,017 to $3,112 per week Shift...  ...Profession: Registered Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $3017.13 - $3112.13 Duration:13 weeks... 
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Temporary work
    Immediate start
    Shift work

    TravelNurseSource

    Bronx, NY
    18 hours ago
  • Inpatient Care Manager (RN)- Per-Diem, Days, Atlantic Health Chilton Medical Center...  ...role ensures effective utilization and monitoring of...  ...collaboration to achieve optimal clinical and resource outcomes...  ...guardians. Perform daily chart reviews of Palliative care patients... 
    Hourly pay
    Daily paid
    Full time
    Temporary work
    Part time
    For contractors
    For subcontractor
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    Atlantic Health System

    New York, NY
    2 days ago
  • $50 per hour

     ...experienced Registered Nurse Clinical Reviewer for a fully remote position with...  .... This role involves conducting utilization reviews and ensuring healthcare...  ...have an active New York State RN license and 1-3 years of experience in acute care utilization review. Competitive... 
    Remote job
    Hourly pay

    GreenLife Healthcare Staffing

    New York, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Utilization Review Specialist: Optimize Inpatient Care. Be the first to apply!