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$52.26 - $81.13 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedMinimum wageFull timeLocal areaShift work- Summary In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day shift, 7am- 3:30pm, Monday- Sunday every other week. Summary The UR Reviewer 1 is responsible for performing inpatient admission, concurrent, and observation reviews...SuggestedDay shift
$44.16 - $77.58 per hour
...patients in an acute care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and patient advocacy. The goal of the...SuggestedMinimum wageFull timeRelocation packageShift workDay shift1 day per week- Responsibilities Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral Health...SuggestedFull timeLocal area
- Job No: 497118 Department: Medical Care Review Local Title: Utilization Review Nurse Budget Title: Teaching Hospital Quality Assurance Senior Coordinator Work Type: Full Time Location: Brooklyn, NY Categories: Administrative, Nursing, Patient Care Job Summary The...SuggestedFull timeReliefLocal areaMonday to Friday
$35 - $40 per hour
Base Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of home health...SuggestedContract workRemote workFlexible hoursWeekend work- About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating...SuggestedFull timePart timeWeekend work
$18 - $20 per hour
Utilization Review Coordinator Primary Purpose To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. Are you an ideal candidate? We are looking for enthusiastic...SuggestedWork at officeLocal areaFlexible hours- ...based upon position type and/or level. Job Summary You will review patient cases for medical necessity and establish service... ...treatments, terminology, and clinical documentation Experience with utilization review, discharge planning, and levels of care determination...SuggestedWork at officeImmediate start
- ...Clinica Review Nurse Travel offering nursing profession RN specialty utilization review. Regular pay rate $63. Shifts per week 5. Scheduled hours 40. Start date 04/10/2026. End date 07/10/2026. Duration 13 weeks. City Uniondale, State NY, Zip Code 11556. RC HealthcareSuggestedShift work
- ...with behavioral health providers to offer a full suite of administrative solutions, including comprehensive medical billing, utilization review services, and credentialing support. Our mission is to simplify the complexities of revenue cycle management, helping providers...Suggested
- ...Utilization Review Nurse Full Time, Days, Not a Remote position. Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical...SuggestedPermanent employmentFull timeWork experience placementWork at officeLocal areaMonday to Friday
- ...Key Functions 1. Perform both internal and external record reviews as part of daily department operations. Cooperates with Admissions... ...outcome in certification record. Performs concurrent utilization review with insurance companies and relevant payers, documenting...SuggestedFull timeWork at officeMonday to FridayShift work
- ...Emory Healthcare Utilization Review Specialist Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs...SuggestedWork at officeRemote work
$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...SuggestedMinimum wageFull timeWork at officeLocal areaShift work- ...care, service, and kindness toward all patients, staff, physicians, volunteers and guests. Position Summary The Psychiatric Utilization Review (UR) Coordinator is responsible for conducting concurrent reviews for psychiatric patients to ensure medical necessity and continued...Full timeContract workTemporary workWork at officeImmediate startMonday to FridayShift work
- A leading healthcare provider in Jacksonville is seeking a TEMP FT Utilization Review Coordinator to monitor treatment activities and ensure quality patient care. The ideal candidate will have a nursing or social work background with experience in Utilization Management...Temporary workWeekend work
- A leading healthcare provider in San Antonio seeks a Utilization Review Coordinator to conduct patient care evaluations and monitor treatment plans. This role involves collaborating with healthcare teams to ensure quality care and compliance with insurance requirements...
- A healthcare provider in Florida seeks a Utilization Review Coordinator to monitor patient treatment activities and collaborate with healthcare teams for optimal care. This full-time position requires a Registered Nurse, LPN, or Master's level Social Worker with experience...Full time
- Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for...Remote work
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third...Shift work
- ...Position Summary: Assists in the coordination of the appropriate utilization of services and resources of patient care and continuum at... ...: Assists in the coordination of all aspects of concurrent review process for individual cases. Coordinates clinical documentation...Permanent employmentFull timeFor contractors
- ...Job Description Job Description POSITION POSTING: Utilization Review DEPARTMENTS: Nursing STATUS Part-Time: 24 hours per week HOURS : Day shift. Hours may be adjusted in response to workload demands; Low census may be utilized in accordance with hospital...Part timeDay shift
- ...Description: 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 options to our clients...Full timeTemporary workWork at officeFlexible hours
$15k
...Description Job Description Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts,...Work at officeRelocation packageShift workWeekend work$60k - $72k
...Job Description Job Description Description: Utilization Review Manager Reports to: CEO Job Category: Salaried | Exempt | Full-Time Starting Salary: $60,000-$72,000/year (DOE) Job Site: Remote (must reside in Colorado) Job Summary: The Utilization...Hourly payFull timeRemote work$40 - $63 per hour
...Job Description Job Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer...Full timeWork at officeShift workWeekend work- Position: ED UTILIZATION REVIEW/CASE MANAGER Location: Chicago, IL Job Id: 666 # of Openings: 0 WE ARE INSIGHT At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location...Temporary workWork at office
- A healthcare service company is seeking a Medical Records Reviewer in the Town of Florida, NY. In this role, you will ensure the proper use of healthcare resources by reviewing and processing medical records for payor authorization. You will collaborate with various healthcare...
- ...leading healthcare institution in Los Angeles is seeking a UM Review Nurse to ensure high-quality, evidence-based care. The nursing... ...commitment to continuous process improvement, ensuring optimal patient outcomes and resource utilization. #J-18808-Ljbffr UCLA Outpatient Clinics